What is tissue-based breast reconstruction? January 25, 2023 In this option, tissue from other areas of your body such as your stomach, back, thighs, or buttocks is used to reconstruct the breasts. Dr. Cara Downey and Dr. Bullocks are well-versed in DIEP flap surgeries (deep inferior epigastric perforator artery), which utilize tissue from the tummy and moves it to your chest. Because the tissue in tissue-based breast reconstruction acts as it would in any other part of the body, your flap procedure allows for the enlargement or shrinking of your breasts as you gain or lose weight. Replacements or ruptures aren’t a concern in this process, either. These procedures are offered as an option for women who do not have blood clotting disorders or those who do smoke, as it provides a natural look and feel to the breasts. When considering a DIEP flap surgery, it is important to keep in mind that tissue from your belly for breast reconstruction can only be taken once. Undergoing the DIEP flap procedure will allow your stomach to lose some of its fat and excess skin, but will also leave a scar. Your chances of developing hernias are also minimized after a DIEP flap because your stomach muscles are no longer in use.