Natural Tissue Flap (Autologous) Breast Reconstruction
After undergoing mastectomy, patients can choose among several different breast reconstruction options to regain their feminine figures. Those seeking the most natural-looking results can have their breasts reconstructed using their own living tissue through flap reconstruction. Most surgeons only offer an older technique, known as transverse rectus abdominis myocutaneous (TRAM) flap reconstruction. Fortunately, Dr. Oren Z. Lerman has the expert surgical skill required to perform microvascular breast reconstruction, a more modern and advanced form of flap reconstruction that offers patients several benefits. We can review the full advantages of natural tissue (autologous) breast reconstruction during a personal consultation at our Manhattan, NYC, practice. Contact us today to schedule an appointment.
Understanding Microvascular Breast Reconstruction
The traditional form of flap reconstruction, TRAM flap reconstruction, involves recreating the breast by harvesting tissue from an area of the body and tunneling it under the skin to the breast mound with its blood vessels still attached. However, advances in surgical techniques have led to the introduction of microvascular breast reconstruction, or free flap reconstruction. The procedure gets its name because it involves completely separating donor tissue from the original blood supply (creating a free flap) before transferring it to the breast mound and reattaching the blood vessels to the chest wall under a microscope. In order to perform this state-of-the-art procedure, Dr. Lerman had to undergo special training in microvascular surgery.
Benefits over Traditional Flap Techniques
Microvascular breast reconstruction can create a new bust with an incredibly natural look and feel. When compared to TRAM flap reconstruction, this procedure offers patients several unique benefits. With microvascular breast reconstruction, Dr. Lerman can maximize blood flow to the tissue flap and preserve the muscle of the abdominal wall, which is not possible during TRAM flap reconstruction. As a result, microvascular breast reconstruction patients have a significantly lower risk of abdominal muscle weakness and most experience less post-operative pain. Finally, women who undergo microvascular breast reconstruction with abdominal tissue can experience the added benefit of improved abdominal contours, similar to the results achieved with a tummy tuck.
Types of Microvascular Breast Reconstruction
Based on your unique needs and goals for surgery, Dr. Lerman can harvest tissue from several different areas of the body during your microvascular flap reconstruction procedure:
- The abdomen (deep inferior epigastric perforator or DIEP)
- The buttocks (superior gluteal artery perforator or SGAP)
- The posterior thigh (profunda artery perforator or PAP)
- The inner thigh (transverse upper gracilis or TUG)
- The back (thoracodorsal artery perforator or TAP)
In addition, Dr. Lerman can perform a type of reconstruction known as stacked flaps, where two flaps are combined (such as the DIEP and the PAP) to create one breast. We can review the details and advantages of each type of microvascular flap reconstruction to identify the technique that is right for you.
Contact Us to Learn More
As a specialist in reconstructive and cosmetic plastic surgery, Dr. Lerman strives to achieve the highest level of excellence and care when treating each patient. To discover if microvascular breast reconstruction is right for you, schedule a personal consultation with Dr. Lerman today.
“The one thing that is most important when we're doing cosmetic surgery and aesthetic surgery of the face or the body is to make sure that the patient is happy afterwards...” Dr. Oren Lerman