Breast Reconstruction Program


The Institute for Advanced Reconstruction specializes in breast reconstruction. Our experienced fellowship trained surgeons have performed this surgery for thousands of women. In addition, our practice has supported and worked closely with the women’s cancer community in a variety of capacities.

Breast reconstruction is the re-creation of a woman’s breast through surgery, either with an implant or her body’s own tissue. This procedure can be done at the time of mastectomy (surgical removal of the breast) or delayed until the patient is medically and/or psychologically ready.

Our surgeons are experienced in a series of involved operations to rebuild the breast mound and recreate the nipple. We employ several distinct breast reconstruction methods including: tissue expansion/implant based, pedicled TRAM flap, latissimus flap, free TRAM flap, DIEP flap, non-abdominal free flap; nipple/areola reconstruction and nipple/areola sparing mastectomy. Our surgeons are able to produce beautiful, natural results for women with a variety of different body types by selecting the surgical method that is best for each woman’s own particular needs and aesthetic preferences.

Our goal as plastic reconstructive surgeons is always to give a woman back what was taken away with her breast cancer diagnosis, to make her feel whole again, and to support her through the entire process.

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Tissue expansion to create a space, followed by the placement of an implant, is one method of breast reconstruction. Following the expansion, the tissue expander is exchanged for a breast implant. In some patients, placement of the implant can be done at the time of mastectomy, without the need for a tissue expander. There are two types of implants: saline-filled and silicone gel-filled. Both types of implants come in numerous shapes and sizes.

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Autologous breast reconstruction means reconstruction using tissue – skin, fat and sometimes muscle – from another place on the body. The plastic surgery term for a piece of tissue like this is a flap. This method consists of pedicled flaps (the blood supply to the flap remains attached); and free flaps (the blood supply to the flap is separated and reattached).

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Nipple areola reconstruction is usually one or two separate, minor procedures that can be done on an outpatient basis using local anesthesia. There are several methods available, including local tissue rearrangement, skin grafting, and/or tattooing. It is usually done after the reconstructed breast has had time to heal, about three to four months after the completion of breast reconstruction.

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Lymph node transfer surgery and lymphaticovenous anastomosis are exciting options for the management of lymphedema. Both procedures use cutting-edge microsurgical techniques to restore lymphatic drainage to the affected limb, resulting in an improvement in limb swelling and a decrease in infection rate in many patients.

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Fat grafting is especially helpful in adding volume to the upper part of a breast reconstruction as this area is difficult to fill with an implant or flap. In addition, if a patient has had a lumpectomy, fat grafting can fill the area where the cancer tissues were removed. Fat grafting has had a profound effect on breast reconstruction after breast cancer.

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Our physicians are experts in the microsurgery required for free flap procedures.

The physicians of  The Institute for Advanced Reconstruction are recognized as leaders in the field of nerve reconstruction and plastic reconstructive surgery. With over half a century of combined experience, they can bring an impressive body of knowledge to bear on difficult cases. The Institute for Advanced Reconstruction’s team approach to medicine ensures that patients receive the highest possible quality of care, and hence the most functional and natural-looking reconstruction possible.
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Meet the Breast Reconstruction Specialists

Our physicians are experts in the microsurgery required for free flap procedures.

The physicians of The Institute for Advanced Reconstruction are recognized as leaders in the field of nerve reconstruction and plastic reconstructive surgery. With over half a century of combined experience, they can bring an impressive body of knowledge to bear on difficult cases. The Institute for Advanced Reconstruction’s team approach to medicine ensures that patients receive the highest possible quality of care, and hence the most functional and natural-looking reconstruction possible.

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The physicians at The Insititute for Advanced Reconstruction are experts in their field.

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