Before & After

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

Patients with High BMI
Patients with high body mass index (BMI) or very large breasts deserve special consideration when planning breast reconstruction. The risk of complications is increased for all operations in patients with high BMI. Depending on your specific circumstances it may be safest to delay breast reconstruction until after weight loss.
Implant based reconstruction is especially problematic because it has a higher complication rate and may not yield aesthetically satisfactory results. Natural tissue reconstruction may offer a better aesthetic result. For patients who are candidates for a lumpectomy, a breast tissue rearrangement following lumpectomy combined with a breast reduction on the opposite breast may offer excellent results.
Copyright © Wojciech Dec, M.D. | 100 East 77th Street • New York, NY 10075 | (212) 390-8400