Breast Reconstruction in Miami Beach, FL

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 20 years, Dr. Rosenbaum currently performs one-stage breast reconstructions, tissue expander reconstruction, as well as DIEP, SGAP, SIEA, and Latissimus flap breast reconstructions. Prior to 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 want you to know that we will be here every step of the way.

In partnership with a general surgeon, one-stage breast reconstruction is performed during the same operative session as the mastectomy procedure. This technique allows the patient to only have to undergo one surgical procedure instead of separating the mastectomy and reconstruction into two separate operations. There are some great advantages to one-stage breast reconstruction and during a thorough consultation with Dr. Rosenbaum, he will be able to determine if you are an ideal candidate for the procedure.

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 surgical 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

There are numerous ways to reconstruct the breasts following cancer or trauma. Though a one-stage reconstruction is always provided when possible, there are some other techniques that may be necessary. Several techniques may be considered for the reconstruction: 

• One-Stage Reconstruction

When possible, a one-stage reconstruction is always recommended. This allows for a mastectomy and reconstruction to be performed during one procedure, reducing the amount of recovery time. 

• Expander Implant Placement

The first stage in this reconstruction process 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. 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.

• Latissimus Flap Technique

This technique involves transferring tissue from the latissimus dorsi muscle and skin to the breast from an area on the back.

• DIEP Flap

DIEP flap is a superior method to the TRAM procedure and 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.

• SIEA Flap

This procedure is very similar to the DIEP flap. In the SIEA flap technique, fat, skin, and blood vessels are cut from the wall of the lower belly and moved up to your chest to rebuild your breast. The 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 that 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. 

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.

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.