Breast Reconstruction: Your Choice

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Direct-to-Implant ("One-Step") Reconstruction
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Using acellular dermis creates an instant pocket, eliminating the need for expansion
If you've decided on implant reconstruction, you may want to consider direct-to-implant or one-step reconstruction. Some doctors are now using an acellular dermal matrix, such as AlloDerm®, DermaMatrix®, or Tutoplast®--donated human tissue from which the cells have been removed--or Strattice(derived from porcine dermis) to facilitate this streamlined reconstructive process.

Typically, the chest muscle and breast skin must be expanded over a period of several weeks to create a pocket of sufficient size to hold the implant. Alternatively, stitching patches of acellular dermal matrix to the sides of the muscle or along the inframammary fold creates an instant pocket and more complete coverage of exposed implant edges.

Direct-to-implant reconstruction offers three distinct benefits over traditional implant reconstruction:

  • It doesn't require expansion.

  • Women who combine this procedure with skin-sparing, nipple-sparing mastectomy can complete their entire reconstruction in a single step.

  • Acellular dermal matrix integrates into a woman's healthy tissue.

It is important to note two issues about this procedure: although the number of plastic surgeons who offer this type of reconstruction is growing, most still rely on traditional implant reconstruction with expansion. Also, in some cases, women do need a secondary procedure to correct problems or improve cosmetic result.

Although breast reconstruction with AlloDerm or DermaMatrix is not yet widely performed (see the surgeon's links below), acellular dermis has been used for years in other types of reconstructive surgeries (it's commonly used to repair abdominal wall tears that can occur after TRAM reconstruction), and to replace missing or damaged skin and cover wounds. Like other reconstruction methods, it makes good sense to research a direct-to-implant reconstruction procedure and your surgeon's expertise before making a decision. 

When consulting with a surgeon who reconstructs with AlloDerm or DermaMatrix, be sure to clarify whether he/she performs single-step direct-to-implant or traditional reconstruction with expansion.

Note: Although most surgeons prefer to place an immediate implant under the muscle, some position the implant above the muscle (between the muscle and breast skin).

Yellow Spinning 5 Point Star

Please let your surgeon know you found him/her at www.breastrecon.com!

Surgeons who Perform One-Step Implant Reconstruction
(many other plastic surgeons may offer one-step; ask about it during your consultation)

Canada

 
Ontario

Toronto

Vancouver

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State
City
Surgeon
     
Arizona

Phoenix

Scottsdale

California
Beverly Hills
 

 
Los Angeles

 
 
La Jolla and San Diego

Dr. Mark Mofid

 
Newport Beach
 
San Diego
 
San Francisco

Dr. Karen Horton

 
 
Walnut Creek

Dr. Vivian Ting

 
 
Torrance

Dr. Michael Newman

 
Truckee
Colorado
Littleton
Lone Tree
Florida
 
Aventura
 
 
Boca Raton

Dr. Hilton Becker

 
Fort Lauderdale
 
 
Miami
Georgia
Atlanta
Illinois
 
Chicago
 
Morton Grove
Westchester
Louisiana
New Orleans
Massachusetts
Boston

 Dr. Mary Hertl (978-831-0400)


Missouri

St. Louis

Nevada

Las Vegas
 
Reno

New Jersey

Holmdel
Dr. Negin Griffith
732-335-0335
 
Livingston
Dr. Ross Cooperman
973-994-2021
 
 
Long Branch
 

West Long Branch
New York
 
Dobb's Ferry
 
 
Great Neck
 
Latham
 
Manhattan

Dr. Oren Lerman

 
Nyack
 
Syracuse
North Carolina
Durham

Ohio

 

 
Cleveland

Ohio

 

 
Columbus
Pennsylvania
 
Philadelphia
 
Pittsburgh

Dr. Michael Gimbel

South Carolina
Charleston

Dr. Kevin Delaney

Dr. Marga Massey

Dr. Dennis Schimpf
843-792-4700

 
Daniel Island

Dr. Patrick O'Neill

 
Mt. Pleasant

Dr. Kevin Delaney

Tennessee
Nashville
Texas
Dallas (and Plano)
 
Houston, St. Luke's
Houston, The Woodlands
 
 
 
San Antonio
Utah
Sandy

Dr. Marga Massey

Virginia
Richmond
Washington
Seattle
Wisconsin
Brookfield

Updated April 2013

Note: The information on this site is provided for educational purposes only and should not be interpreted as medical advice.
© 2003-2013 Kathy Steligo
info@breastrecon.com