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Author: Breast Reconstruction Associates

DIEP Flap Breast Reconstruction

Understanding DIEP Flap Breast Reconstruction: What Every Woman Should Know

Written by Breast Reconstruction Associates on . Posted in Breast Reconstruction, DIEP Flap Reconstruction, Patient Education. No Comments on Understanding DIEP Flap Breast Reconstruction: What Every Woman Should Know

Breast cancer is a journey no one asks to take, but for many women, it’s a path of resilience, strength, and ultimately, healing. After a mastectomy, one important decision is whether and how to reconstruct your breast(s). Among the many options, the DIEP flap procedure stands out as a highly advanced and natural choice for breast reconstruction. But what is it, and why do so many women choose this approach? Let’s dive in.

What is the DIEP Flap Procedure?

DIEP stands for Deep Inferior Epigastric Perforator, a technical term for specific blood vessels in your abdomen. In this procedure:

  • Your Own Tissue is Used: Skin and fat are taken from your lower belly (much like a “tummy tuck”) to reconstruct the breast.
  • No Muscle is Taken: Unlike older techniques, the DIEP flap spares your abdominal muscles, reducing recovery time and preserving your core strength.
  • Microsurgery is Key: Surgeons reconnect tiny blood vessels to ensure the transferred tissue has a healthy blood supply.

The result? A reconstructed breast that looks and feels natural, made entirely from your body’s own tissue.

Why Choose the DIEP Flap?

Here’s why this procedure has become the gold standard for many women:

  1. Natural Results: Because your own tissue is used, the reconstructed breast has a natural look and feel.
  2. Permanent Solution: Unlike implants, which may need to be replaced over time, a DIEP flap reconstruction lasts a lifetime.
  3. Dual Benefits: The procedure also contours your abdomen, giving you a flatter stomach—an added confidence boost.
  4. Improved Healing and Recovery: Sparing the abdominal muscles minimizes post-surgery pain and lowers the risk of long-term weakness or hernias.

Who is a Candidate for DIEP Flap Reconstruction?

Most women who have enough tissue in their abdomen to create a breast mound are candidates for this procedure. It’s especially ideal if:

  • You want a natural reconstruction without implants.
  • You’re seeking a permanent solution.
  • You’re in good general health and can safely undergo surgery.

Your surgeon will work with you to determine if the DIEP flap is the best option for your unique needs.

What Makes Us Different?

At Texas Center for Breast Reconstruction, our team specializes in advanced microsurgical breast reconstruction, with expertise that few centers can match:

  • Extensive Experience: With nearly 2,000 successful cases and over 600 procedures annually, our surgeons have the skill and knowledge to handle even the most complex reconstructions.
  • Personalized Care: We know every woman’s journey is different, and we’re committed to tailoring your reconstruction to your goals and body.
  • State-of-the-Art Techniques: By using the latest technology and a team approach, we ensure the best outcomes for every patient.

What to Expect During Your Journey

  1. Consultation: We’ll discuss your medical history, goals, and options to create a personalized treatment plan.
  2. Surgery: The procedure typically takes 6–8 hours, with a hospital stay of 1–2 days.
  3. Recovery: Most women return to normal activities within 6–8 weeks. Our team is here to support you every step of the way.

Final Thoughts

Choosing breast reconstruction is a deeply personal decision, and it’s okay to take your time exploring your options. The DIEP flap procedure is a natural, lasting choice that has helped thousands of women feel whole again after breast cancer.

If you’re considering reconstruction or just want to learn more, we’re here to help. We combine world-class expertise with compassionate care to guide you through this important part of your healing journey.

Surgeons in an operating room looking at a patient during surgery.

Understanding Common Plastic Surgery Risks: What Every Patient Should Know

Written by Breast Reconstruction Associates on . Posted in Breast Reconstruction, Patient Education. No Comments on Understanding Common Plastic Surgery Risks: What Every Patient Should Know

Undergoing breast surgery, whether for medical or aesthetic reasons, is a significant decision that requires careful consideration of potential risks. At Breast Reconstruction Associates, we prioritize patient education, ensuring you are well-informed about both the benefits and possible complications associated with your procedure.

