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Some have asked why I limit the number of DIEP flap breast reconstruction surgeries to only once a week – for me, it is about balance.

My patients may not realize it but I spend many sleepless nights worrying about their outcomes. After a DIEP flap, I frequently lose sleep that night as I worry about the patient and the flap doing well for the critical first 24 hours.

There are many surgeons who may do 2 or 3 in a week or even in a day, but I don’t. I believe that balance is necessary for me to be able to provide good quality care for each and every patient – that means days when I do DIEP flaps, days when I see patients in the office, days when I do other surgical procedures, and times that I spend with my family and dogs.

A DIEP flap is both a technically and mentally complex procedure that can take 4-5 hours for unilateral breast reconstruction and 6-8 hours for bilateral breast reconstruction. When I operate I’m 100% focused on you, my patient – I usually don’t even speak much in the operating room and don’t like the extra conversation because I believe that it can detract from focusing on you and the surgery. During the postoperative course, I always check on my patient that evening after surgery and am able to monitor the status of the flap from my phone on a continual basis. Despite having a 98% success rate, I worry about each and every one of you the same.

So that I can provide this high level of care for every patient, I like to have balance in my practice – that means that every day at work cannot function at the same high level of intensity – it is about balance. Consider that even professional athletes have rest days or days when they don’t play. All professionals require balance to maintain his or her peak performance levels.

Creating Outcomes That Enhance Your Natural Beauty