Rebuild Your Breast With Your
Own Tissue

Autologous breast reconstruction is a surgical procedure that rebuilds the breast using your skin, fat, and, in some cases, muscle from another area of your body. Unlike implant-based breast reconstruction, this approach creates a breast mound with living tissue that can look and feel more natural. Microsurgical techniques are used to reconnect tiny blood vessels to establish a healthy blood supply, helping the transferred tissue survive and integrate with your body.

When Autologous Reconstruction May Help:

  • Breast loss following a mastectomy
  • Breast changes after a lumpectomy in appropriate candidates
  • Congenital breast asymmetry or developmental differences
  • Breast contour irregularities after cancer treatment
  • Failed or unsatisfactory implant-based breast reconstruction
  • Capsular contracture associated with breast implants
  • Radiation-related damage affecting the breast and surrounding tissue
  • Soft tissue deficiencies requiring additional healthy tissue coverage
  • Breast asymmetry following reconstruction

Your Autologous Reconstruction Options With Dr. Addagatla

Dr. Addagatla carefully evaluates your anatomy, previous surgeries, cancer treatment history, lifestyle, and reconstructive goals to recommend the most appropriate approach for you. Using advanced microsurgical techniques whenever possible, he transfers healthy tissue from another part of your body to create a breast that looks and feels natural. Dr. Addagatla may recommend one of the following techniques:

DIEP Flap

A DIEP (deep inferior epigastric perforator) flap uses skin and fat from your lower abdomen to reconstruct the breast while preserving your abdominal muscles. During surgery, Dr. Addagatla carefully dissects the tiny perforating blood vessels supplying the tissue before transferring it to your chest. Using microsurgery, he reconnects these blood vessels to those in the chest under high magnification, restoring blood flow so the transferred tissue can become your new breast.

PAP Flap

A PAP (profunda artery perforator) flap uses skin and fat from the upper inner thigh to reconstruct the breast without removing underlying muscle. This may be appropriate if you do not have enough abdominal tissue or have had previous surgery. Dr. Addagatla harvests the tissue along with its vessels, transfers it to the chest, and reconnects the vessels using microsurgical techniques to establish a healthy blood supply.

Latissimus Dorsi Flap

A latissimus dorsi flap reconstructs the breast using skin, fat, and the latissimus dorsi muscle from your upper back. Dr. Addagatla carefully elevates the tissue while preserving its original blood supply, then tunnels it beneath the skin to the chest to reshape the breast. Depending on your anatomy and desired breast volume, the flap may be combined with a breast implant or, in selected cases, additional tissue to achieve balanced, natural-looking results.

Advantages of Autologous Reconstruction:

  • Uses your own living tissue rather than a breast implant
  • Creates a breast that often looks and feels more natural
  • Provides long-lasting reconstruction with living tissue
  • Eliminates the risk of implant rupture or leakage
  • Avoids complications unique to breast implants
  • Helps replace tissue damaged by radiation therapy
  • Allows reconstruction to age more naturally with your body
  • Can restore breast volume after mastectomy or selected lumpectomy procedures
  • Offers multiple donor site options based on your anatomy and reconstructive goals
  • May provide the added benefit of contouring the donor area, such as the lower abdomen

FAQs

You may be a candidate for autologous breast reconstruction if you are undergoing or have previously undergone a mastectomy and have enough healthy donor tissue. Your overall health, body type, previous surgeries, radiation therapy history, and personal preferences influence the decision. Dr. Addagatla will perform a thorough evaluation and recommend the reconstructive approach that best aligns with your anatomy, goals, and long-term outcomes.

Like any major surgical procedure, autologous reconstruction carries potential risks, including bleeding, infection, delayed wound healing, fluid collection, scarring, partial or complete flap loss, and anesthesia-related complications. There is also a small risk that the transferred tissue may not receive enough blood flow. Dr. Addagatla takes all possible measures to optimize surgical planning and mitigate the risk of complications.

Why Choose Dr. Kamal Addagatla
for Autologous Reconstruction?

Addora Plastic Surgery is led and founded by Dr. Kamal Addagatla, double board-certified plastic and reconstructive surgeon with fellowship training in breast reconstructive microsurgery from Yale New Haven Hospital. His practice is built on the belief that patients in Westchester deserve access to advanced, highly specialized breast reconstruction close to home.

You deserve a surgeon who takes the time to understand your priorities and develop a reconstruction plan that is right for you, without having to travel to New York City. Dr. Addagatla offers advanced microsurgical treatments with a patient-centered approach. If you are considering autologous breast reconstruction in Westchester, schedule your consultation with Dr. Addagatla today.

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