General Surgical Risks

All surgical procedures carry inherent risks, including:

  • Bleeding: Excessive bleeding during or after surgery may necessitate additional interventions.
  • Infection: Despite sterile techniques, infections can occur at the surgical site, potentially requiring antibiotics or further treatment.
  • Blood Clots: Formation of clots, particularly in the legs (deep vein thrombosis), can pose serious health risks if they travel to the lungs.
  • Anesthesia Reactions: Adverse responses to anesthesia, though rare, can range from mild to severe.

Specific Risks Associated with Breast Surgery

Beyond general risks, breast surgeries have particular considerations:

  • Fluid Collections: Accumulation of fluid (seroma) or blood (hematoma) between the skin and underlying tissues can occur post-surgery. Drains are often placed to prevent this; however, if fluid accumulates after drain removal, additional procedures may be necessary to remove it.
  • Changes in Sensation: Altered sensation in the nipple, areola, and surrounding skin is common. The extent varies based on the surgical technique and individual healing processes.
  • Nipple-Areola Complex Loss: In procedures aiming to preserve the nipple and areola, there’s a risk of reduced blood supply leading to tissue death (necrosis), which may require further intervention.
  • Mastectomy Flap Necrosis: The remaining breast skin post-mastectomy might experience healing challenges due to insufficient blood supply, leading to tissue death. Factors increasing this risk include larger breast size, tobacco use, and prior radiation therapy.
  • Delayed Wound Healing: Wound separation or slow healing may occur, potentially necessitating daily wound care or additional surgeries.
  • Microvascular Thrombosis: In autologous breast reconstruction, there’s a risk of blood clots forming in the vessels supplying the transplanted tissue (flap), typically within the first 24-48 hours post-surgery. This complication may require immediate surgical intervention to salvage the tissue.
  • Reconstruction Failure: Regardless of the reconstruction method—implants, DIEP flap, or other techniques—there’s a possibility of failure, resulting in a flat chest wall. While uncommon in properly selected patients, alternative reconstruction methods would be considered if this occurs.

Mitigating Risks

To minimize these risks, it’s crucial to:

  • Choose an Experienced Surgeon: Select a board-certified plastic surgeon with specialized expertise in breast reconstruction.
  • Follow Pre- and Post-Operative Instructions: Adhere strictly to your surgeon’s guidelines to promote optimal healing.
  • Maintain Open Communication: Discuss any concerns or pre-existing conditions with your healthcare team to tailor the surgical plan to your needs.

At Breast Reconstruction Associates, we are dedicated to guiding you through your surgical journey. We help you weigh the risks and benefits to make informed decisions about your care. For more detailed information, please call our offices.

A woman in need of emotional support during her breast reconstruction journey after battling breast cancer.

The Importance of Emotional Support During Breast Reconstruction: How to Find Help

Written by Breast Reconstruction Associates on . Posted in Breast Cancer, Breast Reconstruction, Womens Health. No Comments on The Importance of Emotional Support During Breast Reconstruction: How to Find Help

Breast reconstruction is more than just a physical journey – it’s an emotional one that touches every aspect of a woman’s life. While much of the focus is often on the surgical procedure itself, the emotional support you receive before, during, and after reconstruction can be just as crucial to your overall healing and recovery. At Breast Reconstruction Associates, we understand that emotional well-being is an essential part of the healing process.

Understanding the Emotional Journey

Every woman’s experience with breast reconstruction is unique, but many share common emotional challenges. It’s important to recognize and address these feelings, as they are valid and part of the healing process. Some of the emotional experiences that patients often face include:

  • Anxiety about the surgical process and what to expect
  • Concerns about body image and how reconstruction will impact self-identity
  • Feelings of grief or loss, particularly if the reconstruction follows a mastectomy
  • Uncertainty about the final outcome and how the reconstruction will look and feel
  • Impact on relationships and intimacy during recovery
  • Worries about recovery time and returning to daily activities

These feelings are normal, and acknowledging them is a crucial part of your overall well-being.

