Reconstruction with implants.

At Shafer Plastic Surgery in New York City, breast reconstruction is one of the most highly regarded procedures. Following a mastectomy, Dr. Shafer begins the reconstruction process by placing a tissue expander beneath the muscles of the chest wall. The patient then receives a series of injections of saline into the expander as an outpatient until the desired breast size is achieved. The expander is then removed and a permanent implant, either silicone or saline, is placed. This procedure can take up 1 year to complete.

Reconstruction with the patient’s tissue.

Breasts can also be reconstructed using a patients tissue. Usually, the transverse rectus abdominis myocutaneous TRAM muscle is used with the overlying abdominal tissue. The TRAM is rotated into position or may require a free flap a microvascular connection of the vessels for positioning. Other tissue that can also be used include the latissimus dorsi from the back or the gluteal muscles from the buttocks.

Reconstruction of the nipple and areola.

After initial surgery with either an implant or the patient’s tissue, the nipple and areola can be reconstructed. A mound of tissue is made from nearby skin to create a nipple, which is then surrounded by tattooed coloration.

Cost of Breast Reconstruction in NYC

The cost of the surgery can vary on several factors. As an experienced New York City breast reconstruction surgeon, Dr. Shafer will meet with you in his Manhattan office to discuss all options and pricing.

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“Really a great job, your technical skill knowing the location and volume provided a very smooth and balanced result”


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