Dr. Torabi, our plastic and reconstructive surgeon, may recommend using tissue from other donor sites on the body. Composite reconstruction may involve using tissue from the abdomen, inner thigh, or upper outer thigh and hips to achieve better results using natural tissue. This approach, known as "4 flap reconstruction," combines tissue from different areas to reconstruct both breasts.

By combining tissue from the abdomen and inner or outer thigh, Dr. Torabi can perform a tummy tuck and thigh lift simultaneously to shape the tissue into breasts. If you are interested in learning more about these procedures and whether you are a candidate for this type of reconstruction, please contact us to schedule a consultation.


This muscle-sparing reconstruction technique enables the patient to use their own tissue in their breast, even if there isn't enough tissue at a single donor site to create a full breast. Another benefit of the stacked flap technique is that it can provide additional support and volume for the reconstructed breast, leading to a more natural and aesthetically pleasing result.


Of course, when you have multiple surgeries, you will also have several incision points on your body. The downside to this surgery is that you have a higher risk of infection, more surgery scarring, and a longer recovery time.

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Our Surgical Technique

During a composite stacked flap breast reconstruction, you’ll be under anesthesia for the entire 5-8 hour procedure. Fat and tissue will be taken from various donor sites such as the following:

  • Abdomen
  • Inner thigh
  • Outer thigh
  • Hips
  • Buttocks

Although this leads to scarring at multiple incision points, the surgeon will make every effort to conceal each incision discreetly, potentially improving the body's shape to appear leaner, akin to the effects of a tummy tuck or thigh lift. Your reconstructive surgeon can use different combinations to ensure there is sufficient tissue for successful breast reconstruction. The layered tissue will be placed on the breast mound, and blood vessels will be reconnected.

In Recovery

During your recovery at the hospital or surgical center following your composite stacked flap surgery, our post-op nurses will closely monitor your vital signs, attend to your incision sites, and track your progress. It is crucial for your surgical team to carefully monitor the blood flow in the reconstructed breast to prevent flap failure. You should anticipate staying in the hospital as an in-patient after these surgeries.

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Follow-Up & Considerations After Diep Surgery

After leaving the hospital, you should be back home and on the mend within a few days. We'll set up a follow-up appointment for you in a week. If you have severe pain, infection, fever, excessive bleeding, or a bad reaction to any medication, please call us immediately.

Your recovery time is estimated to be 4 – 6 weeks. Remember that more complex reconstruction surgeries may require a longer recovery period.

Personalized Treatment

At Elite Plastic Surgery, we provide a caring and supportive environment where your well-being and satisfaction come first. Our plastic and reconstructive surgeon, Dr. Torabi, will offer you a private consultation to assist you in determining the best approach for your breast reconstruction. Dr. Torabi will strive to ensure that you fully comprehend all of your options following a mastectomy.

Our goal is to ensure outstanding results and a positive experience for every patient. Please reach out to our welcoming front office staff today to schedule your initial appointment.

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