Building Your Support Network

Navigating the emotional landscape of breast reconstruction doesn’t have to be done alone. Building a support network can help you manage the mental and emotional aspects of recovery. Your support system should include both professional and personal resources.

Professional Support

  • Your Surgical Team: Beyond the physical care, your surgeons and nurses can offer emotional guidance, reassurance, and honest discussions about the process.
  • Mental Health Professionals: Counselors and therapists who specialize in breast cancer and breast reconstruction can provide emotional support, help you navigate complex feelings, and offer strategies for coping with anxiety or depression.
  • Support Group Facilitators: Trained professionals can guide group discussions, offering you a space to share and connect with others going through similar experiences.

Personal Support

  • Family and Friends: Open communication with loved ones about your needs and feelings can create a strong support system that nurtures your emotional recovery.
  • Support Groups: Whether in-person or online, connecting with others who understand your experience can be incredibly helpful. These groups offer empathy, advice, and shared wisdom from women who have been through similar experiences.
  • Online Communities: Virtual support groups and forums provide access to support 24/7, especially when you need someone to talk to outside of regular hours.

Tips for Finding the Right Support

  • Start Early: Begin building your support network before surgery. This allows you to feel prepared and empowered when the time comes.
  • Be Specific: Don’t hesitate to tell people exactly what kind of support you need, whether it’s emotional or practical.
  • Stay Connected: Regular check-ins with your support system help maintain emotional well-being and ensure you feel cared for during recovery.
  • Explore Options: Try different types of support to find what works best for you—whether it’s one-on-one counseling, group therapy, or online support.
  • Trust Your Instincts: Choose support resources that make you feel comfortable and understood. It’s important to feel safe and supported in the process.

Professional Resources Available

There are many resources available to help you along your emotional journey during breast reconstruction:

  • American Cancer Society’s Reach To Recovery program – offering peer support from others who have gone through breast cancer and reconstruction.
  • Local Breast Cancer Support Organizations – These groups provide community support, resources, and events for patients.
  • Hospital-Based Support Groups – Many hospitals have groups designed to provide emotional support for women undergoing breast reconstruction.
  • Online Support Communities – Virtual spaces where you can connect with others anytime, anywhere.
  • Professional Counseling Services – For those seeking personalized therapy during the reconstruction process.

How We Can Help

At Breast Reconstruction Associates, we understand that emotional support is a vital component of your reconstruction journey. Our team is committed to providing care that addresses both your physical and emotional needs. We offer:

  • Connections to local support groups and resources
  • Referrals to mental health professionals who specialize in breast cancer and reconstruction
  • Educational materials for you and your family
  • Extended consultation times to address your concerns and questions
  • A compassionate team ready to support you through every step of the process

Moving Forward

Remember, seeking emotional support is not a sign of weakness – it is a powerful step toward healing and recovery. Every woman deserves to feel supported and understood during her reconstruction journey. Whether you are considering breast reconstruction or are already on your path to recovery, we are here to help guide you every step of the way.

Would you like to schedule a consultation to discuss your reconstruction journey and learn more about our support services? Contact our office to speak with our caring team at Breast Reconstruction Associates.

DIEP flap breast reconstruction, highlighting benefits of natural tissue use and long-term advantages.

DIEP Flap vs. Implant Breast Reconstruction (Updated For 2024)

Written by Breast Reconstruction Associates on . Posted in Breast Implants, Breast Reconstruction, DIEP Flap Reconstruction. No Comments on DIEP Flap vs. Implant Breast Reconstruction (Updated For 2024)

Breast cancer patients now have a plethora of options when it comes to reconstructive surgery. Choosing the right type of breast reconstruction can be overwhelming but understanding the differences between the DIEP flap and implant breast reconstruction can help you make an informed decision.

