Breast Reconstruction Surgery
If you are considering breast reconstruction, you need an experienced, qualified surgeon.
Dr. Oren Lerman is a board-certified authority on breast reconstruction who uses microvascular surgery and other advanced techniques.
We invite you to learn more about how Dr. Lerman in Manhattan, NY, consistently delivers beautiful results with minimal surgical risks.
Our Doctor Works in Tandem With Your Oncologist
Dr. Lerman accepts referrals from oncologists. Our board-certified plastic surgeon can work alongside your care provider to ensure you receive the safest reconstruction plan possible. Contact one of our New York City-area offices to get started.
The Results of Breast Reconstruction Before and After Photos
These before and after photos show actual plastic surgery results provided by Dr. Lerman in Manhattan. Both flap- and implant-based procedures can lead to natural-looking outcomes.
Flap Reconstruction
Although most patients are candidates for flap reconstruction, they may not have been told so. If you are scheduled to undergo a mastectomy, find out if you are a candidate for one of the numerous perforator flap surgeries, including the DIEP flap, offered by our plastic surgeon. Dr. Lerman has performed hundreds of DIEP flaps and other perforator flap breast reconstructions, and he can help determine if this is the right plastic surgery option for you.
Exploring Flap
Reconstruction Surgery
Autologous breast reconstruction, or flap reconstruction, involves transferring a flap of living tissue - which usually includes skin and fat from another part of the body - to recreate the breast. Flap procedures result in a recreated breast mound that looks and feels like the original breast. There are two primary methods of flap breast reconstruction surgery:
Pedicled Flap
Pedicled flap reconstruction involves harvesting donor tissue and tunneling it under the skin to the breast, while keeping the original blood vessels attached. This operation, known as a pedicle TRAM flap, was originally described back in 1979. Dr. Lerman prefers the more advanced and current method, called a free flap, for his Manhattan patients.
Free Flap
A free flap involves completely separating the tissue from the original blood supply, and reattaching the flap to new blood vessels near the breast. This process is called microvascular tissue transfer and it involves the use of a surgical microscope. Because this advanced technique requires special training in microsurgery, free flap breast reconstruction is not as widely available as pedicled flap reconstruction.
Types of Microvascular Flaps
For patients who do not have adequate excess abdominal tissue and are poor candidates for a DIEP flap, our plastic surgeon serving Manhattan and beyond can perform autologous breast reconstruction utilizing other microvascular flaps, including:
SGAP Flap
A flap is created using tissue from the buttocksPAP Flap
Tissue is harvested from the posterior thighTUG Flap
Tissue from the inner thigh is used to reconstruct the breastTAP Flap
Uses tissue transferred from the backStacked Flaps
Combines two flaps such as the DIEP and the PAP to create one breastTrust Your Care to a Leading Surgeon
Request Your Breast Surgery Consultation Today
Choosing to have breast reconstruction surgery is a very personal decision, and the procedure itself requires specialized training and expertise. There are many options available, including flap surgery and breast implants with tissue expanders. Dr. Lerman will explain each option in great detail so you can make the most educated decision for yourself. You can request a breast surgery consultation online or call our Manhattan office serving greater New York at:
(212) 434-6980
Helping Manhattan Patients Feel Like Themselves Again "I felt very comfortable and confident with Dr. Lerman."
Leigh-Ann Grasso
New York, NY
2023
Dr. Lerman is an incredible & talented surgeon. His expertise in reconstructing my body to look so natural after undergoing bilateral mastectomy w DIEP Flap has everyone amazed. He was honest, caring, smart, and top notch. I highly recommend Dr. Lerman!
View on GoogleMaryann Johnson
New York, NY
2023
I had a double mastectomy w/reconstruction. Dr. Lerman told me my options & what the procedures would entail. He is understanding, takes his time during your appointment. I felt very comfortable and confident with Dr. Lerman performing my reconstruction. He takes pride in his work. I would recommend Dr. Lerman to anyone needing his services.
View on GoogleThousands of Women Benefit from Breast Reconstruction Each Year
Implant-Based Breast Reconstruction
Reconstruction with breast implants is the most common type of breast reconstruction surgery performed in the United States every year and it is often the best choice for certain patients. Implant reconstruction is typically performed in two stages:
Our New York City–area surgeon specializes in reconstructive procedures for the breasts. Whether you're considering reconstruction with natural tissue or implants, he can explain your treatment options and guide you through the process.
Direct-To-Implant Breast Reconstruction
Some implant reconstruction patients may be able to skip the two-step delayed process in what is called direct-to-implant reconstruction. This innovative technique is performed immediately at the time of mastectomy, allowing the patient to avoid a second surgery. During your consultations, Dr. Lerman will work with you and your other providers to determine if this approach is right for you.
During this procedure, our plastic surgeon will place the permanent silicone or saline implant and reinforce the reconstruction with AlloDerm® Tissue Matrix, essentially creating an internal bra.
This safe, state-of-the-art technology promotes tissue regeneration by supporting cell population and rapid revascularization (delivery of blood to the capillaries).
This method also provides increased support for the implant to optimize the shape, symmetry, and contour of the breast mounds.
A Visual Demonstration of Breast Reconstruction with Tissue Expansion
This is just one reconstructive method that can be used to help breast cancer and mastectomy patients recreate the bust line. During your consultation at our Manhattan practice, Dr. Lerman can explain candidacy for breast implants and flap surgery, the use of a tissue expander, and other topics relevant to your needs.
