Modern Breast Reconstruction

Restoring wholeness after breast cancer. We specialize in natural breast reconstruction using the latest and most advanced microsurgical techniques that use your own tissue (e.g. DIEP flap) to restore what is lost after mastectomy or lumpectomy.

Learn more about the different approaches to breast reconstruction

Autologous ("Free-Flap") Breast Reconstruction

The gold standard in breast reconstruction, we transfer your excess fatty tissue as a self-transplant to recreate a beautiful appearing breast following mastectomy. Commonly, this tissue comes from the lower abdomen with an incision and results similar to having a tummy-tuck. Using the lower abdominal tissue is known as a DIEP flap, a perforator flap that borrows belly skin and fat, while sparing the underlying muscle and fascia. Other potential flap donor sites include the back, thighs or upper buttock areas and will be personalized based on your body type and needs. A vascularized flap contains its own artery and vein (and sometimes nerves) which are re-connected to create a living piece of tissue in the breast. As an added benefit of using your own tissue, flaps will change proportionally with your body as you change over time.

Learn more about DIEP flap reconstruction

Revision or Secondary Reconstruction

Have you already had breast reconstruction or mastectomy?

Many patients come to us unhappy with their current reconstructive results. Whether you opted to go flat (no reconstruction), had complications related to your implants, or are unhappy with your current appearance, contact us today to see how we can best achieve your goals. Consultations are free, but second opinions are invaluable.

Implant Reconstruction

For patients who are not candidates for tissue-based reconstruction, silicone or saline implants provide an excellent alternative. There are many considerations with implants, and we will work personally with you to reconstruct your desired shape and size. Often this includes the use of a temporary device called a tissue-expander to pre-stretch the skin prior to implant placement. Most patients choose additional fat grafting (fat transfer after liposuction) as an adjunctive procedure to help camouflage the implants and deliver a more natural appearing result.

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Reconstruction after Lumpectomy

Anytime breast tissue is surgically removed, you are a candidate for breast reconstruction. When a small portion of breast tissue is excised around a suspicious area or tumor, this is termed a lumpectomy. In some women, this will be inconspicuous. While the goal of lumpectomy is usually to conserve the remaining breast tissue, these defects can sometimes be deforming, leaving uneven areas or a mismatch with the other breast. In such cases, we offer several techniques to improve breast shape and restore balance.

In some patients, this can be achieved through oncoplastic breast reduction techniques. This method uses the principles of breast reduction to lift and reshape the breast around the area of tissue that is removed. Often the other breast is similarly reduced in size and shaped to match. In other cases, your own tissues can be used to restore the volume that is lost after lumpectomy.

Reconstruction after Mastectomy

Mastectomy commonly refers to complete removal of all glandular tissue of a single breast. If the tumor does not involve the nipple and areola, these may be spared (e.g. Nipple Sparing Mastectomy). When the tumor is close to the nipple, it may be necessary to remove it to eradicate the cancer while saving the remainder of the breast skin (e.g. Skin Sparing Mastectomy). Rarely, breast cancer may involve the overlying breast skin, requiring partial removal. In all cases, there are reconstructive options to restore what cancer has taken away.

FAQs

  • Almost everyone is a candidate for breast reconstruction if they choose! We typically offer multiple options for each patient and will work with you to determine which course is best for your body, station in life and personal goals.

  • Under the Women’s Health and Cancer’s Rights Act, insurance companies are required to cover costs of breast reconstruction as well as procedures to the other breast for symmetry. We are in network with most major insurance carriers.

  • There are many stages of recovery. Most patients are off narcotic pain medications within the first week following surgery. Some patients return to work as soon as 2 weeks later, but most require a bit longer. Depending on your surgery, you will be asked to refrain from certain strenuous activities for up to 8-12 weeks.

  • The healthier you are going into surgery, the better prepared you will be coming out. This includes nutrition, exercise and hygiene. Discuss all medications you are taking with your surgeon, including herbal supplements and vitamins. Most blood thinners and aspirin will need to be stopped a week or two before surgery. Strictly avoid smoking for at least 2 months before and after and limit alcohol intake for this period. Finally, your healthcare provider may recommend preop cleansing routines with Hibiclens and post operative garments to obtain.