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:

One of the most frequently asked questions about breast reconstruction: Will my breast feel real?

“One of the most common questions I get from breast cancer patients who have undergone a full or partial mastectomy and are now going through reconstruction is will my new breasts feel numb and can I have normal sensation restored” Here at The Center for Natural...

Q&A: Ask The Doctor

Q:I’m looking to do a prophylactic bilateral mastectomy due to BRCA2. I want to learn more about nerve reconnection options. Thanks! A: Thank you for contacting us. We are involved in a trial with Axogen (company that sells processed nerve grafts) to investigate...

Q&A: Ask The Doctor

Q: Hello. I'm having a mastectomy of left breast and was wondering if you know where I might find a mastectomy fitter here in North Carolina. If not, do you have a suggestion of where I can buy the right bra for me that fits my new body well with only one breast?...

Breast Reconstruction Awareness Day is October 16: Learn your rights. 

When you’re diagnosed with breast cancer, you are given so much information to digest about your diagnosis and treatment it can, at times, be overwhelming. But it’s not over yet. What about the information you need to decide if you’re going to have breast...

Q&A: Ask The Doctor

Q: I was wondering if I would be able to schedule a phone consult? I was recently diagnosed BRCA1 positive in April 2019. I have been working with a breast surgeon and plastic surgeon in the Midwest and I am interested in a double mastectomy with immediate DIEP...