Why Choose the Institute for Advanced Reconstruction?
Expert Second Opinions
Gain a new perspective on your condition with a second opinion from our expert physicians.
Advanced Training and Medical Research
“I felt the surgery was a success right when I returned to the recovery room”
“There can be a lot of different factors, so I liked that he was honest with me.”
We Treat Over 50 Conditions With Specialty Programs
We Treat Over 50 Conditions With Specialty Programs
Abdominal/BARsPatients who suffer from difficult and recurrent hernias can find new hope with BARs (Bony Anchored Reinforcement), an innovative procedure developed by the surgeons at The Institute for Advanced Reconstruction. The BARs technique provides support for the lower abdominal wall that is weakened through breast reconstruction. Performed by only a select few surgeons, it has proven to be very effective in restoring abdominal strength.
Arm and Hand Paralysis
Arm and Hand ParalysisWhen the nerve plexuses in the arm are damaged, it can lead to arm or hand paralysis, greatly impacting quality of life. We offer nerve transplant surgery to restore function for those with severely damaged nerves. Working with an expert team of transplant specialists, neurologists, immunologists, and infectious disease specialists, we are one of only a handful of centers in the United States that offer this treatment, which draws patients from around the world.
Avascular necrosis is a progressive disease in which bone deteriorates due to lack of blood supply, causing significant pain, disability, and eventual loss of the joint itself. We offer innovative treatments for pre-collapse AVN, including core decompression, free tissue transfer, and joint replacement.
Brachial PlexusDamage to nerves in the shoulder, neck, or chest can lead to arm pain, numbness, or even paralysis. Our advanced diagnostic testing and surgical techniques offer significant and restorative relief for patients with a brachial plexus injury, including nerve decompression, transplant, transfer, and grafting.
Breast ReconstructionBreast reconstruction helps breast cancer survivors regain their confidence. We are changing the landscape of breast reconstruction surgery with innovative procedures, such as DIEP flap surgery. Our skilled surgeons use sophisticated techniques that focus on the patient for beautiful, natural results.
Cervicogenic HeadachesCervicogenic headaches can cause crushing pain within the temporal or frontal regions of the head. Originating in the neck, they are often caused by injury to the cervical spine or compression of the occipital nerves on the back of the head. Our advanced treatments, such as Botox® injections and nerve decompression surgery, offer the chance at pain-free living.
Chemotherapy-Induced NeuropathyChemotherapy-induced peripheral neuropathy occurs when the peripheral nervous system is damaged due to cancer treatment drugs. When these nerves get damaged, sensations in your skin, muscles, and joints can change, causing pain and difficulty with fine motor skills that can interfere with everyday life. The condition can involve a single affected nerve or many nerves symmetrically on both sides of the body.
Chest Wall Stabilization
Chest Wall StabilizationAfter heart surgery, some patients may find that their sternum does not heal back together properly. Known as sternal nonunion and instability, this condition leaves patients with an unstable chest wall that can be painful or uncomfortable. Our surgeons specialize in chest wall stabilization, using titanium metal plates to give stability through a minimally-invasive procedure. Our technique has helped nearly 100 percent of patients find relief.
Chronic Joint Pain
Chronic Joint PainWhen nerves in your joints are damaged, it can result in significant chronic pain, including burning, stinging, or electric shock sensations. If your pain persists even after orthopedic intervention, we can help. Joint denervation is an advanced nerve surgery we perform to help patients achieve long-term relief.
Chronic Testicular Pain
Chronic Testicular PainPersistent pain in the testicle or testicles can significantly interfere in daily activities and cause negative emotional and psychological side effects. Our experienced surgeons perform microsurgical denervation of the spermatic cord, an innovative procedure that interrupts pain signals to alleviate chronic testicular pain.
Combined Autologous & Implant Reconstruction
Combined Autologous & Implant ReconstructionOne of the most sophisticated surgeries we offer is a combination of implant-based reconstruction with an autologous flap procedure, most often deep inferior epigastric perforator (DIEP) flap surgery or latissimus dorsi flap surgery. Combined procedures can help reduce the risk of implant-related complications and provide a more natural appearance than implant reconstruction alone—resulting in elevated patient satisfaction and a better quality of life.
