Tissue-Based Reconstruction

Tissue-Based or “Autologous” Reconstruction

Another form of reconstruction that we offer uses your body’s own tissue to recreate the breast. This is called tissue-based or “autologous” reconstruction. We can take the tissue from different sites depending on what works best for the patient and her body.

Reconstruction from the Abdomen

One procedure we commonly perform is called the DIEP flap. We take the extra tissue from your tummy that would be thrown away in a tummy tuck and use that tissue to make a new breast. This can be done on one side or on both breasts. In some cases, the right decision for the patient is to take a portion of the muscle as well. This is called a TRAM flap.

In some cases when a patient has a relatively small tummy, we can use the entire abdomen to make one breast, also known as a stacked DIEP flap.

Reconstruction from the Back, Thighs or Buttock

We can also take tissue from the back, thighs or buttock if the abdomen is not an option. When the muscle and tissue are taken from the back, this is called a latissimus flap. There are several options for tissue from other sites, including a PAP flap from the upper thigh/lower buttock area.

Delayed Reconstruction

It is important to note that patients can undergo this procedure years after their initial reconstruction, especially if they have undergone radiation and would prefer a softer, more natural looking breast. This is called a delayed reconstruction. Research shows that patients who undergo a delayed reconstruction often have very high satisfaction rates with their procedures.

Combination with Lymphedema Procedures

This procedure can also be combined with a lymph node axillary or armpit reconstruction for patients with lymphedema.

Schedule My Consultation

If you’re ready to schedule your tissue-based reconstruction surgery or simply want to learn more about the procedures, our doctors can give you the answers and reassurance you need to make the decision that’s right for you. To schedule your private consultation, call 212-628-7300.