Before & After

     ● 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

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  

Specializing in Breast Reconstruction and Microsurgery

Center for Breast Surgery at

Lenox Hill Hospital


Call for Appointment

(212) 390-8400