What is DIEP Flap Reconstruction?

The Deep Inferior Epigastric Perforator (DIEP) flap is an advanced method of breast reconstruction that uses your abdominal tissue to replace the soft tissue and skin removed during a mastectomy. Unlike the TRAM flap procedure, the DIEP flap preserves all the muscles of the abdomen, resulting in a less invasive and more natural reconstruction.

Why Choose DIEP Flap Over Implants?

  • Natural Tissue Use

With DIEP flap reconstruction, the patient’s own skin and fat are utilized to replace the breast volume removed during the mastectomy. This eliminates the need for implants, providing a more natural look and feel.

  • Long-term Benefits

Implant reconstruction may lead to complications such as implant ruptures or capsular contracture (breast hardening), often requiring maintenance surgeries over time. In contrast, DIEP flap reconstruction tends to result in softer, more natural-feeling breasts that typically do not require further surgical interventions.

  • Sensory Nerve Reconstruction

One of the advancements in DIEP flap reconstruction is the potential for sensory nerve reconstruction, which aims to restore sensation to the transplanted tissue. While not performed routinely, it is available in select cases, and your surgeon can discuss its pros and cons to determine if it should be included in your reconstruction plan.

  • Pain Management

Post-operative pain is often a concern for patients considering DIEP flap reconstruction. Contrary to popular belief, our experience at Breast Reconstruction Associates shows that recovery and healing post-DIEP flap reconstruction are often easier than anticipated. We employ an effective post-operative pain protocol that usually manages pain without the need for narcotic pain medications.

What to Expect at Breast Reconstruction Associates

At Breast Reconstruction Associates, we pride ourselves on offering state-of-the-art breast reconstruction through individualized and compassionate care. Located in Fort Worth, Austin, Oklahoma City, Bozeman, our experienced team is dedicated to ensuring you receive the best possible treatment.

Many of our patients choose to go home after a one or two-night hospital stay, and they often find the recovery significantly easier than expected. We strive to make your experience as comfortable and seamless as possible, ensuring you feel supported every step of the way.

The DIEP flap is an excellent breast reconstruction option for women, providing a natural-looking and feeling breast after mastectomy while avoiding the use of implants. If you’re looking for the “gold standard” in breast reconstruction, look no further. For more information and to discuss your options, contact us at Breast Reconstruction Associates, your DIEP flap experts in Dallas Fort Worth, Texas.

Sources: BreastCancer.org

Feel free to reach out to us and take the first step toward a natural and confident you.

Patient considering breast reconstruction surgery with a checklist of important factors to discuss with a doctor.

Before Undergoing Breast Reconstruction Surgery, 10 Things to Consider

Written by Breast Reconstruction Associates on . Posted in Breast Cancer, Breast Reconstruction. No Comments on Before Undergoing Breast Reconstruction Surgery, 10 Things to Consider

Breast reconstruction surgery is a crucial step in the recovery process for many breast cancer survivors. But with the overwhelming amount of information available, it can feel like trying to drink from a fire hydrant. Here’s a concise checklist to help you make informed decisions about your treatment plan.

1. Research Thoroughly

When faced with a breast cancer diagnosis, it’s natural to want to expedite your treatment. However, taking the time to understand all your options is vital. Consult reputable sources and discuss your choices with your doctors to ensure you’re making well-informed decisions.

2. Talk to Your Doctor

While online support groups and patient forums can provide valuable support, every patient’s situation is unique. It’s essential to address questions specific to your care directly with your doctor for the most accurate and personalized information.

3. Make the Best Decision for You

Breast reconstruction is a highly personal decision influenced by various factors. Involve your spouse, family, or support system in consultations to help weigh your options. Ultimately, the decision must be best for YOU in your current situation.

