Breast Reconstruction Miami

Following an injury to the breast or a surgical mastectomy, breast reconstruction surgery can improve the quality of life for women (and men) in Miami whose self-esteem has been negatively affected by either of these issues. Dr. Leonard A. Roudner is a Board-Certified Plastic Surgeon in Miami who is known around the globe for his expertise in performing breast augmentation procedures.

Breast Reconstruction Following a Mastectomy

For patients who have had or are about to have a mastectomy, Dr. Roudner works with their oncologists to ensure that their breast reconstruction procedure is performed at a time that provides the patient with the healthiest outcome possible.

What Does a Breast Reconstruction in Miami Entail?

During breast reconstruction surgery in Miami, Dr. Roudner uses a variety of surgical techniques to recreate and restructure the patient’s breast (or breasts) using both natural and prosthetic materials.

Dr. Roudner’s extensive experience with breast augmentation procedures allows him to create a breast (or breasts) that closely resembles the patient’s original breasts in their shape, size and appearance. In addition, he can completely rebuild a realistic-looking nipple and/or areola following a mastectomy.

How Soon Can Breast Reconstruction be Performed After a Mastectomy?

Breast reconstruction surgery may be able to be completed immediately after the mastectomy or, in the event that further cancer treatments are necessary, at a later date. The patient’s oncologist will determine whether an immediate reconstruction is possible.

Breast Reconstruction Techniques Performed by Dr. Roudner in Miami

The A-Cellular Dermis Breast Reconstruction Technique

This procedure is performed directly following the mastectomy. Dr. Roudner uses the entire skin envelope and an implant to create the breast.

A hammock is created using a-cellular dermal matrix (which is usually donated skin). This technique allows patients to reach their aesthetic goals quickly; however, not all patients qualify for this technique. The deciding factor is the size of the skin envelope that remains following the mastectomy.

The Tissue Expander Technique

A tissue expander is placed within the envelope of the chest muscle and the breast skin. This expander resembles a saline implant, except for the fact that it has a valve that Dr. Roudner can use to add saline and increase its size; thus, expanding the skin.

Tissue expansion can take from four to six months, depending on the size of the implant to be placed. Once the tissue is adequately stretched, the expander is removed and Dr. Roudner places the permanent breast implant.

Flap Reconstruction Techniques

Flap reconstruction techniques involve using the patient’s own fatty tissue, muscles and/or skin to create the new breast (or breasts).

The Transverse Rectus Abdominis Myocutaneous Flap Breast Reconstruction Technique

The Transverse Rectus Abdominis Myocutaneous (TRAM) technique uses fat, skin and muscle from the lower abdomen. Frequently, patients who have this procedure do not require a synthetic breast implant as this technique usually allows Dr. Roudner to create a natural-looking breast using just the fatty tissue and muscle harvested from the patient’s abdominal area.

Patients who do not have an adequate amount of fatty tissue in their abdomen may not be a good candidate for the TRAM breast reconstruction technique.

Deep Inferior Epigastric Perforator (DIEP) Flap Reconstruction Procedure

Similar to the TRAM procedure, this breast reconstruction procedure uses fatty tissue from the patient’s lower abdomen to recreate the breast; however, unlike the TRAM procedure, DIEP does not disrupt the abdominal muscle.

Superficial Inferior Epigastric Artery Flap Reconstruction

Superficial Inferior Epigastric Artery (SIEA) Flap reconstruction uses fatty tissue, skin and blood vessels from the abdominal area to create the patient a new, natural-looking breast.

The SIEA technique is not used as frequently as the DIEP and TRAM flap procedures are: The SIEA technique requires the harvesting of a very large blood vessel. A vessel that the majority of women do not have. However, for patients who are extremely active that have the blood vessel necessary for a successful outcome, this technique may be an option.

This technique is beneficial for active women because it leaves all of the patient’s muscles and the majority of her connective tissue completely intact; therefore, the risk of post-surgery weakness is of no concern.

Inferior and Superior Gluteal Artery Perforator Flap Breast Reconstruction

Inferior and Superior Gluteal Artery Perforator (I-GAP and S-GAP) Flap breast reconstruction procedures use the fatty tissue and skin from the patient’s buttocks to recreate the breast (or breasts). The I-GAP technique uses the fatty tissue and skin from the lower portion of the buttock, whereas, the S-GAP technique uses tissue from the upper portion of the buttocks.

Dr. Roudner does not use any of the muscle from the buttock during either of these procedures. This allows the patient to remain fully active once she heals from her I-GAP or S-GAP breast reconstruction procedure. Patients who do not have enough fatty tissue in their abdomens for the TRAM or DIEP breast reconstruction procedures are good candidates for an I-GAP or an S-GAP breast reconstruction procedure.

Latissimus Dorsi Muscle Flap Breast Reconstruction

During this procedure, Dr. Roudner uses a large muscle, underlying fatty tissue and the skin to reconstruct a natural-looking breast. Although the use of fatty tissue helps to create a normal-looking breast, a breast implant is also used to achieve volume. Once the implant is placed, the latissimus dorsi flap covers the breast implant; thus, providing the patient with a natural-looking final result.

Recovering from Breast Reconstruction with Dr. Roudner in Miami

  • Patients who have an implant-based breast reconstruction procedure generally heal quicker than patients who have a flap-based procedure. However, the recovery time frame for all of these procedures lasts from three to six weeks. Also, patients who are having nipple and areola reconstruction will need additional surgeries. These surgeries are performed at Dr. Roudner’s clinic in Miami.
  • Following their breast reconstruction with Dr. Roudner in Miami, patients must avoid overhead lifting, sports and sexual activity while they recover. Some patients may be permitted to perform light cardio exercises (i.e., walking, using a treadmill, etc.).
  • The majority of Dr. Roudner’s patients will eventually return to their normal activity levels, except for patients who had the TRAM Flap breast reconstruction.

Nipple Reconstruction at Dr. Roudner’s Clinic in Miami

The final stage of a breast reconstruction is recreating the nipple and the areola. Unfortunately, not all women are good candidates for nipple and areola reconstruction. To reconstruct the nipple, Dr. Roudner uses skin from the breast flap either after the mastectomy or once the incision for the breast implant has healed.

To create the areola, Dr. Roudner may tattoo the skin or reconstruct the areola using skin from the patient’s groin area (due to its similarity in the texture and tint of the natural areola).

Dr. Leonard A. Roudner is one of the top breast augmentation/breast reconstruction surgeons in Miami. If you have had a mastectomy, or are in the process of scheduling a mastectomy, contact Dr. Roudner’s office today at (305) 444-8585. If you prefer, you can also use our online contact form by clicking here. Let us help you regain your self-esteem and confidence through breast reconstruction surgery.



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