For those who want reconstruction directly after their cancer treatment, our board-certified plastic and reconstructive surgeons collaborate with members of the patient’s cancer team — surgical oncology, medical oncology and radiation oncology — to offer a holistic approach that helps ensure we provide the best care possible. We also care for women who have decided that now is the time for breast reconstruction, months or even years after having a mastectomy. This is often referred to as delayed reconstruction.
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Treatment Options
Expander-Implant
This method uses an expander to create a breast mound. This may be followed by the placement of a breast implant.
Additional methods include:
- Oncoplastic surgery
- “Goldilocks” mastectomy
- Fat grafting
- Breast reduction and mastopexy (lift) for symmetry
- Nipple reconstruction and preservation surgery
- Revision of previous breast reconstruction
Autologous Breast Reconstruction
Breast is reconstructed using the tissue of the patient's body, called autologous tissue.
- Deep inferior epigastric artery perforator (DIEP) flap is the most common autologous approach, which uses fat and tissue from the lower abdomen to create the breast.
- Other options:
- Profunda artery perforator flap (PAP) - Fat and tissue from the upper thigh
- Superficial inferior epigastric artery flap (SIEA) - Fat and tissue from the lower abdominal wall
- Latissimus flap breast reconstruction, licap flap
- Superior gluteal artery perforator flap (SGAP) - Using fat and tissue from the upper buttock, over the gluteus maximus muscle
- Transverse upper gracilis flap (TUG) - Fat and tissue from the inner thigh
- Transverse rectus abdominous muscle (TRAM) - Fat and tissue from lower abdomen
Patient Resources
- Learn more about breast reconstruction options.
- Ask the Expert: 7 Things You Might Not Know About Delayed Breast Reconstruction
Why Choose Johns Hopkins for Reconstructive Breast Surgery?
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Compassionate Care

Advanced Research

Multidisciplinary Approach

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