Autologous Tissue Based Breast Reconstruction
by F. Ryan Wermeling, MD
Replacing the breast with your own tissue allows a breast without the need for an implant.
The tissue (called a flap) is taken from one part of the body and moved to the breast. Depending on the type of tissue used it is either left attached and turned into the breast or it is completely detached and the blood vessels are reconnected in the chest. The most common location for tissue is from the abdomen, called a TRAM or DIEP flap. Other locations used are the latissimus muscle from the back and tissue from the buttocks.
Recreating the nipple is the final step on your reconstructive journey. It is usually performed as a separate procedure after healing of your implant or flap and can be done in our office operating room without the need for general anesthesia. The procedure involves lifting a small amount of skin and turning it onto itself to create projection in the new nipple. Tattooing follows after a few weeks of healing. I work with a fantastic team that can create photo-realistic 3D nipple tattoos that are truly amazing.