Reconstructive Plastic Surgery

We offer world-class reconstructive plastic surgery that helps patients regain functionality, feel comfortable, and achieve pain-free living. Our specialized training lends expertise to the most innovative and complex procedures.

We have pioneered many of the techniques that are changing the way our field views treatment options. With our advanced approach to care, we restore hope and give patients a better way to live.

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Why Choose The Institute for Advanced Reconstruction

Complex procedures require specialized expertise, making it essential to find the right reconstructive plastic surgeon near you. Patients worldwide seek out our specialized procedures performed by our highly trained surgeons. Discover how we're breaking new ground in treatment options.

We Treat Over 50 Conditions With Specialty Programs

Abdominal/BARs

Chest Wall Stabilization

Combined Autologous & Implant Reconstruction

Complex Hand Reconstruction

Craniofacial

Gender Affirmation

Hand & Upper Extremity

Head & Neck Reconstruction

Hernia Surgery

Limb Salvage

Lower Extremity

Nerve Reconstruction

Prophylactic Mastectomy & Reconstruction

Prostate Reconstruction

Reversal of Thoracic Sympathectomy

Skin Reconstruction

Wound Care

We Treat Over 50 Conditions With Specialty Programs

Abdominal/BARs

Patients 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.

Chest Wall Stabilization

After 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.

Combined Autologous & Implant Reconstruction

One 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

When 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.

Craniofacial

A 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.

Gender Affirmation

We 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.

Hand & Upper Extremity

Problems 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

Our 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.

Hernia Surgery

A 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.

Limb Salvage

When 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 Extremity

When 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.

Nerve Reconstruction

When 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.

Prophylactic Mastectomy & Reconstruction

Women 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 Reconstruction

Working 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.

Reversal of Thoracic Sympathectomy

Hyperhidrosis 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 Reconstruction

Skin 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.

Wound Care

When 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.

Our Teams
Welcome The Most
Challenging Cases

When you feel you’ve run out of treatment options, provide hope with the latest advances in reconstructive plastic surgery. See how our reconstructive plastic surgery procedures are transforming patients’ lives.

Their Stories

Robin's Story | Chest Wall Stabilization Surgery

Gender Affirming Surgery with Dr. Sean Herman: Jay's Story

"I was operated on by Dr. Patel. He was kind and attentive to my questions."

- Jennie L. Surgery Patient

Cleft and Craniofacial Surgery Q+A | With Dr. Sean Herman

Coach with Double Sports Hernia - Dr. Elkwood Repairs with Surgery

“Dr Ashinoff & staff has been there for anything I've needed with my surgery and follow up care.”

- Nancy R. Surgery Patient

Reconstructive Plastic Surgery

Why Choose The Institute for Advanced Reconstruction

We Treat Over 50 Conditions With Specialty Programs