Raf and Jesus

Microsurgeon Rafael Acosta-Rojas performs a DIEP Breast Reconstruction in Mexico

Visiting Chihuahua University Hospital Mexico, Mr Rafael Acosta-Rojas performs a complex bi-lateral breast reconstruction.

Having studied and practiced all over the world throughout his career, Mr Rafael Acosta-Rojas is in demand. Invited by the Hospital’s Dr Ramos Baeza Humberto and Plastic Surgeon, Dr Jesus Manuel Gardea Contreras, Mr Acosta-Rojas shared his extensive knowledge of reconstructive microsurgery to residents and staff.

DIEP flap Breast Reconstruction

The female patient, 27 years of age, had undergone a double mastectomy.  An immediate bi-lateral DIEP flap breast reconstruction was performed by Dr Gardea and Mr Acosta-Rojas.

DIEP (deep inferior epigastric perforator) flap breast reconstruction rebuilds a breast shape by moving skin and fatty tissue from the abdomen to the chest.

Blood vessels as well as the skin and fat connected to them, are removed from the lower abdomen and transferred to the chest to reconstruct a breast without the sacrifice of any of the abdominal muscles.

After the skin, tissues and perforators (collectively known as the “flap”) have been dissected, the flap is transplanted and connected to the patient’s chest using microsurgery.

The flap is then ‘shaped’ to create the new breast.

A DIEP flap breast reconstruction is major surgery that must be undertaken by two surgeons.

Due to the complexity, the procedure can take up to eight hours.

Mr Acosta-Rojas visited the Hospital following his presentation at the 2017 World Wide Plastic Surgery Congress in Cancun, Mexico.

Raf at work in Chihuahua Mexio DIEP Flap Reconstruction

At work: Mr Rafael Acosta-Rojas trains medical staff in Mexico.


Chihuahua Uni Hospital Mexico - with Jesus Gardea

 Along with Plastic Surgeon, Dr Gardea (right), Mr Acosta-Rojas performed a DIEP flap breast reconstruction at the Hospital.



An impressive building, the Hospital Central Universitario is recognised by the National Institute of Anthropology and History.  The first stone was laid in 1894.