Implant Placement (Above or Below the Muscle)

Placement of Your Implant Retropectoral and Prepectoral Implant Placement Retropectoral Placement Also called subpectoral, this is the most common positioning of the implant. A tissue expander or implant is placed into a pocket created under the chest wall muscle (pectoralis). Advantages: Offers more soft tissue coverage and camouflage of the implant, particularly in extremely thin […]

Tissue Expander to Implant Procedure

How Tissue Expanders Work Breast Reconstruction with Tissue Expansion – “Expander to Implant” If a large amount of skin was removed during the mastectomy, or if you would prefer a larger breast,  then it may be necessary to stretch the skin and the chest muscle at the site of the new breast. In this case, a […]

Lifts, Reductions & Augmentation

Breast Lift (Mastopexy) As part of the natural aging process, breasts can lose their volume and sag (known as “ptosis”). Ptosis is also common after weight gain or loss, or after pregnancy and breastfeeding. A breast lift, also known as a mastopexy, raises the breast and nipple to a more flattering position. The extent of the incisions […]

Revision Surgery

Correcting Problems & Improving Breast Appearance Our physicians specialize in fixing prior breast reconstructions. We offer a wide range of innovative solutions to considerably improve upon, or even completely redo, unsatisfactory results or previously failed breast reconstruction. Swelling and breast asymmetry (unequal size), is normal in the weeks after reconstruction. It’s recommended that you wait […]

Fat Grafting, Liposuction & Scar Revision

Fat Grafting Fat grafting, also known as autologous fat transfer or lipofilling, is a process that removes fat from one area and transplants it into another area to replace volume. The first part of the procedure is liposuction, in which the surgeon removes fat from a donor area. Fat removal is done with a liposuction machine, […]

Buttock Flap (IGAP/SGAP)

Procedure The SGAP (superior gluteal artery perforator) flap takes tissue from near the top of the buttock. The IGAP (inferior gluteal artery perforator) flap removes tissue from the base of the buttock, near the crease. In both the SGAP and IGAP procedures, perforator blood vessels are removed through small incisions made in the gluteal muscle. This is similar to […]

Lumbar Flap Procedure

Procedure LAP FlapThe LAP flap uses tissue from the posterior waist or “love-handle” region to replace the skin and volume of the breast. The blood supply to this region comes from the lumbar perforating artery and vein that travel around the spinal vertebrate and through the superficial muscles to the overlying skin and fat. Because of this […]

Back Flap Procedures

Procedure LD flaps In LD (latissimus dorsi) flap procedures, a flap containing skin, fat, and muscle is lifted from the back, just beneath the shoulder blade. The tissue flap is rotated and tunneled under the skin to the breast reconstruction site, where it’s formed into the new breast. The blood thoracodorsal blood vessels that feed the new […]

Hybrid Reconstruction

Procedure Hybrid flap-implant reconstruction (HyFIL®) In flap-implant reconstruction (HyFIL®), a silicone or saline (salt water) breast implant is placed above the muscle (preprectoral) and then covered with a layer of your own body fat, taken from a donor site such as the abdomen, thigh, or buttock. Combining natural tissue with an implant allows for the creation […]

Going Flat

Deciding Not to Have Breast Reconstruction For many women, breast reconstruction is part of their healing process after cancer surgery and helps make them feel whole again. There are many breast reconstruction options to choose from today. After going through the emotional and physical ordeal of breast cancer, additional, non-medically necessary surgery isn’t desirable for some women. […]