4. Plan Ahead

Surgery requires a recovery period that varies depending on the type of work you need to resume. Discuss the expected recovery time and post-op restrictions with your surgeon to adequately plan with your support system and employer.

5. Choose Your Breast Size

Your pre-operative body habitus will influence the size of your breast reconstruction. During your consultation, your surgeon will discuss your ideal breast size and show you photos of patients with similar body types to help set realistic expectations.

6. Know Your Timeline

At Breast Reconstruction Associates, our goal is to complete your reconstruction in as few surgeries as possible. Ask your surgeon how many surgeries they anticipate and the timing of each one. This timeline may need adjustment to prioritize your cancer treatment.

7. Understand Your Post-Surgery Appearance

Looking at photos of other patients who have undergone the surgery can alleviate fears. At Breast Reconstruction Associates, we review photos with patients to provide an accurate visual of what to expect regarding scar patterns and overall appearance.

8. Ask Questions

Don’t hesitate to ask any questions you have. Make a list of all your concerns and go through them with your doctor to ensure you have clarity and peace of mind.

9. Consider Your Nipples

Some patients may have the option of keeping their nipples through a nipple-sparing mastectomy, depending on the tumor’s location and nipple position. If not, options like nipple reconstruction or 3D nipple areola tattoos can complete your reconstruction.

10. Understand the Goal of Reconstruction

Discuss realistic expectations with your plastic surgeon and understand the difference between reconstructive and cosmetic surgery. The goal is to restore what cancer took away, allowing you to fit clothing evenly without needing a prosthesis. It’s a life-changing experience that requires time and perspective to accept and love your new reconstructed self.

Conclusion

Take the necessary time to research and understand your options before moving forward with breast reconstruction surgery. For more information, visit Breast Reconstruction Associates.

Breast Reconstruction Questions – Post-Surgical Care and Recovery

Answers to Your Breast Reconstruction Questions

Written by Breast Reconstruction Associates on . Posted in Breast Reconstruction. No Comments on Answers to Your Breast Reconstruction Questions

Undergoing breast reconstruction surgery can be a daunting experience, filled with uncertainty and anxiety. Even if you think you’re well-prepared, it’s natural to have questions. At Breast Reconstruction Associates, we’ve been caring for patients like you since 2014. We aim to make you feel comfortable and well-informed about what autologous breast reconstruction can offer. Below are some of the most common questions we receive to help you better understand your decision to undergo breast reconstruction.

What to Expect After Breast Reconstruction Surgery

How Much Pain Can I Expect After Surgery?

Most patients experience a very manageable level of post-operative pain. Our pain management regimen, aligned with the Enhanced Recovery After Surgery (ERAS) protocol, has proven to be remarkably effective. Most patients can carry out their regular activities and sleep with mild to moderate discomfort. Generally, patients stop needing regular pain medication after about two weeks.

What Will My Breast Size Be?

During the initial reconstruction surgery, the width and height of the flap can be controlled to create the breast. The depth, or projection, of the flap largely depends on the abdominal tissue’s depth. Your surgeon should be able to estimate how close to your current breast size you will be during your consultation. Adjustments to size and shape can be made after the initial reconstruction if needed.

Will I Have Drains After Surgery?

You can expect to have a drain in each operated breast and 1-2 drains in your abdomen. Typically, patients go home with all drains in place. While inpatient, your nurse will educate you on emptying, recording drainage, and general care of your drains before you go home. Once at home, our team is available to address any questions or concerns. Most patients have their drains removed 1-2 weeks after surgery.

What Kind of Bra Should I Wear After Surgery?

You will be given a hospital-issued post-surgical bra after surgery, eliminating the need to purchase one beforehand. After surgery, you may be fitted for a compression bra in our office for proper sizing and comfort.

When Can I Start Exercising Again?

