Reconstructive Surgical Procedures

Reconstructive Plastic Surgery Improves Functions and Approximates a Normal Appearance

Reconstructive surgery is performed to treat structures of the body affected aesthetically or functionally by congenital defects, developmental abnormalities, trauma, infection, tumors or disease.

One of the main reconstructive procedures we offer is breast reconstruction (usually performed at the time of a mastectomy). However, our physicians are highly skilled and experienced in reconstructive procedures for all parts of the body.

For more information about a specific reconstructive procedure, simply click on the appropriate link below, or contact Associates in Plastic Surgery.

Breast Reconstruction

Associates in Plastic Surgery offers the complete spectrum of breast reconstructive services. Available procedures vary widely in scope, complexity and recovery. At Associates in Plastic Surgery, we draw on years of experience with the full array of available procedures to determine the best options for each individual patient. Breast reconstruction is available at the time of the mastectomy (Immediate Reconstruction) or as a delayed procedure at any time following mastectomy.

Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore the breast appearance and size following mastectomy. Breast reconstruction is a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition. The creation of a new breast can dramatically improve your self-image, self-confidence and quality of life. There are many different techniques that may be used for breast reconstruction including:

  • DIEP Flap
  • Free TRAM Flap
  • Pedicle TRAM Flap
  • Free Flap
  • Latissimus Dorsi Flap
  • Tissue Expander Implants
  • Nipple Reconstruction

It is essential to have a consultation with your plastic surgeon to decide if you are a candidate for breast reconstruction and what techniques may be right for you.

Flap techniques reposition a woman’s own muscle, fat and skin to create or cover the breast mound.Sometimes a mastectomy or radiation therapy will leave insufficient tissue on the chest wall to cover and support a breast implant, requiring flap techniques to achieve suitable results.

A TRAM Flap uses donor fat, skin and muscle from the lower abdomen to reconstruct the breast. The flap may either remain attached to the original blood supply and be tunneled up to the breast area, or microsurgical free flap techniques may be used to transfer the tissue to the breast area.

Alternatively, your surgeon may recommend a Deep Inferior Epigastric Perforator or DIEP Flap, which can transfer abdominal or buttock skin and fatty tissue (but sparing muscle) using microsurgical free flap techniques.

A Latissimus Dorsi Flap uses muscle, fat and skin from the back tunneled to the mastectomy site and remains attached to its donor site, leaving blood supply intact.

Occasionally, the flap can reconstruct a complete breast mound, but often provides the muscle and tissue necessary to cover and support a breast implant. Tissue Expander Implants involve stretching healthy skin to provide coverage for a breast implant and create a new breast mound. Reconstruction with tissue expansion allows for easier recovery than flap procedures. A second surgical procedure will be needed to replace the expander if it is not designed to serve as a permanent implant.

Saline and silicone implants are available for reconstruction. Your surgeon will help you decide what is best for you.

Nipple Reconstruction involves grafting and other specialized techniques to create a nipple and areola. The breast reconstruction is completed through a variety of techniques that reconstruct the nipple and areola, and is most commonly performed as a final phase to the breast reconstructive process.

Please contact: Associates in Plastic Surgery

Cleft Lip/Cleft Palate

Correction of a cleft lip or palate usually requires multiple procedures during a child’s growth and development. Intervention is recommended early because of other medical problems that can be associated with clefting, particularly ear infections.

Cleft lip repairs are initially performed when a child is at least 10 weeks of age and 10 pounds in weight. Cleft palate repairs are generally performed when a child is somewhat older, from nine to 18 months of age.

Please contact Associates in Plastic Surgery for a consultation to learn more about how our specialists can correct these birth defects to help ensure the health and well-being of children.

Other Birth Defects

There are any number of birth defects that can be repaired through reconstructive surgery – and the surgeons at Plastic Surgery Associates have the knowledge, skill and experience to help. Examples of these deformities include cleft lip, cleft palate, skin lesions, vascular anomalies, malformations of the ear, hand or foot, and other more profound craniofacial deformities.

Please contact Associates in Plastic Surgery if you are considering reconstructive surgery for a birth defect on any type.

Skin Cancer Reconstruction

It can be very difficult to learn that you have been diagnosed with skin cancer. The surgeons at Associates in Plastic Surgery use specialized techniques to surgically remove cancerous or benign skin lesions while making every effort to preserve your appearance. Our surgeons also work in tandem with other physicians and can reconstruct large defects created by dermatologists and surgical oncologists in order to achieve the most natural and effective outcomes.

Please contact Associates in Plastic Surgery if you are considering skin cancer reconstructive surgery.

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