Breast Reconstruction

Our breast reconstruction services offer the utmost care. Plastic surgeons work closely with breast surgeons and oncologists at the Dubin Breast Center to offer a team approach to breast reconstruction.

Breast reconstruction is a staged process. In general, we perform breast reconstruction simultaneously with mastectomy, though it can also be a separate procedure. Complete reconstruction may take up to one year.

Reconstruction can generally be categorized into one of two types:

  1. Implants
  2. Autologous tissue (your own tissue)

Implant reconstruction highlights

We place a tissue expander in your breast at the time of the mastectomy.

  • The tissue expander is a temporary inflatable implant and is inflated in your plastic surgeon’s office soon after surgery.
  • Hospital stay is typically one to two days.
  • Return to work may be possible in two to three weeks.
  • At a second ambulatory surgery (about three months after your initial surgery), we remove the tissue expander and place a permanent implant in your breast.
  • Permanent implants can be silicone or saline.
  • You choose when we perform nipple reconstruction, after we place your permanent implant.

Autologous reconstruction (your own tissue) highlights

Speak to your doctor regarding specific types of autologous reconstruction to determine which is most appropriate for your body type.

  • DIEP Flap (a.k.a. TRAM)
    • We use skin and fat from your lower abdomen similar to a “tummy-tuck” to reconstruct your breast.
  • Latissimus Dorsi Flap
    • We use skin and muscle from your back to reconstruct your breast.
      • The initial surgery is generally longer than with an implant, but we accomplish more with the first procedure
      • Hospital stay is typically five days
      • Return to work may be possible in four to six weeks

We perform nipple reconstruction after the initial procedure.