Stamford Breast Reconstruction doctors

	David Greenspun, MD, MSc New York Plastic Surgeon 77 Lafayette Place Suite 302, Greenwich		51 answers
	Fredrick A. Valauri, MD New York Plastic Surgeon 47 East 77th Street Suite 201, New York		38 answers
	Michael H. Rosenberg, MD White Plains Plastic Surgeon 3010 Westchester Ave Suite 201, Purchase		7 answers
	Stanley Foster III, MD Stamford Plastic Surgeon 1345 E. Putnam Ave 2nd Fl, Old Greenwich
	Fredric Alan Newman, MD Stamford Plastic Surgeon 722 Post Road Suite 200, Darien

Recent Answers

Options for Breast Reconstruction for Those Who Had Radiation? What breast reconstruction options are best suited for radiation patients. complications? Is back tissue a good option to consider? Why?

A: Breast Reconstruction After Radiation Therapy

Breast reconstruction for patients who are going to have or who have had radiation therapy is best accomplished with flap breast reconstruction techniques that utilize only your own skin, fat, and muscle tissues.

These all natural tissue breast reconstructions eliminate the potential complications of breast implant infection, breast implant capsule contractures, breast implant exposure.

While not for everyone, flap breast reconstructions such as TRAM flaps, or DIEP flaps offer reconstructions with tissues that have their own circulation that is resistant to infection, is healthy tissue that brings additional blood supply to the breast reconstruction area.

Fredrick A. Valauri, MD

New York Plastic Surgeon

Breast Reconstruction - LD Flap w/ Implant After Expander Infection? I had radiation on left breast 2 years ago. Now I had mastactomy and reconstruction with expander , and have infection.2 weeks I have picc line with anibiotic, infection still there. Quation - if expender must be taken off,I was told , I can have LD Flap with implant ( My right breast has an implan long time ago. size C, I want to match. )But ,I do not understand, if I have infection with implan (expander) now, why LD Flap with implant can be better ? Thank you , Nataliya.

A: Breast Reconstruction After Infected Expander

Your question expresses a very valid point. The presence of a breast implant under the latissimus dorsi LD flap, still presents a risk of infection.

I feel that a better option is to do a flap-only breast reconstruction such as a TRAM flap or a DIEP flap which eliminates the need for a breast implant and its attentant risks.

The first priority is to control and resolve the infection. This requires that the infected implants be removed, that you receive antibiotics and that the breast reconstruction be postponed until the skin is fully healed, soft and flexible.

Then, using a flap-only technique, the breast could be reconstructed with your own tissues which have their own circulation and are more resistant to repeat infection than those that use breast implants.

Fredrick A. Valauri, MD

New York Plastic Surgeon

I'm Suppose to Have a Lat Flap and Am Wondering How Safe is the Procedure? and how long of a recovery is it after..?

A: Is the Latissimus Dorsi Flap Breast Reconstruction Safe?

The Latissimus dorsi flap breast reconstruction is a safe and reliable flap.

Unless used without an underlying breast implant, it is usually only suitable for reconstruction of small breasts.

When the breast implant is combined with the latissimus dorsi flap it adds the potential complications of a breast implant. These complications include breast implant infection, breast implant exposure, breast implant capsular contracture, and breast implant rupture.

If your breasts are too large for a latissimus dorsi flap alone, and you do not want to use an underlying breast implant, then another flap breast reconstruction such as a TRAM flap or DIEP flap should be considered.

Fredrick A. Valauri, MD

New York Plastic Surgeon