After surgery, we ask that you limit your activities to light walking, avoiding core muscle use, and lifting weights less than 10 pounds. Once you reach four weeks post-op, you may start cardio activities such as using a stationary bike or elliptical machine. After this point, consult your surgeon to guide you on how and when to resume more strenuous activities. Generally, most patients are free of restrictions and may use their core muscles again 12 weeks after surgery.

Additional Resources and Support

Have more questions? Make a list! We are happy to be your resource for breast reconstruction information. Contact one of our offices in Fort Worth, Austin, Oklahoma City, Bozeman for more information or to schedule a consultation.

Keywords

  • Breast Reconstruction FAQs
  • Post-Surgical Recovery
  • Surgical Pain Management

Feel empowered to make informed decisions about your breast reconstruction surgery. We’re here to support you every step of the way.

Breast cancer awareness and prevention tips for 2024

How Common is Breast Cancer? Updated for 2024

Written by Breast Reconstruction Associates on . Posted in Breast Cancer, Womens Health. No Comments on How Common is Breast Cancer? Updated for 2024

Breast cancer is the most common malignancy affecting American women, with one in eight women diagnosed during their lifetime (12.5% risk). There are several risk factors that can affect a woman’s risk, some of which are modifiable while others are out of our control.

Modifiable Risk Factors

  • Body Mass Index (BMI): Weight can significantly increase a woman’s risk for developing breast cancer as adipose (fat) tissue stores estrogen. Being overweight or obese increases estrogen exposure and cancer risk. Maintaining a healthy BMI is essential not only to lower your breast cancer risk but also to decrease the risk of recurrence if you are a breast cancer survivor. A balanced, nutritious diet and avoiding processed foods play crucial roles in achieving this.
  • Alcohol Consumption: The more alcohol you consume, the higher the risk of developing breast cancer. Limiting your intake to less than 3 to 4 drinks per week is recommended.
  • Tobacco Use: Nicotine use increases breast cancer risk and inhibits wound healing. It’s crucial to quit all nicotine products before undergoing surgical management.
  • Physical Activity: A sedentary lifestyle can increase your risk for breast cancer. Aim to engage in at least 150 minutes of exercise per week, though ideally, you should aim for 300 minutes for optimal risk reduction.
  • Hormone Replacement Therapy (HRT): Combination HRT (estrogen/progesterone) increases breast cancer risk. Most women must stop these medications once diagnosed. It’s especially important to perform routine self-breast exams and screening mammograms while taking HRT.

Non-Modifiable Risk Factors

  • Age: Breast cancer is predominantly diagnosed in women over the age of 50.
  • Gender: While women are overwhelmingly more affected by breast cancer than men, men constitute 2% of all breast cancer diagnoses each year. Men should also be aware of this risk and practice breast awareness.
  • Genetics & Family History: Certain genetic mutations like BRCA1 and BRCA2 can increase the risk of developing breast cancer. Other genes include CHEK2, PALB2, and ATM. Even if genetic testing is negative, a family history of breast cancer can still place you at higher risk.
  • Lifetime Estrogen Exposure: Early menstruation (before age 12), late menopause, delaying childbirth after age 30, or not having children at all increases estrogen exposure and breast cancer risk.
  • Atypical Breast Cells: Not every breast biopsy is malignant; many are benign like fibroadenomas or cysts. However, some biopsies reveal high-risk lesions like atypical ductal and lobular hyperplasia and lobular carcinoma in situ.

While breast cancer rates have been increasing, more women are surviving this diagnosis thanks to increased awareness, early detection, and improved treatment options. If you have been diagnosed with breast cancer or a genetic mutation and are considering breast reconstruction surgery, reach out to us at our Fort Worth, Austin, Bozeman, or Oklahoma City offices. At Breast Reconstruction Associates, we are committed to our patients’ overall health and reconstructive goals.

Learn more about breast cancer prevention and modifiable risk factors to take proactive steps in reducing your risk.

For more information and personalized advice, book a call with one of our specialists today!

When Should You See A Breast Reconstruction Surgeon? | DIEP Flap TX

When Should You See A Breast Reconstruction Surgeon?