"I am a Breast Cancer Survivor and have been a patient of Dr.Lerman since 2017 He did an amazing job and I’m so happy with his work. I initially went with the option to have an implant and for several reasons I decided to remove it and use my natural tissue. This ultimately was the BEST decision I could have made. I love my results!" Tomar Alston
IMMEDIATE VERSUS DELAYED RECONSTRUCTION
Immediate reconstruction begins on the same day as the mastectomy whether it is a breast implant or autologous DIEP flap reconstruction. Some patients never had reconstruction at the time of the mastectomy or chose to wait to have reconstruction later. These delayed cases can occur months or even years after the mastectomy. Aesthetic outcomes are generally more favorable following immediate reconstruction.
Delayed reconstruction is sometimes necessary in order to complete all treatment for breast cancer (such as radiation) before moving on with the reconstruction. Unfortunately, the number of women in the United States that undergo reconstruction at the time of mastectomy is less than 40%. It is not uncommon for a woman to be told to wait until after radiation treatment for breast cancer following mastectomy and perform a delayed reconstruction.
Dr. Lerman, however, utilizes the latest techniques that obviate the need for delayed reconstruction. Most patients who did not undergo immediate reconstruction at the time of the mastectomy are still good candidates for "Delayed Reconstruction" and can usually have all of their options available to them including both autologous tissue- and implant-based procedures.
Make an Informed Decision
Request Your Breast Reconstruction Consultation
Dr. Lerman wants his patients to have all the information they need to make the right decision for themselves when choosing a breast reconstruction technique. He is qualified to provide his patients the most advanced surgical procedures that help deliver the most satisfying results.
He will work closely with you and your other healthcare providers to determine a treatment plan that maintains your safety, gives you the best aesthetic outcome, and allows you to heal both inside and out.
To get started, fill out our online form and a member of our Manhattan team will be in touch to schedule your surgery consultation. You may also call our Manhattan, New York, office at:
(212) 434-6980
A Staff That Goes Above and Beyond "Held my hand through the entire process."
Angela Merola
New York, NY
2023
The staff at the office is great including the surgical coordinator Stacey. Dr. Lerman is a WONDERFUL surgeon!!! So far my experience with Dr. Lerman has been great. I have had one out of three surgeries done by him. He is a true expert at what he does when it comes to helping patients like myself go through reconstruction surgery after dealing with breast cancer. Nurse practitioner Dana is just as amazing. She is friendly and caring and explains everything.
View on GoogleElite Dance Studio
New York, NY
2023
I totally recommend Dr Lerman, the very best in cosmetic and reconstructive surgery. He along with his staff made my experience so wonderful, held my hand through the entire process and made me feel so comfortable. Not to mention the surgery itself was painless, I had such little downtime after and am ecstatic about my results. I can’t thank him enough for taking such great care of me.
View on GoogleNipple-Sparing Mastectomy and Breast Reconstruction
Many women who choose to receive a preventative mastectomy as well as some women with breast cancer are eligible for a nipple-sparing procedure. This technique preserves the nipple and skin, removing only the underlying breast tissue to provide very natural-looking results. In fact, when combined with advanced reconstructive techniques, the results can look as authentic as a breast augmentation procedure. Nipple-sparing techniques can even improve the appearance of the breasts in some cases. During a consultation, Dr. Lerman can determine if you are a candidate for this surgery.
Preventative Mastectomy and Breast Reconstruction
Women at a high risk of developing breast cancer, whether due to family history or testing positive for the BRCA gene, may choose to have a preventative mastectomy and reconstruction. This is an important and very personal decision requiring close consideration of health, goals, and lifestyle, as well as insurance coverage for the breast procedure. Fortunately, the decision is generally not an urgent one. Patients usually have ample time to consult their plastic surgeons and other medical professionals. After becoming educated, patients often feel confident in deciding if a preventative mastectomy is in their best interest.
"This is the best of the best! I had a double mastectomy because I'm BRCA and he introduced me to DIEP. Never heard of it but knew I didn't want implants so I trusted him and it was worth the 11.5 hours. He's absolutely amazing.....I have no scarring and when I go see my other doctors they cannot believe I had such a surgery because he did a phenomenal job!! Go to him because you are in great hands and will have NO regrets!!!"
V Ac
Finalizing Your Breast Reconstruction
Breast and Nipple Resensation
When you undergo a mastectomy, you lose feeling in your breast and nipple because the nerves have to be cut to remove breast tissue. During your reconstruction, Dr. Lerman can use the advanced microsurgical technique Resensation® to potentially restore feeling. Using processed nerve allograft, Dr. Lerman can connect the nerves in the chest with the nerves in the reconstructed breast tissue. Dr. Lerman is one of the few plastic surgeons in the world who can perform this technique.
Nipple Reconstruction
After the breast heals from reconstructive surgery and the mound has stabilized, Dr. Lerman can reconstruct the nipple and areola to completely restore the appearance of your breast. Our doctor can use a small flap of skin to create the projection of the nipple. Once this heals, you can return to our Manhattan, New York, office to recreate the areola. We work alongside specialized tattoo artists who use 3D tattooing techniques to create an areola that has both dimension and definition.
