Innovative Procedures

Pre-Pectoral and Direct to Implant Reconstruction

Innovative Procedures:


New technology constantly emerges giving us the opportunity to continue to provide state-of-the-art care to our patients. Advancements in imaging lead us to a greater understanding of breast flap physiology and perfusion helping to maintain our greater than 99% success rate for microsurgical breast reconstruction procedures. Donor sites are no longer limited to the abdomen and buttock allowing us to offer natural reconstruction to even more women who desire these procedures. Nerve grafts are being developed and tested now giving the ability to restore sensation to a reconstructed breast in the near future. Advances in acellular dermal matrices (ADM) are revolutionizing implant reconstruction. New and exciting advances in the management of post- operative pain are allowing us to drastically decrease the need for post- operative narcotic medications. Every day there seems to be something new that enhances the services we provide to women who desire reconstruction after mastectomy.

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.

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.

Why Choose The Center for Natural Breast Reconstruction?

Post Procedure Care

Learn more about the next steps and what you can expect following your natural breast reconstruction procedure

Restored Lives!

Read real patient testimonials and hear their personal stories and experiences with natural breast reconstruction.

Expert Medical Team

Meet our dedicated surgical team who are at the forefront of breast reconstruction surgery and committed to our patients.

Want More Information? Read “Ask the Doctor” Blog Series Below:

Q&A: Ask The Doctor

Q: Hi, I am a 36-year-old double mastectomy patient with 600cc implants. I have never felt the same with these implants. Hoping my natural tissue would be more accepted by my body. We fight so hard for our health, this is so hard on me. I am young, I surf and am...

Finding the Right Support Group Can Be Crucial to Your Recovery from Breast Cancer

When Marie was diagnosed with Triple Negative Breast Cancer, she knew she had a great team on her side. She loved her doctors and nurses and felt well-informed. She knew she could ask any questions she had at any time about her surgery and treatment and they would be...

Q&A: Ask The Doctor

Q: I was diagnosed in 2016 (47-year-old) with breast cancer and did a double mastectomy with expanders. After numerous tries, the expanders were rejected. At one point my implant fell out of my chest and landed in my lap. I've had 16 surgeries since the mastectomy and...

Honoring those women who have made history in medicine

Every year March is designated Women’s History Month and this year the theme is “Valiant Women of the Vote,” and we want to take time to thank those trailblazers. However, this month we have decided to honor those advocates and inventors in medicine that have made a...

Q&A: Ask The Doctor

Q. Hi. I had implants placed at age 19 only to find out my grandmother was diagnosed with breast cancer at age 40. I had my first mammogram and was told I have dense breast tissue, which further increases my risk. Would I be able to do a preventative mastectomy?...