Complex Hand Reconstruction
Complex Hand ReconstructionWhen patients suffer a traumatic injury or illness that affects their hands, we can provide advanced surgical treatment to help restore function. We’re proud to offer a unique operation to restore the most important part of our hands: our fingers. Our toe-to-hand transplant has helped many patients achieve better function and movement.
Corneal AnesthesiaYour cornea is the transparent "window" layer that covers your eyes. When the nerve that provides sensation to the cornea is damaged, it can cause a rare condition known as corneal anesthesia, which could result in vision loss. Our innovative corneal reinnervation surgery — offered by only a few surgeons in the world — utilizes a nerve transplant to restore feeling and reinstate vision.
CraniofacialA subspecialty of plastic surgery, craniofacial surgery treats conditions that affect the bones and soft tissues of the head and face, such as cleft lip with or without cleft palate surgery and vault remodeling of the skull. With surgeons who have completed specialized fellowships in craniofacial surgery, we help patients develop normal speech development and feeding ability.
Diaphragm ParalysisYour phrenic nerve communicates with your diaphragm, which controls your ability to breathe. Damage to the phrenic nerve can lead to diaphragm paralysis. Our surgeons pioneered world-class treatment for phrenic nerve injury in order to reverse diaphragm paralysis. We are the only known center in the world to offer innovative surgical treatment for phrenic nerve damage.
DysphagiaUp to 50 percent of people who suffer from a stroke may develop dysphagia, difficulty swallowing that is often painful. Sometimes, dysphagia is severe enough to require a feeding tube for nutrition and tracheostomy tubes for mucous secretions. We offer revolutionary nerve reconstruction surgery that transplants nerves to restore function to the larynx — allowing patients to eat normally again.
Episiotomy PainDuring child birth, a doctor may need to do an episiotomy where a cut is made in the perineum to widen the opening for the baby to come out. Recovery can be painful and some patients may develop nerve damage, called pudendal neuralgia, that causes intense pain and long-term pelvic discomfort.
Erectile DysfunctionWhen pills and injections no longer work for those with erectile dysfunction, advanced surgery can help. Our state-of-the-art nerve transfer procedure employs a genitofemoral to cavernous nerve transfer to restore erectile function and change the lives of many who may have previously lost hope.
Facial ParalysisFacial expressions are a vital part of communication. When patients lose the ability to express themselves due to facial paralysis from stroke, acoustic neuroma surgery, Bell’s palsy, or trauma, we offer a chance for healing with microsurgical nerve reconstruction surgery. Our innovative procedures include cross-facial grafting, gracilis free flap, hypoglossal or masseter nerve transfers, and many other types of nerve repair and transfers.
Femoral NeuropathyFemoral neuropathy causes individuals to lose sensation or the ability to properly move parts of their leg and occurs due to damage to the femoral nerve located between the upper thigh and groin on each leg. The femoral nerve helps with movement and sends signals to the brain to communicate sensations, including pain and temperature.
Foot DropFoot drop results in difficulty lifting the front of the foot, caused by an underlying condition that is often due to a nerve injury. To restore functionality, our expertly trained surgeons offer nerve decompression surgery, nerve reconstruction, tendon transfer, and more. Most patients experience full recovery, with improved mobility and no pain.
Gender AffirmationWe understand that everyone's journey is unique. Whether you are cis, trans, or non-binary, we work closely with you to identify the best surgical and nonsurgical options to meet your needs, expectations, and goals. Our variety of feminizing and masculinizing procedures follow a multidisciplinary approach informed by the World Professional Association of Transgender Health (WPATH) guidelines.
Graves DiseaseAlso known as Graves’ ophthalmopathy, this condition affects the orbit around the eye, causing swelling, redness, bulging eyes, and more. Orbital decompression surgery is a revolutionary procedure offered at our clinic to alleviate symptoms and prevent more serious consequences that can occur in extreme cases.