Written by Breast Reconstruction Associates on . Posted in Breast Reconstruction.

The timing of breast reconstruction is often determined by the stage of cancer and the oncologic treatment recommendations. However, in general, we refer to the timing as immediate or delayed.

Immediate breast reconstruction

Refers to reconstruction occurring at the same time as the mastectomy. There is a two-fold benefit of immediate reconstruction. The first, it provides a breast mound and avoids a flat chest wall. The second, the skin envelope can be utilized via a skin-sparing mastectomy, thus allowing for a potentially better aesthetic outcome.

Delayed breast reconstruction

Refers to reconstruction that is performed at another time following the mastectomy. A mastectomy without reconstruction is frequently performed when a woman has advanced cancer, requires radiation therapy, or has multiple medical comorbidities.

In general, it is best to see a breast reconstruction surgeon soon after your diagnosis. Many factors contribute to the timing of reconstruction, and involving the plastic surgeon early in this decision making will help to provide the best outcome. This is true regardless of your type of cancer or expected treatments.

Lastly, if you have already had a mastectomy and have completed the recommended adjuvant treatments, you are still a candidate for reconstruction. We are happy to assist you with your reconstructive needs at any point along your journey. If you would like to get in touch with a plastic surgeon regarding the best timing for your reconstructive breast surgery, please contact us in Fort Worth, Austin, Oklahoma City, or Bozeman.

Common Plastic Surgery Risks | Breast Reconstruction Associates

Secondary Flaps: PAP and SGAP

Written by Breast Reconstruction Associates on . Posted in DIEP Flap Reconstruction.

Some patients may not be a candidate for the DIEP flap reconstruction. These patients may have a history of previous abdominal surgery that may have affected the DIEP vasculature. Examples of such procedures could be a prior abdominoplasty (aka tummy tuck) or liposuction. Other patients may have more volume at the other donor sites of the buttocks or thighs when compared to the abdomen. 

In these instances, patients may be candidates for autologous reconstruction from a secondary site.  Our commonly preferred secondary sites include the PAP (inner thigh) and SGAP (upper gluteal region) flaps.  Just as is performed with the DIEP procedure, both the PAP and SGAP flaps involve harvesting the skin and fat from these various regions along with their respective blood supply to reconstruct a more natural-appearing breast.

Various factors can influence a patient’s candidacy for these secondary flaps, which include having an adequate volume from the donor site.  In some instances, you may benefit from a combination implant and autologous reconstruction with a secondary flap.  While the incisions can be hidden in clothing, patient acceptance of scar patterns is important for all autologous reconstructive cases.

At Breast Reconstruction Associates, we would be happy to discuss your reconstructive needs and design the best plan using a secondary flap if the DIEP flap is not an option for you.  Please call your local Forth Worth, Austin, or Oklahoma City office to schedule a consultation today.

How Do You Make a Nipple?

Written by Breast Reconstruction Associates on . Posted in Breast Reconstruction.

Nipple reconstruction is usually a part of the final stage of breast reconstruction. A nipple reconstruction can be done as an office procedure, but sometimes is incorporated with revision of the reconstruction in the operating room. In our practice we perform the nipple reconstruction, and then tattooing of the areola as a separate procedure.

In simple terms, the nipple is made from elevating skin and folding it in a way that leaves a ‘nub’ of skin that looks like a nipple. In medical terms we refer to the skin elevation as “elevating a flap”, and the flaps described for nipple reconstruction are numerous. We may use a different flap design based on the needed size, width, or projection – either to match the other side (for one–sided reconstruction) or based on the patient’s goals (for two–sided reconstruction). Importantly, though the final product may strongly resemble an actual nipple, the reconstructed nipple does not have sensation or ability to change with temperature changes, and lacks erogenous sensation.

You can also watch the following 9 min video to see the specific steps involved in a nipple reconstruction done in the office.