Advanced Breast Reconstruction (Micro-Surgical)

Micro-Surgical

Reconstructive microsurgery is surgery that utilizes a microscope and miniaturized instruments in order to operate on very small structures such as nerve endings and blood vessels. Microsurgery is beneficial for breast reconstruction because it allows tissue and vessels to be relocated to the new breast mound, allowing the reconstructed breast to react naturally with the rest of body as it ages or experiences fluctuations in weight.

To the left please find a list of the microsurgery procedures available for breast reconstruction at Leif Rogers, M.D., FACS Plastic Surgery. Click on the title for more information on a specific procedure.

A thorough consultation is needed to determine which reconstructive surgery might be right for you.

DIEP Flap

The DIEP (Deep Inferior Epigastric Perforator) Flap method is a specialty of Dr. Rogers and is one of the most innovative breast reconstruction surgeries available today. After mastectomy a new breast mound is formed using the patient’s own living skin and fatty tissue, which is borrowed from the abdomen. Like other free flap techniques, DIEP requires the use of a microscope to surgically reattach blood vessels when transferring the tissue to a new location. The reconstructed breast will look and feel much like the original breast. In addition to reconstructing the breast, the contour of the abdomen is improved with results similar to that of a tummy tuck.

SIEA Flap

Like the DIEP, the SIEA (Superficial Inferior Epigastric Perforator) flap replaces the skin and soft tissue removed at mastectomy with living tissue borrowed from the abdomen. For the DIEP flap procedure blood vessels are attached from the upper abdomen, but some women have adequate blood vessels just under the skin in the lower abdomen, which can be used as the feeding vessels for the transferred tissue, in this case a SIEA Flap procedure is recommended – otherwise the procedures are the same. In addition to reconstructing the breast, the contour of the abdomen is improved with results similar to that of a tummy tuck.

TUG Flap

The TUG (Transverse Upper Gracilis) flap is ideal for those who do not have adequate abdominal tissues for other types of flap surgeries, but who do have excess tissue in the inner thigh. The breast will be reconstructed with the skin, fat and the tiny blood vessels taken from the inner thigh area. The reconstructed breast will look and feel much like the original breast.  In addition to reconstructing the breast, the contour of the thighs is improved with results similar to that of a thigh lift.

SGAP Flap

The SGAP (Super Gluteal Artery Perforator) Flap is ideal for those who do not have an adequate amount of excess abdominal tissue for other flap procedures such as the DIEP and SIEA. The breast will be reconstructed with the skin, fat and the tiny blood vessels taken from the gluteus area. A slight buttock lift results in the donor area.

IGAP Flap

IGAP (Interior Gluteal Artery Perforator) flap surgery is a variation of SGAP flap surgery. The procedure is virtually identical aside from the use of the inferior gluteus artery versus the superior gluteus artery. The breast will be reconstructed with the skin, fat and the tiny blood vessels taken from the gluteus area. A slight buttock lift results in the donor area. The physical difference to the patient is that the donor scar will be somewhat lower on buttock than the scar from a SGAP procedure.

WP-Backgrounds Lite by InoPlugs Web Design and Juwelier Schönmann 1010 Wien