Hand & Upper Extremity
Hand & Upper ExtremityProblems with the upper extremities can cause functional impairments and chronic pain, which can significantly impact quality of life. We offer advanced treatments, such as nerve transfers and targeted muscle reinnervation (TMR), to help patients regain functionality in their shoulders, elbows, wrists, and hands. Our patient-centered approach to treatment allows us to deliver superb outcomes.
Head & Neck Reconstruction
Head & Neck ReconstructionOur advanced head and neck reconstruction surgical treatments address the functionality and aesthetics of the face, jaw, ears, and skull. Head and neck surgery can help rebuild the face and neck after removing tumors, correct deformities and abnormalities, or aid in slow wound healing. We use flap surgery, skin grafts, and more to help patients look and feel their best.
Headaches & Migraines
Headaches & MigrainesThose who suffer from migraines understand the debilitating pain and nausea they can bring. Migraines are a recurrent headache disorder that manifests in attacks lasting for up to 72 hours, causing throbbing or pulsing pain often on one side of the head. When medication isn’t enough, our innovative treatments, such as Botox® injections and nerve decompression surgery, offer hope.
Hernia SurgeryA hernia is a hole in the muscular wall of the abdomen through which intestines or other organs can protrude and be trapped under the skin. If these organs become compressed or strangulated, the results can be deadly, so it is important to take hernias seriously. We perform surgery to close the hole in the abdominal wall, mostly on an outpatient basis.
Hidradenitis SuppurativaHidradenitis Suppurativa is a chronic, often debilitating condition that causes painful nodules and abscesses around the apocrine sweat glands. When conservative treatments aren’t enough, we use advanced surgery to restore movement and reduce pain. Working with a plastic surgeon and rheumatologist, our team will tailor your treatment plan to your needs.
Limb ParalysisParalysis is the loss of the ability to move some or all of the body. It can have many different causes, and it may be temporary or permanent. If you are experiencing permanent paralysis due to an accident or a stroke, our team can offer hope with reconstructive nerve techniques to help restore function.
Limb SalvageWhen a limb is threatened by disease or trauma, our reconstructive plastic surgeons work together to develop a comprehensive, multidisciplinary plan to save the limb and/or maximize the function of the limb. Our surgeons use a combination of techniques for limb salvage, including skin flap surgery and nerve grafts — embracing a holistic approach that helps us achieve superior outcomes.
Lower ExtremityWhen injuries in your lower extremities interfere in your ability to live your best life, we can help. Our foot and ankle specialists perform advanced nerve surgery to treat conditions affecting the lower extremities, such as foot drop, neuroma formation, phantom limb pain, and more. With our groundbreaking care, patients are able to regain independence and comfort.
LymphedemaLymphedema causes abnormal fluid buildup, leading to swelling that can restrict range of motion. We are among the few physicians in the world offering advanced treatment for lymphedema. Our cutting-edge microsurgical procedures, such as lymphaticovenous anastomosis (LVA), give patients pain-free movement.
Nerve Compression Syndrome
Nerve Compression SyndromeNerve compression syndrome can occur when tissue swelling or damage puts pressure on a peripheral nerve connected to a limb, such as your wrist, elbow, shoulder, hip, buttock, or leg. There are many types of nerve compression syndromes, some of which you may have heard of before. Carpal tunnel syndrome is the most common type of nerve compression syndrome.
Nerve ReconstructionWhen patients experience disfiguring or disabling disease and trauma, nerve reconstruction can provide new hope for healing. Our world-renowned physicians have pioneered several advanced procedures, including our groundbreaking phrenic nerve reconstruction surgery and brachial plexus reconstruction. We use specialized techniques to restore form and function through nerve grafts, nerve transfers, nerve transplants, and more.
Neuroma & Phantom Limb Pain
Neuroma & Phantom Limb PainAfter the loss of a limb, some patients experience chronic pain, either due to a neuroma in the residual limb or from phantom limb pain in a limb that has been amputated. This burning, aching, or electric-type pain can significantly impact a patient’s quality of life and functionality. Our advanced nerve surgery techniques, such as Targeted Muscle Reinnervation (TMR) surgery, can restore function to remaining muscles and alleviate pain.
