Micro-Surgical Reconstruction

Reconstructive microsurgery is surgery that utilizes a microscope and miniaturized instruments in order to operate on very small structures such as nerve endings and blood vessels. Microsurgery is beneficial for breast reconstruction because it allows tissue and vessels to be relocated to the new breast mound, allowing the reconstructed breast to react naturally with the rest of body as it ages or experiences fluctuations in weight.

Please refer to the clickable categories above to see details on each microsurgery procedure available for breast reconstruction at Leif Rogers, MD, FACS Plastic Surgery.

A thorough consultation is needed to determine which reconstructive surgery might be right for you.

To learn more about Micro-Surgical Reconstruction, or to schedule your consultation, please fill out the form on this page or call our Beverly Hills office at (310) 860-8915.

The DIEP (Deep Inferior Epigastric Perforator) Flap method is a specialty of Dr. Rogers’ and is one of the most innovative breast reconstruction surgeries available today. After mastectomy a new breast mound is formed using the patient’s own living skin and fatty tissue, which is borrowed from the abdomen. Like other free flap techniques, DIEP requires the use of a microscope to surgically reattach blood vessels when transferring the tissue to a new location. The reconstructed breast will look and feel much like the original breast. In addition to reconstructing the breast, the contour of the abdomen is improved with results similar to that of a tummy tuck.

Like the DIEP flap, the SIEA (Superficial Inferior Epigastric Perforator) flap replaces the skin and soft tissue removed at mastectomy with living tissue borrowed from the abdomen. For the DIEP flap procedure blood vessels are attached from the upper abdomen, but some women have adequate blood vessels just under the skin in the lower abdomen, which can be used as the feeding vessels for the transferred tissue, in this case a SIEA Flap procedure is recommended – otherwise the procedures are the same. In addition to reconstructing the breast, the contour of the abdomen is improved with results similar to that of a tummy tuck.

The TUG (Transverse Upper Gracilis) flap is ideal for those who do not have adequate abdominal tissues for other types of flap surgeries, but who do have excess tissue in the inner thigh. The breast will be reconstructed with the skin, fat and the tiny blood vessels taken from the inner thigh area. The reconstructed breast will look and feel much like the original breast. In addition to reconstructing the breast, the contour of the thighs is improved with results similar to that of a thigh lift.

The SGAP (Super Gluteal Artery Perforator) Flap is ideal for those who do not have an adequate amount of excess abdominal tissue for other flap procedures such as the DIEP and SIEA. The breast will be reconstructed with the skin, fat and the tiny blood vessels taken from the gluteus area. A slight buttock lift results in the donor area.

IGAP (Interior Gluteal Artery Perforator) flap surgery is a variation of SGAP flap surgery. The procedure is virtually identical aside from the use of the inferior gluteus artery versus the superior gluteus artery. The breast will be reconstructed with the skin, fat and the tiny blood vessels taken from the gluteus area. A slight buttock lift results in the donor area. The physical difference to the patient is that the donor scar will be somewhat lower on the buttock than the scar from a SGAP procedure.