Breast Reconstruction Procedures

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Breast reconstruction can be an important part of the overall care plan for women affected by breast cancer. The good news, for women facing mastectomy or the after-effects of failed breast reconstruction procedures in the past, is that our team is here to help. Advances, pioneered at the Center for Restorative Breast Surgery, combine the latest in breast cancer care with sophisticated Plastic Surgery techniques to preserve and restore shape, form, beauty, and function. Please read further for an introduction to the Center for Restorative Breast Surgery and the state of the art in breast reconstruction or reach out to our Nurse Educator directly for personal assistance.


DIEP Breast Reconstruction

DIEP breast reconstruction (deep inferior epigastric perforator flap) is an advanced microsurgical technique that is used to rebuild the breast lost to mastectomy. Excess living fat from below the belly button is transplanted to the chest to give back volume and shape. This approach to breast reconstruction is gentler than and preferred over older breast reconstruction techniques known as TRAM and Latissimus flaps.

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Apex FlapCM Breast Reconstruction

The APEX FlapCM breast reconstruction is a highly sophisticated microsurgical technique that is used to rebuild the breast lost to mastectomy. Excess living fat from below the belly button is transplanted to the chest to restore volume and shape. This technique is an advancement over the DIEP procedure and has very specific indications and benefits.

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Stacked FlapSM Breast Reconstruction

Pioneered at our Center in 2007, the Stacked FlapSM breast reconstruction procedure provides a solution for thin women who need reconstruction of a single breast. The Stacked FlapSM allows excess living fat to be transplanted from the tummy for recreation of a new breast after mastectomy. The fat is collected from the donor site much like a tummy tuck procedure. In women with less fat to give, the Stacked FlapSM allows layering, or “stacking” the available amount of fat for more size and projection in the new breast.

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SGAP Breast Reconstruction

Our Center pioneered bilateral Superior Gluteal Artery Perforator (SGAP) breast reconstruction in 2005. The SGAP procedure is an advanced microsurgical technique that is used to rebuild the breast lost to mastectomy. Living fat is transplanted to the chest from unwanted excess from the upper hip region to give back volume and shape in the newly reconstructed breast while imparting a “butt lift” in the donor site. The Center for Restorative Breast Surgery is more experienced than any other facility in the world for this technique and the Center’s surgeons have lectured extensively around the world on its application.

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BODY LIFT Flap® Breast Reconstruction

Pioneered at the Center for Restorative Breast Surgery in 2012, the BODY LIFT Flap® breast reconstruction procedure provides a solution for rebuilding the breasts with natural living fat when a double mastectomy is performed in a thin woman. Similar to the Stacked FlapSM, the BODY LIFT Flap® breast reconstruction technique gives added size and projection to the new breasts when single donor site tissue is not enough.

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Hybrid Breast Reconstruction

Hybrid Breast Reconstruction, sometimes referred to as “Composite Breast Reconstruction”, provides a solution for rebuilding the breasts with natural living fat combined in a single stage with supplemental breast implants. The Hybrid Breast Reconstruction technique gives added size and projection to the new breasts when a single donor site tissue transplant is not enough. In women with less body fat, adding a small breast implant beneath the living fat transfer can provide the surgical equivalent of a breast augmentation after mastectomy.

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Botched Breast Reconstruction

Women who have experienced a failed or “botched” breast reconstruction in the past are often delighted to find out that our experience and expertise can help. Creative artistry and sophisticated microsurgical procedures allow the surgeons at our Center to correct or dramatically improve even the most disappointing outcomes. It is no longer necessary to live with chronic pain or disfigurement from previous procedures.

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Lumpectomy Repair

Lumpectomy is commonly recommended for early stage breast cancer. This approach can be appealing to women battling breast cancer as it represents an opportunity to minimize surgery and preserve the affected breast. For a lumpectomy to be effective, it requires a series of radiation treatments following the surgery. Lumpectomy/Radiation treatment plans are often referred to as “breast conservation therapy.” However, it is not uncommon for a lumpectomy, particularly after associated radiation, to leave the breast smaller, distorted, or even overtly deformed. This is particularly true for women with smaller breasts.

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Implant Breast Reconstruction

Implant Breast Reconstruction provides a solution for restoration of volume and shape with silicone or saline filled breast implants. The implant is inserted at the time of mastectomy and is placed beneath the pectoral muscle. It is supported by a “sling” or “internal bra” made up of collagen sheeting known as “dermal matrix”. The material is composed of “collagen” much like that used to inject into the face and lips for cosmetic enhancement.

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Nipple Sparing Mastectomy

Nipple Sparing Mastectomy (NSM) is a surgical advancement for women undergoing removal of the breast due to breast cancer or as a preventative measure known as risk reduction surgery. Through a small incision, all of the breast glandular tissue is removed from beneath the overlying skin and nipple. The full breast skin envelope and nipple are left completely intact.

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3D Nipple

When Nipple Sparing Mastectomy (“NSM”) isn’t an option or breast reconstruction takes place at a time after mastectomy (“delayed reconstruction”), the newly reconstructed breast may be completed with a recreation of the nipple as the finishing touch.

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4D NippleSM

Pioneered by our surgeons at the Center For Restorative Breast Surgery in 2016, “4D NippleSM Reconstruction” is a method that may be used to add the ultimate realism to finish the breast reconstruction with artistic elegance. By combining delicate reconstructive design and dimensional pigment application, the “4D Nipple” completes the restoration of beauty and wholeness.

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