San Francisco Breast Reconstruction

by Board Certified Plastic Surgeons, Dr. Gabriel M. Kind and Dr. David S. Chang

Microsurgery

We have performed over 1000 microsurgical flaps for breast reconstruction with greater than 99% success rate.  In addition to the DIEP flap, we are experienced in the SIEA, TUG, GAP and stacked flaps. We also perform the APEX procedure when needed to avoid excessive muscle trauma.

Implant Reconstruction

We have extensive experience in implant reconstruction.  We use the latest implants and offer pre-pectoral reconstruction and direct-to-implant reconstruction.  

Lumpectomy defects and revision reconstruction

If you have had lumpectomy and have asymmetry or have an unsatisfactory reconstruction, you may benefit from a consultation to discuss the reconstructive options.  

Microsurgical Reconstruction

 

Microsurgical breast reconstruction involves the transfer of tissue from another part of the body to the breast in order to restore the breast mound.  The most common tissue used is the lower abdominal fat (aka DIEP flap).  A microscope is used to reconnect the artery and vein from the abdominal tissue to an artery and vein in the chest.  Other areas of the body that are used to make a breast are the inner thighs (TUG flap) and the buttocks (GAP flap). We also perform nerve repair to the flaps which can improve return of sensation.

 
This patient had immediate bilateral breast reconstruction with DIEP flaps at the time of her mastectomies, followed by nipple reconstruction and tattooing.

This patient had immediate bilateral breast reconstruction with DIEP flaps at the time of her mastectomies, followed by nipple reconstruction and tattooing.

Nipple sparing mastectomy and bilateral DIEP flaps.

A postop patient after nipple sparing mastectomies and bilateral DIEP flaps.

Implant Reconstruction

 

Breast reconstruction with implants is the most common method of reconstruction in the United States.  Most commonly, patients choose silicone implants, however, saline implants are also an option.  All breast implants are FDA approved and are safe.

 

Lumpectomy and revision reconstruction.

 

Many patients choose breast conservation to treat their cancer.  This may result in asymmetry of the breasts.  There are many treatment options to address asymmetric breasts depending on a patient's goals.  If you have an unsatisfactory result after reconstruction, you may benefit from a fresh approach.  Dr. Kind and Dr. Chang have extensive experience treating breast asymmetry and revising reconstructions.