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Natural Tissue Breast Reconstruction Procedure Options 2017-12-05T17:54:05+00:00

Since 2004, Dr. Levine has dedicated his practice exclusively to the highly sophisticated and advanced forms of microsurgical breast reconstruction called perforator flaps.
Here, we invite you to research your breast reconstruction options. If you have any questions, or to schedule a private consultation with Dr. Levine, contact us today.

DIEP / SIEA

Deep/Superficial Inferior Epigastric Perforator Free Flap

|| ABDOMEN ||

DIEP/SIEA

The abdomen is the most common donor site in perforator flap breast reconstruction. Extra skin and fat is removed to reconstruct one or both breasts resulting in a flattened abdomen similar to that of a tummy tuck.

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“STACKED” DIEP

Deep Inferior Epigastric Perforator Free Flaps

|| ABDOMEN ||

STACKED DIEP - ABDOMEN

In a “stacked” DIEP, both halves of the abdomen are stacked together to reconstruct one breast when added volume is needed.

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SHaEP

Stacked Hemiabdominal Extended Perforator Flaps

|| ABDOMEN ||

SHaEP

By extending the DIEP, more tissue can be used from the hip in combination with abdominal tissue to get the volume needed to reconstruct both breasts.

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PAP

Profunda Artery Perforator Free Flap

|| THIGH ||

PAP

The PAP flap uses available tissue from the back of the thigh at the buttock crease (“banana roll”.) This is a great option for those who are thin or have low body fat.

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“STACKED” COMBINATION FLAPS

| ABDOMEN & THIGH |

“STACKED” COMBINATION FLAPS

Perforator flaps from different donor sites can be combined/stacked to obtain adequate volume in breast reconstruction. One example is a “stacked” DIEP and PAP combination.

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TUG

Transverse Upper Gracilis Myocutaneous (Muscle) Flap

|| THIGH ||

TUG

The TUG is a muscle–skin flap taken from the upper, inner thigh. This flap is also useful for those who are thin or have low body fat. This surgery sacrifices the Gracilis leg muscle.

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IGAP

Inferior Gluteal Artery Perforator Free Flap

|| UPPER BUTTOCK ||

IGAP

The IGAP, or “In-the-crease” IGAP, uses available tissue from the lower buttock just above the buttock crease. This option is great for those who are thin or have low body fat.

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SGAP

Superior Gluteal Artery Perforator Free Flap

|| LOWER BUTTOCK||

SGAP

The SGAP flap uses available tissue from the upper buttock.

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LAP

Lumbar Artery Perforator Free Flap

|| LOWER BACK ||

LAP

This flap uses available tissue from the lower back and hip area or “love handles.”

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TDAP & ICAP

Thoracodorsal Artery & Intercostal Artery Island Perforator Flaps

|| LATERAL ||

TDAP & ICAP

These flaps use available tissue from the chest wall underneath the arm and are particularly useful for partial breast reconstruction.

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nipple sparing mastectomy

NSM

Nipple-sparing Mastectomy

|| BREAST ||

NSM

Some women are candidates for nipple preservation mastectomy. This dramatically enhances the overall cosmetic outcome.

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BEFORE & AFTER GALLERY

Breast Reconstruction Photos

|| ALL ||

BEFORE & AFTER GALLERY

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TESTIMONIALS FROM DR. LEVINE’S PATIENTS

Dear Dr. Levine,
I am so grateful for your magical work!
IF it had not been for you, I would have never felt normal again.
Thank you for giving my life back to me…
Sincerely, Irina Koroleva

Read Our Patient Stories
 
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