Micro-Surgical Breast Reconstruction

Micro-surgical breast reconstruction is a type of breast reconstruction that uses tissue from another part of a person’s body – typically the abdomen or upper thighs – to create new breast tissue. This allows for a more natural appearing breast reconstruction. A more complicated procedure than breast augmentation, micro-surgical breast reconstruction requires a skilled plastic surgeon with additional training and experience.

There are several types of micro-surgical breast reconstruction:

  • DIEP Flap— The (Deep Inferior Epigastric Perforator) flap method uses a patient’s own tissue from the upper abdomen, surgically reattaching blood vessels with a microscope. The abdomen is also improved and results are similar to a tummy tuck.
  • SIEA Flap— The Superficial Inferior Epigastric Perforator flap method uses tissue from the lower abdomen for breast reconstruction. The abdomen is also improved and results are similar to a tummy tuck.
  • TUG Flap— The TUG (Transverse Upper Gracilis) flap method is used when patients do not have enough abdominal tissue, but have enough tissue in the inner thigh. The thighs are also improved and results are similar to a thigh lift.
  • SGAP Flap—The SGAP (Super Gluteal Artery Perforator) flap method is used when patients do not have adequate abdomen or thigh tissue. The breast is reconstructed with tissue from the gluteus. The buttocks is also improved with results similar to that of a butt lift.
  • IGAP Flap— The IGAP (Interior Gluteal Artery Perforator) flap method is identical to the SGAP Flap method but uses tissue from the inferior gluteus artery versus the superior gluteus artery. The scar sits lower on an IGAP flap method procedure.

Candidates for Micro-Surgical Breast Reconstruction

Most women who have undergone a mastectomy are candidates for micro-surgical breast reconstruction. Patients should be in generally good health, be non-smokers, and should not have had multiple abdominal surgeries or scars. The best candidates are women who want their breast reconstruction to mimic a natural breast. This type of procedure does have a longer recovery than typical breast reconstruction surgeries.

The Procedure

During a micro-surgical breast reconstruction, your surgeon will remove excess skin, fat, and tissue from your donor site – either your abdomen, thigh, or gluteus. The tissue will then be transferred to the chest wall to create a breast, using a microscope to connect blood vessels, which will provide blood supply to the reconstructed breast.

The Recovery

Micro-surgical breast reconstruction requires a longer recovery period than breast augmentation. A patient will be in the hospital for 4-5 days and complete recovery may take 6-8 weeks, as the abdomen, thighs, or gluteus must heal as well. The recovery period will include limited activity.

The Process

  • Consultation with Dr. Nima Naghshineh
  • Create a customized surgical plan
  • Take pre-op photos
  • Meet with our Practice Manager
  • Schedule surgery with our Surgical Coordinator
  • Obtain surgical clearance from your family doctor
  • Return to the office for a pre-op before Surgery
  • Have surgery
  • Return to the office within one week of surgery for your post-op visit

To learn more about what you can expect from your breast reconstruction process, or to schedule your consultation with Dr. Nima Naghshineh, please fill out the form on this page or call (310) 860-8915. We’re located in Beverly Hills and Pasadena, serving Santa Monica, Hollywood, Brentwood, Westwood, Burbank, Glendale, and Arcadia.