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With her breast blight in absolution for a year, Shannen Doherty underwent her breast about-face in May, opting adjoin the added acceptable silicone implants.

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The actress, 47, absitively to abide a stacked DIEP accessory surgery, area the breast is recreated with tissue fabricated up of bark and fat from the lower abdomen. And in Doherty’s case, she absolutely had to accretion weight to get her anatomy ready.

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“I was appropriate to accretion weight to amplitude my skin. I did. I chock-full alive out and ate. I acquired the 7 pounds required,” she wrote on Instagram in July.

This isn’t accurate of all DIEP accessory surgeries — Doherty was in a somewhat altered position to accept to accretion weight for the procedure.

“In best women, this 75% [of tissue from the abdomen] is able for us to auspiciously reconstruct their breast,” Dr. Babak Mehrara, the arch of Plastic and Reconstructive Surgical Service at Memorial Sloan Kettering Blight Center in New York City, tells PEOPLE.

But for thinner women, surgeons charge to administer a altered adjustment to reconstruct the breasts, alleged a ample DIEP accessory surgery.

“In some cases, for archetype attenuate women or women who accept almost ample breasts but alone a bashful bulk of fat in their abdomen, we charge all of the bark from the abdomen,” Mehrara explains. “In these cases we do a ample accessory in which claret argosy from both abandon of the belly are connected, accordingly the claret accumulation of the bark is bigger and we can anxiously alteration all of the bark and fat. In some cases, one bisected of the belly fat is ample on top of the added half, giving us alike added adaptability in reconstructing the breast shape.”

RELATED VIDEO: Shannen Doherty Gets ‘Sexy Parisian’ Haircut as She Grows Out Her Hair Post-Chemo

Mehrara says it’s a complicated accommodation to go with a DIEP accessory over silicon implants.

“Usually, back women baddest this advantage they are attractive for the best abiding band-aid to breast about-face back these reconstructions age with them — they accretion weight back they accretion weight and lose weight back they lose weight, the tissue ages added artlessly and these reconstructions never charge to be redone,” he says.

But there are cons to activity with this surgery, decidedly for women who are planning to accept kids.

“A DIEP accessory may accomplish it harder to get abundant back their belly bark is anchored and won’t amplitude as much,” Mehrara says, abacus that it additionally leaves a cogent blister in the abdomen.

Plus, the anaplasty requires a diffuse accretion time. Patients break in the hospital for two to four days, and are acutely bound from circadian activities for six weeks. “In general, it takes about three to six months, and sometimes a little longer, to absolutely recover,” Mehrara says. They additionally generally charge a additional operation for blow ups, and for nipple about-face four to six months afterwards the antecedent surgery.

But, on the ablaze side, it requires far beneath aliment than silicon implants, which can breach or leak, and generally charge to be redone. Instead, Mehrara says he sees his DIEP accessory patients about already a year for the aboriginal bristles years afterwards surgery, and again they’re set.

“I acclaim this back patients like the abstraction of a added permanent, accustomed reconstruction,” he says.

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