Breast Fat Grafting

Breast fat grafting can refine a reconstructed breast by using your own fat to smooth contour irregularities, soften implant edges, or improve areas affected by radiation or prior surgery. Fat is gently removed with liposuction, processed, and injected in small layers so nearby blood vessels can nourish the transferred cells. Not all fat survives, so staged treatments may be recommended to build volume gradually.

Autologous Reconstruction

Autologous breast reconstruction rebuilds the breast using your own tissue rather than an implant. In DIEP flap reconstruction, skin and fat from the lower abdomen are transferred while preserving the abdominal muscle. PAP flap reconstruction uses tissue from the upper inner thigh. A latissimus dorsi flap uses muscle, skin, and fat from the back. These procedures help create a natural-feeling breast mound.

Implant-Based Reconstruction

Implant-based reconstruction rebuilds the breast with a saline or silicone implant. In direct-to-implant reconstruction, the final implant is placed at the time of mastectomy. In tissue expander reconstruction, a temporary device is placed first and gradually filled to stretch the skin before a later implant exchange. This approach can restore breast volume without using tissue from another body area.

Immediate Lymphatic
Reconstruction

Immediate lymphatic reconstruction (ILR) is a preventive microsurgical procedure performed during axillary lymph node dissection to reduce the risk of lymphedema, which can cause fluid to build up in the arm or chest. During ILR, severed lymphatic vessels are connected directly to nearby veins, creating a bypass pathway that helps lymph fluid drain more normally after breast cancer surgery over time.

Nipple
Reconstruction

Nipple reconstruction is often performed after the breast mound has healed and the final breast shape is stable. Small flaps of local skin are carefully rearranged to create nipple projection, and medical tattooing may be used later to add areolar color and definition. While the reconstructed nipple usually does not restore normal sensation, it can improve the visual balance of the chest after cancer treatment.

Oncoplastic Breast
Reduction

Oncoplastic breast reduction combines cancer removal with breast reduction in one coordinated procedure. After the breast surgeon removes the tumor through a lumpectomy, Dr. Addagatla reshapes the remaining tissue, removes excess skin and volume, and repositions the nipple whenever appropriate. This can help preserve breast shape and improve symmetry while still prioritizing cancer treatment.

Breast Cancer Reconstruction Revision

Breast cancer reconstruction revision addresses concerns that remain after an earlier breast reconstruction, such as asymmetry, implant problems, contour irregularities, scarring, radiation-related changes, or dissatisfaction with breast shape. Revision may involve implant exchange, fat grafting, scar refinement, flap adjustment, nipple reconstruction, or other tailored techniques based on your goals.

Why Choose Dr. Kamal Addagatla
for Breast Cancer Reconstruction?

Dr. Kamal Addagatla is a double board-certified plastic and reconstructive surgeon with fellowship training in microsurgery who brings advanced breast reconstruction expertise to patients throughout Westchester and the surrounding communities.

Breast reconstruction is both medically complex and deeply personal. Dr. Addagatla takes the time to explain your reconstruction options, understand your goals, and guide you through each step. Whether you are considering implant-based reconstruction, DIEP flap reconstruction, oncoplastic breast reduction, or revision surgery, you can expect thoughtful planning and ongoing support. Schedule your consultation for breast cancer reconstruction in Westchester to explore your options.

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Consultation

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Contact Us 914.800.1022