Breast Reconstruction Surgery (DIEP, Implant, Latissimus Flap, Tissue Expanders) - Miami Beach, FL

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About Reconstructive Surgery

We want to extend a special welcome to breast cancer survivors and those in the preliminary stages of planning for breast reconstruction to come to our South Florida practice, Gary J. Rosenbaum, M.D., P.A. Plastic Surgery in Miami Beach, FL. Our founder and double board-certified plastic surgeon, Dr. Gary Rosenbaum, is passionate and experienced in helping breast cancer survivors regain their confidence and self-esteem through reconstructive breast surgery. As one of the leading breast reconstructive specialists in the state of Florida for over 13 years, Dr. Rosenbaum currently performs expander implant reconstructions, as well as DIEP, SGAP, SIEA, and Latissimus flap breast reconstructions. Following a mastectomy or lumpectomy, Dr. Rosenbaum will help patients create a personalized plan with the appropriate procedure to accomplish their aesthetic goals. For most women, the loss and reconstruction of her breasts is an extremely emotional journey. Dr. Rosenbaum and the entire Gary J. Rosenbaum, M.D., P.A. Plastic Surgery team wants you to know that we will be here every step of the way.

Ideal Candidates

With compassion and respect for the patient, our practice offers breast reconstruction surgery to:

  • Breast cancer survivors who have had a mastectomy or lumpectomy
  • Women who are scheduled to receive aggressive treatment for breast cancer (the removal of one or both breasts)
  • Women who have experienced a traumatic injury or have birth defects in the chest area

What to Expect

There are numerous ways to reconstruct the breasts following cancer or trauma. The first stage in the reconstruction process generally involves the placement of a tissue expander, which is inserted within the breast pocket. This deflated expander is used to stretch the skin over a period of time to make room for an implant or fat transfer. From this stage, several techniques may be considered:

  • Latissimus Flap Technique

A process that involves transferring tissue from the latissimus dorsi muscle and skin to the breast from an area on the back.

  •  Implant Placement

Once the expander is in place, saline will be injected into it about every 2 – 3 weeks. Once the appropriate size has been achieved, the expander will be replaced with either a silicone or saline implant.

  • TRAM Flap Technique

The TRAM (transverse rectus abdominus myocutaneous) flap technique is a reconstruction surgery that is performed in two stages. Tissue, muscle, fat, and skin are taken from the lower abdomen and are used to reshape the chest wall, using as much tissue and fat as needed to produce the desired contour. This is an approach for patients who desire an autologous approach and wish to not have implants.

  • DIEP Flap

DIEP flap is a method very similar to the TRAM procedure, but it is performed using a microsurgery approach. It is a preferred method because the recovery time is shortened and the abdominal muscles and fascia are not sacrificed.

  • SIEP Flap

This procedure is very similar to DIEP flap. In the SIEA flap surgery, fat, skin, and blood vessels are cut from the wall of the lower belly and moved up to your chest to rebuild your breast. An SIEA flap is considered a muscle-sparing reconstruction and differs from DIEP flap reconstruction only by the blood vessels used. 

  • SGAP Flap

SGAP stands for superior gluteal artery perforator, and is often called hip flap reconstruction. This is an autogenous surgery which utilizes the fat, skin, and blood vessels from your upper buttocks/hip to rebuild your breasts.

In the scenario where the patient uses their oncologist-recommended surgeon to remove the breasts, Dr. Rosenbaum is available to gather and communicate all information and medical details with the surgeon before he performs reconstruction surgery. If reconstruction is not immediately possible, the surgery can be performed at a later date while the patient recovers and wears prosthetics in the place of the breast. The patient may also choose to have additional enhancement surgeries to add symmetry, fullness, or skin tightening for more natural-looking results.

Anticipated Results

Depending on the type of breast restorative surgery you had performed, your recovery will be at least 4 –7 weeks. You will need to take it easy and allow your body time to heal. Our medical staff will guide you on your journey to healing — you won't have to go through it alone. There will be multiple follow-up appointments after the surgery so that we can make sure you are well and healing appropriately. Results will be immediate in most situations, but will become even more apparent when healing is complete and bruising has decreased. 

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Trust our Skilled Surgeon

With the help of a trustworthy, experienced, board-certified plastic surgeon such as Dr. Rosenbaum, your breast reconstruction journey does not have to be a long and painful one. Give Gary J. Rosenbaum, M.D., P.A. Plastic Surgery a call to set up a complimentary consultation and determine how breast reconstruction surgery could help transform your breast cancer recovery.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.