Breast Reconstruction Surgery

Restoring Confidence and Form

Breast reconstruction surgery is a transformative procedure designed to restore the shape and appearance of the breast following mastectomy or lumpectomy.

In my practice, I offer a range of advanced techniques tailored to meet the unique needs of each patient, aiming to achieve natural-looking and functional results.

I and my staff will work closely with you to choose the best method based on your health, fitness ,body type, and expected outcomes.

Implant-Based Reconstruction

Our team of surgeons will examine you thoroughly and evaluate the areas of fat that need to be addressed, desired amount of fat to be removed, amount of intra abdominal fat any negative areas of body which shouldn’t be liposuctioned, any scars, sites of incision placement, and also the quality of skin.

Advantages

Shorter surgery time

No need for donor site incisions

Minimal scarring

Quicker healing times

Ideal For

Patients preferring a less invasive option with shorter recovery time.

Autologous Tissue Reconstruction Techniques

Autologous reconstruction uses the patient’s own tissue to rebuild the breast, offering a more natural look and feel.

The techniques are categorized into local, regional, and free flap procedures.

Local Flap Techniques

These involve using tissue from the nearby chest area:

Latissimus Dorsi Flap: Utilizes muscle, skin, and fat from the upper back. It is rotated to the chest to reconstruct the breast. This method can be combined with an implant for better volume.

Advantages

Reliable blood supply

Provides good coverage for implants

Useful when chest tissue is insufficient

Good option for reconstruction if skin and soft tissue is adequate at the back.

Considerations

May lead to some muscle weakness in the back.

Regional Flap Techniques

These methods involve transferring tissue from areas adjacent to the chest, typically without the need for microsurgery.

Thoracodorsal Artery Perforator (TDAP) Flap: Harvests skin and fat from the side of the chest wall, sparing the muscle. It offers good aesthetic results with minimal donor site morbidity.

Advantages

Muscle-sparing technique

Reduced risk of abdominal complications

Ideal For

Patients needing partial reconstruction or smaller breast volume.

TRAM flap

TRAM flap ( transverse rectus abdominis muscle flap ).. in this technique skin and fat along with Rectus Abdominis muscle is harvested along with the muscle's blood supply and then transferred onto the chest.more recent advances in surgical techniques do away with taking the entire muscle,thereby preventing muscle sacrifice .

Advantages

Easily available tissue especially in those women with sagging abdomen

Benefit of enhancing the shape of the abdomen simultaneously in the same surgery

Considerations

Need to use a mesh for reconstructing the defect in the abdominal wall .

Deep Inferior Epigastric Perforator (DIEP) Flap

This popular method uses skin and fat from the lower abdomen without taking any muscle. It preserves abdominal strength while offering enough tissue for natural-looking breast reconstruction.

Advantages

No muscle sacrifice

Lower risk of abdominal hernia

Natural texture and feel

Considerations

Requires longer surgery and microsurgical expertise.

Superficial Inferior Epigastric Artery (SIEA) Flap

Similar to the DIEP Flap but uses superficial vessels. It is less invasive since the abdominal muscles remain untouched, although it depends on the anatomy of the patient’s blood vessels.

Advantages

Minimal impact on abdominal muscles

Shorter recovery time

Limitations

Not suitable for all patients due to variable anatomy.

Transverse Upper Gracilis (TUG) Flap

This method uses skin, fat, and a small part of the gracilis muscle from the inner thigh. It is ideal for smaller breast reconstructions.

Advantages

Thigh lift effect

Useful for patients who cannot use abdominal tissue

Considerations

Scarring along the inner thigh.

Autologous Fat Grafting

This technique involves harvesting fat from other parts of the body (like the abdomen or thighs) via liposuction, purifying it, and then injecting it into the breast. It can be used alone or as an adjunct to other methods to improve contour and volume.

Advantages

Minimally invasive

Natural feel and look

No large incisions

Considerations

Multiple sessions may be needed for optimal results.

Ideal For

Patients seeking subtle enhancements or refinements post-reconstruction.

Good technique to consider in patients who have undergone a breast conserving mastectomy

Choosing the Right Technique

Recovery and Aftercare

Healing period may vary based on the technique used

Aftercare

FAQ

After reconstructing the missing breast ..what next

Nipple areola reconstruction:

This is usually done after 3- 6 months after a breast reconstruction.

Two types of reconstructions are available

autologous – tissues and skin from self are used
Tattooing is done to restore the appearance of the areola .this is done aiming to match the colour of the opposite areola.

Why Choose Us?

Expertise: i specialize in advanced reconstructive techniques with a focus on achieving natural results.

Personalized Care: i tailor each procedure to meet your specific needs and aesthetic goals.

Comprehensive Support: From consultation to recovery, me and my team will ensure you receive the highest standard of care at every stage.