BREAST RECONSTRUCTION PROCEDURES
Nipple Sparing Mastectomy
Mastectomy incision placement has evolved into a science of its own. Modern techniques now allow for complete preservation of the breast skin as well as the nipple areola in most circumstances, further improving surgical outcomes.
Video: Advances in Nipple Sparing Mastectomy
DIEP flap reconstruction (deep inferior epigastric perforator) is an advanced microsurgical technique in breast reconstruction which recreates a breast lost to mastectomy with living fat transplanted from the lower tummy. DIEP flap reconstruction utilizes excess fat and skin from the lower abdomen, without sacrificing muscles, to construct a new breast made of soft, warm, living tissue.
The APEX Flap is used when the vessels of the abdomen are small or they are not in the best location. This procedure, pioneered at the Center for Restorative Breast Surgery, allows the surgeon to avoid cutting muscle in the abdomen while increasing the blood flow to the tissue to prevent fat necrosis and produce a breast with maximum softness and a tummy with preserved strength.
The stacked DIEP reconstruction is performed when both sides of the abdomen must be used to reconstruct one breast. In this case two DIEP Flaps are used, providing greater volume to the reconstructed breast by using more abdominal fatty tissue than the single DIEP flap breast reconstruction procedure. Pioneered at the Center for Restorative Breast Surgery, the stacked DIEP reconstruction has provided the opportunity for reconstruction with abdominal tissue for women who would have previously not been candidates.
Body Lift Flap
Pioneered at the Center for Restorative Breast Surgery, the BODY LIFT® allows for a double fat layer in each breast when both breasts are being reconstructed. This is offered to the thin patient with ample breasts in the setting of bilateral mastectomy when volume preservation and projection are desired, yet the fat deposits in the waist and tummy are minimal. A BODY LIFT incision design in the waist gives both a tummy tuck effect and a lift of the buttocks in the donor site.
Our Center pioneered bilateral breast reconstruction using tissue from the hip/upper gluteal area. When the tummy tissue is insufficient, the gluteal perforator Hip Flap procedure can provide ample tissue to create the new breast in the thin patient while imparting a buttock lift and love handle reduction in the donor site.
Corrective Redo Reconstruction
Women who have failed breast reconstructions with either implants or flaps, or those with poor appearance in their previously reconstructed breasts, are often delighted to find out that our experience and expertise can help. Utilizing creative artistry and sophisticated microsurgical procedures, even the worst outcomes may be corrected or dramatically improved.