Before & After

Copyright © Wojciech Dec, M.D.    |   100 East 77th Street • New York, NY 10075    |    (212) 390-8400  

Direct to Implant Breast Reconstruction

Typically, implant based reconstruction is performed as a two stage procedure.  However, in select patients a single stage breast reconstruction can be performed, which eliminates the need to use a tissue expander.  This can be an appealing option because it drastically reduces the time required to complete the breast reconstruction.


Immediate direct to implant reconstruction is typically reserved for women with size A or B cup breasts that have minimal skin laxity, who have early stage breast cancer, and are not expected to receive radiation therapy.  Many of these patients are also candidates for a nipple sparing mastectomy, which when combined with a well executed immediate to implant reconstruction, can yield excellent aesthetic outcomes.

The recovery from this procedure is similar to the recovery from a mastectomy alone.  After this surgery you should expect to remain in the hospital overnight and go home with drains. 


The choice of which breast reconstruction is best can be difficult.  Dr. Dec will help guide you to choose the best reconstruction for you.


     ● Immediate or Delayed 
       Breast Reconstruction
     ● Reconstructive Timeline
     ● DIEP Flap
     ● PAP Flap
     ● Tissue Expanders & Implants
     ● Direct to Implant
     ● Lumpectomy Reconstruction
     ● Nipple Reconstruction
     ● Symmetry Surgery
     ● Breast Fat Grafting
     ● Revision Surgery
     ● Lymphedema Surgery
     ● Choosing Not to Have
     ● Young Women with Breast
     ● Patients with High BMI
     ● BRCA 1 & BRCA 2
     ● Advanced Breast Cancer
     ● Lumpectomy or Mastectomy
     ● Skin Sparing Mastectomy
     ● Nipple Sparing Mastectomy
     ● Prophylactic Mastectomy
     ● Radiation Therapy
     ● Chemotherapy
     ● Hormone Therapy

Specializing in Breast Reconstruction and Microsurgery

Center for Breast Surgery at

Lenox Hill Hospital


Call for Appointment

(212) 390-8400