Omega Hospital

Over 70% of women are unaware of their reconstructive options

The decision to have reconstructive breast surgery is a very personal one. The goal of the procedure is to help cancer survivors with mastectomies complete the healing process – especially the emotional healing process – by restoring a sense of wholeness, or a psychological and physical sense of feeling complete. Drs. Sadeghi and Allen offer several options of leading-edge microsurgical techniques to ensure each patient receives the utmost personalized care. Other options include the timing of the surgery, which can be performed at the same time of mastectomy or can be scheduled at a later date. When given the option, many women elect to have their reconstruction done simultaneously with the mastectomy. This eliminates the need for a second major operation, which would also require separate recovery times.

Your best option for breast reconstructive surgery is highly dependant upon your body and specific needs. During your consultation, Dr. Sadeghi and Dr. Allen will discuss the options that are best suited to you and the popular option of the perforator flap breast reconstruction in which the breasts are rebuilt using existing fatty tissue from another part of your body – usually the abdomen, thighs or buttock area.

Autologous Tissue Breast Reconstruction is for patients who have their new breast constructed using bodies own fat instead of an artificial implant. The tissue may come from your abdomen, buttock or thighs and consists of only fat and skin without the need to sacrifice important muscles. These leading-edge procedures are becoming the benchmark of breast reconstruction in the United States and have been performed in Europe for many years with excellent results. Over the years, the procedures have been refined to provide patients with a more natural result.

  • Deep inferior epigastric perforator (DIEP) flap: This procedure allows the surgeon to only use the fat and skin from the abdominal wall in your lower abdomen for your breast reconstruction based on its deep blood supply. Abdominal muscle is left intact, to allow you to continue to use the abdominal muscles to maintain their core strength.
  • Superficial inferior epigastric artery (SIEA) flap: This procedure allows the surgeon to only use the fat and skin from the abdominal wall in your lower abdomen for your breast reconstruction based on its superficial blood supply. Again abdominal muscle is left intact, to allow you to continue to use the abdominal muscles to maintain their core strength.
  • Profunda artery peforator (PAP) flap: This procedure allows the surgeon to use fat and skin from the posterior thigh underneath the buttock crease for your breast reconstruction. The main advantage of this procedure is the donor site scar falls in the crease of the buttock. This procedure is optimal for patients who have had previous surgery that precludes the use of the abdomen as a donor site.
  • Gluteal artery perforator (GAP) flap: Similar to the DIEP/SIEA flaps, this technique in reconstructive surgery does not sacrifice any donor muscles and allows the surgeon to reconstruct the breasts using the skin and fat from your buttock area.
  • Transverse upper gracilis (TUG) flap: With this new procedure, the inner thigh fat and skin are used to perform breast reconstruction. The procedure is optimal for patients who have had previous surgery that precludes the use of the abdomen as a donor site.