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…
Thousands of Women Benefit from Breast Reconstruction Each Year
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
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.
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.
Trust 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:
"I am so thankful"
Dr. Lerman is best of the best! From his bedside manner and ability to really listen to his patients to his highly skilled surgical hand, I am so grateful and fortunate to have found him. He has my highest recommendation, as well everyone on his staff. Helpful and lovely to deal with. 5 stars!View On Google
I came to see Dr. Lerman having begun the implant process post mastectomy but very unhappy with the tissue expander. I had constant discomfort and a misshapen breast. Within hours of flap surgery, my pain was gone. I am so thankful!View On Google
Not All Free Flap Reconstruction Is the Same DIEP Flap vs. TRAM Flap Surgery
A free TRAM flap also harvests from the abdomen, but unlike the DIEP flap, it does not preserve the whole muscle, or minimize the risk of postoperative weakness, bulging, or hernias. This results in the potential loss of core strength and an extended recovery time.
The Results of Breast Reconstruction Before and After Photos
Types of Microvascular Flaps
SGAP FlapA flap is created using tissue from the buttocks
PAP FlapTissue is harvested from the posterior thigh
TUG FlapTissue from the inner thigh is used to reconstruct the breast
TAP FlapUses tissue transferred from the back
Stacked FlapsCombines two flaps such as the DIEP and the PAP to create one breast
Implant-Based Breast Reconstruction
"I could not be happier with the results"
As my body persisted in presenting formidable challenges, Dr. Lerman never wavered in his thoughtful and methodical decisions and treatments. His empathy and humanity gave me reassurance and hope throughout the five surgeries he performed on me. Dr. Lerman is the ideal doctor. I feel lucky and blessed to call him my doctor.View On Google
Dr. Lerman changed my life! After a double mastectomy, he did reconstruction via DIEP flap. My fears were quelled by his excellent care. His staff is amazing. They saw and spoke with me throughout my recovery. I could not be happier with the results. Thank you!View On Google
Direct-To-Implant Breast Reconstruction
A Visual Demonstration of Breast Reconstruction with Tissue Expansion
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.
Schedule 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.
Preventative Mastectomy and Breast Reconstruction
Nipple-Sparing Mastectomy and Breast Reconstruction
"I highly recommend Dr. Lerman"
Dr. Lerman is an outstanding amazing surgeon. Very nice and patient. Communicated my options and what was best for me. Made me feel comfortable and confident in my skin again. I highly recommend Dr. Lerman. I am so thankful.View On Google
Dr. Lerman is an outstanding surgeon and person. I would highly recommend him to anyone considering breast reconstruction and/or cosmetic procedures.View On Google