NeuropathyPeripheral nerve damage or compression can lead to a chronic condition known as neuropathy, resulting in pain, numbness, tingling, and weakness of your extremities. Our innovative nerve decompression surgery has been successful in up to 90 percent of well-selected neuropathy patients. The procedure is minimally invasive, requiring only small incisions over the affected area thus promoting a quicker recovery.
Obturator Nerve Injury
Obturator Nerve InjuryThe obturator nerve is part of the peripheral nervous system in the groin and helps provide movement and sensation to the inner thigh and supports balancing, rotating, extending your leg, flexing your hip, and other motor functions. People with obturator nerve pain may experience pain, weakness, numbness, tingling, and changes in sensation in their groin area due to an obturator nerve injury.
Occipital neuralgia is when the nerves that run from the top of the spinal cord up through the scalp are injured or inflamed, resulting in painful headaches and tenderness or diminished sensation around the area of the nerve. Our innovative procedures, including Botox® injections and nerve decompression surgery, have helped many headache patients break free from pain.
Pain ManagementOur pain management program takes a comprehensive approach to treatment, combining surgical and non-surgical methods. With a focus on physical medicine and rehabilitation (PM&R) services, our pain management specialists help patients manage neck pain, back pain, pelvic pain, phantom limb pain, and more.
Phrenic NerveThe phrenic nerves are critical for breathing, relaying messages from your brain to your diaphragm muscle. Injury to the nerves can lead to a condition known as diaphragm paralysis. We are pioneers in treating phrenic nerve damage, using advanced nerve reconstruction surgery to reverse diaphragm paralysis.
Pilonidal CystsA pilonidal is a cyst or abscess near or on the natal cleft of the buttocks that can become infected, causing pain and discomfort. Our surgeons perform a unique procedure that combines cyst excision and flap closure with laser hair removal, both treating the cyst and preventing its recurrence — improving quality of life for our patients.
Piriformis SyndromeWhen the piriformis muscles compress the sciatic nerve, it can lead to pain, tingling or numbness in the buttocks — a condition known as Piriformis Syndrome. When non-operative treatment has been exhausted, we offer hope with surgical intervention. Decompression of the sciatic nerve in the buttocks can help many patients find relief from their symptoms.
Plantar FasciitisWhen the ligament supporting the arch of the foot becomes inflamed, pain can occur at its attachment to the heel bone, leading to a condition known as plantar fasciitis. Our treatment options for plantar fasciitis include Plantar Denervation and Platelet Rich Plasma (PRP) Injection Therapy, two groundbreaking techniques that help you achieve pain-free walking.
Post Traumatic Headache
Post Traumatic HeadacheUp to 75% of people who suffer from a mild head injury experience headaches, and up to 30% of those sufferers develop long-term, chronic pain. Headaches that develop as a result of an injury, such as a car accident or a fall, are classified as post-traumatic headaches. Our innovative nerve decompression surgery can reduce inflammation to provide near-total relief.
Post-Mastectomy Pain Syndrome
Post-Mastectomy Pain Syndrome
After a mastectomy, nerve pain can occur in the chest, armpit, shoulder, and/or arm. While pain after breast surgery is common, pain that persists for longer than three months may indicate post-mastectomy pain syndrome, or PMPS. We’re pleased to offer a comprehensive treatment plan that addresses pain with nerve surgery as well as reconstruction to minimize tissue deformities.
Post-Stroke TreatmentSwallowing difficulties following a stroke can make eating challenging. Many individuals have had little hope and have had to rely on a feeding tube for nutrition — until now. Our specialists offer a groundbreaking procedure that transplants nerves to restore function to the portions of the larynx that are not working properly, allowing patients to resume an oral diet and greatly improving their quality of life.
Pressure Sore Management
Pressure Sore ManagementPressure sores are injuries affecting the skin and underlying tissues, often occurring on bony areas such as the heels, ankles, hips, and tailbone. Those with a medical condition that limits their ability to change positions are most at risk. We offer many procedures to treat and manage pressure sores, including flap surgery and nerve grafting, to relieve discomfort.
