Stacked DIEP/GAP – This procedure relies on a combination of donor sites - along with their nourishing blood vessels - to reconstruct the breast. This is a useful option when a woman only needs one breast reconstructed but no single donor site can give her the fullness she desires, or provide ample tissue to match her unaffected breast. For example, in a stacked DIEP, surgeons would take tissue from both sides of the tummy to make one breast.
NEW!! The PAP Flap - The Profunda Artery Perforator Flap. Utilizes the posterior thigh soft tissue with scar hidden in the gluteal crease.
Intercostal Flap or TDAP – Tissue from under the arm or chest can be used to boost the cup size of a natural breast, or to match a natural breast with its reconstructed mate. It is also possible that once healed, a newly constructed breast would benefit from some supplemental tissue. By borrowing tissue from near the breast, and using its existing blood vessels, surgeons can also use this technique for women who have not had mastectomy, but as an alternative to breast implants.
Hip Flap – Now being offered as an alternative donor site, this is basically a higher superior GAP flap that converts “love handles” into donor tissue.
Lymph Node Transfer - A new procedure for patients whose underarm lymph nodes have been removed in their breast cancer treatment. It is now possible to treat the resulting lymphedema by transferring lymph nodes from the outer leg or upper outer tummy.
Sensory Improvement – We’re developing techniques to relocate nerves along with the fatty tissue utilized during reconstruction surgeries. These methods may help speed recovery or improve sensations after mastectomy.