Breast Reconstruction

The diagnosis of breast cancer and the prospect of surgical removal of the breast is an emotionally traumatic event for women. Breasts are important to women both physically and emotionally, and many women experience a loss of femininity or lack of completeness after mastectomy.

Fortunately, new techniques and technology have advanced the field of breast reconstruction such that plastic and reconstructive surgeons are able to create a new breast that very closely matches the opposite natural breast. There are a variety of surgical options that can be performed either at the time of mastectomy or at a later date. These options include tissue expansion and implant placement as well as use of the body’s own tissue to reconstruct the breast (flap reconstruction), or a combination of both.

The best form of reconstruction will depend on individual patient characteristics and desires, but you can watch a video on how a typical breast reconstruction is performed

breast implant reconstruction

Post mastectomy reconstruction wtih tissue expander is a staged approach to reconstruction and can be started at the time of the mastectomy or at a later date.

Often, the first step of this reconstruction is placing the expander underneath the skin and muscle. The expander has a fill port that is built into the front of the device. The port will be accessed in the office typically every 1-2 weeks with addition saline added at each visit. Generally discomfort is mild and can be managed with Tylenol.

After the skin and muscle over the tissue expander have expanded enough to form a pocket to house the implant, the expander will be removed and replaced with an implant, creating a more refined breast shape. This procedure is done as an outpatient procedure and generally takes about 1-2 hours.

flap breast reconstruction

Breast reconstruction using your own tissue to form a new breast is referred to as autologous, or flap reconstruction. These procedures use tissue from your abdomen, back, thighs or buttocks to rebuild the breast. Types of tissue flap procedures include Deep Inferior Epigastric Perforator (DIEP), Inferior Gluteal Artery Perforator (IGAP), Superior Gluteal Artery Perforator (SGAP) and Superficial Inferior Epigastric Artery (SIEA).


  • Dr. Miller and his team at Dreams Med Spa did a wonderful job from pre-op to surgery and follow up examinations. Takes the time to listen and finds exactly what works for you. Clean office and pre-op rooms, private and professional staff as well as on time appts. and follow up cares. I will be using them for any future needs I may have

  • Because I was treated for breast cancer at 32, I was fairly certain I would opt for reconstructive surgery. I didn't know which doc to go with. I'm so thankful someone steered me towards Dr. Miller. The process is a little lengthy in nature and getting "fills" to stretch the tissue to accommodate the new breast implants was not my favorite. But, cancer treatment is not a sprint...It's a marathon and this was just part of the treatment and recovery process. The discomfort was worth it, without a doubt. I'd do it again.

  • Since i was younger i knew i always wanted bigger breast. Once i was able to afford it i knew i had to do it and i’m soooo glad i did! This process was smooth and easier then i thought. If you are even questioning the procedure i suggest at least going in for a free consultation!!