Prophylactic Mastectomy & Reconstruction
Prophylactic Mastectomy & ReconstructionWomen who test positive for the BRCA1 or BRCA2 genetic mutations are at higher risk of developing breast cancer in their lifetime. As a preventative measure, many women elect to undergo a prophylactic (risk-reducing) mastectomy for one or both breasts, followed by breast reconstruction surgery.
Prostate ReconstructionWorking in conjunction with a team of skilled urologists, our surgeons have mastered a revolutionary new procedure that allows men who are undergoing a radical prostatectomy to retain normal erectile function. We use nerve tissue from the patient’s calf to restore the nerves removed during the prostatectomy. Our technique offers hope to men who must undergo prostate surgery.
Pudendal NeuralgiaPudendal neuralgia is caused by the entrapment, compression, or dysfunction of the pudendal nerve, leading to chronic pelvic pain. It can be very complex and difficult to treat. Our surgeons are experts in complicated nerve procedures, using pudendal nerve decompression surgery to relieve pain and discomfort.
Reversal of Thoracic Sympathectomy
Reversal of Thoracic SympathectomyHyperhidrosis is a condition that causes excessive sweating, typically of the face, armpits, and/or palms. When antiperspirants and medications fail, we offer a minimally invasive surgical procedure known as thoracic sympathectomy (ETS). By disrupting and reconstructing the sympathetic nerves on both sides of the body in the upper chest, we can provide effective relief from discomfort.
Skin ReconstructionSkin is our body’s most vital organ, providing protection from infection and disease. When skin is damaged due to trauma or injury, we become vulnerable to complications. Our specialists employ cutting-edge surgical procedures, such as skin grafts and skin flap surgery, to permanently replace missing or damaged skin.
Spinal Cord Injury
Spinal Cord InjurySpinal cord injuries can result in loss of sensation, movement, or the ability to breathe unassisted. We perform surgical procedures that can restore a patient’s sense of independence and freedom, including phrenic nerve surgery to help patients breathe without a ventilator and nerve grafting with flap surgery to restore sensation to the hip and buttock areas in paraplegics with recurrent pressure sores.
Sports HerniaA sports hernia is an injury to a tendon or muscle in the lower abdomen or groin that results in chronic pain. Though not a true hernia, a sports hernia causes chronic groin pain, especially with strenuous physical activities. We have pioneered several advanced surgical treatments to treat sports hernia pain.
Sometimes, chronic headaches occur as a result of temporomandibular joint (TMJ) disorders, which result from hyperactivity of the jaw muscles or abnormal contact between bony surfaces. Along with jaw pain, aching may radiate to the side of the head. We offer comprehensive treatment to eliminate your pain, including TMJ denervation.
Vascular AnomaliesA vascular anomaly is a birthmark or growth resulting from an abnormal formation of arteries, veins, or capillaries, resulting in both functional and cosmetic issues for many. We take a multidisciplinary approach to treatment, combining medication, laser therapy, and advanced surgical procedures.
Ventilator DependencyMany conditions can cause patients to become dependent on a ventilator to breathe. We offer several treatment options that restore a patient's ability to breathe independently, including surgically implanting a diaphragm pacemaker or phrenic nerve stimulator. We also perform our revolutionary phrenic nerve reconstruction surgery, which can include nerve decompression and nerve grafting to improve function.
Vocal Cord Paralysis
Vocal Cord ParalysisAfter a stroke, patients may experience vocal cord dysfunction, which manifests as a hoarse and/or weakened voice. Though recovery can occur over time, the condition can become permanent for some. Traditional procedures do not restore normal muscle function to damaged areas. We aim to change that with our advanced microsurgical nerve reconstruction surgery, which transplants nerves to reverse vocal cord dysfunction.
Wound CareWhen patients develop wounds that won’t heal, they are at risk for infection or more serious consequences such as amputation. We help patients manage and heal their open wounds. For severe wounds, we offer reconstructive procedures such as skin grafts or skin flap surgery to provide a covering for open wounds.
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