01/05/2026
Women are often anxious about the recovery time involved in mastectomy reconstruction. I still find a lot of misconceptions exist around recovery from free flap reconstruction, including that it can be a prolonged or very difficult course. While recovery differs for everyone, it is generally a 4-6 week timeframe after DIEP flap reconstruction and may vary depending on a patient's response to surgery.
Following a DIEP flap, women are generally observed for 2 to 3 nights in the hospital, although this can vary based on individual cases. Once discharged, recovery at home is similar to most other surgeries. Light activities are encouraged daily, like walking and everyday activities at home. The first follow-up occurs roughly one week later, drains are removed, and incisions inspected for healing. Between weeks one and four, there is a progressive increase in activities. By week four to six, I expect full healing of incisions, and patients generally return to regular activities by week six, full exercise by week 6-10 (depending on the activity), and return to work between weeks four and eight, depending on occupation. As an outpatient surgery, final revisions are conducted three and six months later to reach the final result and best aesthetic outcome.
Healing from a DIEP flap will vary depending on numerous factors. It is an exciting time as well, when I really see women gain control in their reconstructive journey and restore a sense of self after breast cancer.
If you have questions about DIEP flap reconstruction or want to learn more about your options, call my office at 310-620-8750 for an in-person or virtual consultation.
