Some patients have the option to have reconstruction of the breasts immediately following the removal (mastectomy) of their breasts. Also known as immediate one-stage breast reconstruction, this is a good option for those who do not need breast irradiation. Dr. Asfa works in tandem with the breast surgeon during the mastectomy, and immediately following that procedure, reconstructs the breast with implants, tissue expanders or fat grafting/transfer. Another option for reconstruction may be autologous (reconstruction using your own tissue and muscle) with a TRAM flap or latissimus dorsi flap procedure.



• Breast Reconstruction with Implants – Implants are made out of silicone or saline, or a combination of both, and can be inserted during or after a mastectomy. They are placed underneath the chest muscle versus on top of it, as in the case of breast augmentation.
• Fat Grafting/Transfer – this reconstruction technique uses liposuction to remove fat from other parts of your body and inject it into your breasts. This is also the most common reconstruction procedure for men who want breast reconstruction after mastectomy. This is also a breast augmentation option for women who are looking for a relatively small increase in breast size and would prefer natural looking and feeling results.
• TRAM or Latisiumus Dorsi Flaps – During flap reconstruction, a breast is created by transferring tissue (skin, fat and muscle) from the lower abdomen or upper back area to the mastectomy site and creating a breast mound. This technique could be done as an immediate procedure after mastectomy or as a delayed procedure for patients who had a mastectomy (with or without radiation) in the past, but now desires reconstruction.
• Skin Preserving and Nipple & Areola Sparing – During a traditional mastectomy, all of the breast glandular tissue and central breast skin are removed. This can result in a prominent scar across the breast, making reconstruction more challenging. But sometimes some skin, and the nipple and areola can be preserved. Prior to your mastectomy, Dr. Asfa will work closely with your breast surgeon to develop a reconstruction plan to utilize these innovative reconstruction techniques whenever possible.
  

Please visit our Photo Gallery to view examples of some of Dr. Asfa’s work.