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    Reconstructive surgery is more than just replacing what you lost. We want you to be healthy, as well as happy and self-confident. Our surgeons are skilled in techniques that can make your new breast as natural looking and attractive as possible.

    Reconstruction after nipple-sparing mastectomy

    Our team of breast and plastic surgeons are experts in nipple-sparing mastectomies and reconstruction. In years past, very few women were able to keep their nipple after breast cancer. Today, surgeons are better able to identify patients in whom nipple preservation is safe, and plastic surgeons have developed new methods of saving the nipple in breasts of different shape and size. If you desire to preserve your original nipple, your breast and plastic surgeons can often work together and let you know whether it is an option.

    Nipple reconstruction

    The final step in breast reconstruction is often recreating the nipple (the part that protrudes outward) and the areola (the darkly pigmented area that surrounds the nipple). We use surgical reconstruction as well as tattooing to create a nipple and areola that matches your natural one. Nipple reconstruction is a separate process, after the implant or flap breast reconstruction surgery is completed and the two breasts are as symmetric as possible (similar in size, shape and location on the chest). It’s done only by your request, usually about three to six months after the first stage of breast reconstruction.

    Nipple and areola tattooing

    We often suggest nipple and areola tattooing on an outpatient basis to add color to your nipple flap or graft or to make a nipple. As 3-D (a two-dimensional tattoo created to make the tattoo appear as a three-dimensional object) tattooing techniques have evolved, we have begun to suggest this as a stand-alone approach for creating a nipple and areola. There is not any skin removed, therefore the contours of your reconstructed breasts are not affected. The contours of the breast often retain a nicer, smoother shape. In the case of a double mastectomy, 3-D tattoos can produce a more symmetrical result. Tattooing will be performed by a trained medical professional who is able to provide a local anesthetic (however this is usually not necessary), it can be done as an outpatient procedure, so you don’t have to spend the night in the hospital and in most cases, insurance covers the outpatient procedure, in full or partially.

    Nipple graft reconstruction

    In a grafted nipple reconstruction, skin is taken from an easily camouflaged site and attached to the breast.

    Flap nipple reconstruction

    Flap nipple reconstruction uses skin already on the breast that is cut and sewn into the shape of a nipple. This method allows the tissue to stay connected to its blood supply, which reduces the risk of poor or failed healing.

    Autologous fat grafting

    When the size or shape differs between your breasts after reconstruction or lumpectomy, we can work with you to fix it using one of several techniques. One of the best is a process called fat grafting. This process removes unwanted areas of fat from the upper thighs, flanks or abdomen by liposuction. We cleanse and purify the fat in the operating room and then inject it into your breast, without the need for any large incisions. Over time, the body will reabsorb some of these fat cells, but usually 50 to 80 percent of the cells survive as soft, natural tissue. Often one round of treatment is sufficient to correct minor cosmetic issues but some women elect to do several rounds of this therapy to achieve their desired results.