Breastreconstruction.

Implant placed at the same operation as mastectomy or as a single-stage delayed reconstruction. Best for patients with adequate skin envelope and no significant radiation damage. Includes acellular dermal matrix where indicated.

Tissue expander placed at first operation, gradually inflated over 8–12 weeks to stretch skin, then exchanged for the permanent implant. Standard pathway for patients with radiation history or limited skin envelope. Total programme spans 4–6 months across two visits.

Deep Inferior Epigastric Perforator flap — abdominal skin and fat (no muscle) transplanted to reconstruct the breast, with microsurgical reconnection of blood vessels. Most natural feel and appearance; lasts a lifetime. Technically demanding; requires microsurgical expertise.

Transverse Rectus Abdominis Myocutaneous flap — uses abdominal tissue including rectus muscle for reconstruction. Used where DIEP is not technically feasible. Reliable result; longer abdominal recovery than DIEP due to muscle harvesting.

Local skin flap to recreate nipple projection, with 3D medical tattooing for areolar pigmentation. Typically performed 3–6 months after main reconstruction. Local anaesthetic; same-day procedure.

Where reconstruction has produced asymmetry, we offer mastopexy, augmentation, or reduction of the contralateral breast to match. Often medically indicated and insurance-covered as part of the reconstruction journey.