PRMA Plastic Surgery

Fat grafting can be used to correct partial breast defects after lumpectomy. It is also frequently used after mastectomy in conjunction with other reconstructive techniques, to correct defects, improve the breast contour, add volume and improve overall cosmetic results. 

There are several fat grafting techniques that are used by plastic surgeons. There is no "set way" that has been shown to be the best in terms of long-term results. However, studies have shown that regardless of the technique used, the collection, storage, and transplantation of the fat cells (and the fat stem cells) must be optimized to obtain the best long-lasting results.  LEARN MORE

Scar Revision can be performed to reduce the appearance to scar on the reconstructed breast or donor site.  The procedure can be performed in the operating room or in an office setting depending on the severity of the scar. 

After a failed implant reconstruction, we typically recommend removal of the implant and surrounding scar tissue, and further reconstruction using the patient’s own tissue (an autologous “flap”). There is no better substitute than healthy tissue to recreate a “natural”, soft, warm breast.  LEARN MORE 

One common complaint from patients who have had breast cancer surgery on only one breast is poor breast symmetry. Thanks to the dedication of PRMA's Dr. Steven Pisano and other leaders in the field of breast reconstruction, legislation passed in 1998 mandates health insurance companies provide insurance coverage for breast symmetry procedures in patients who have had a medically-necessary mastectomy or lumpectomy. This means that if a person has had breast reconstruction or lumpectomy on one breast, insurance companies must cover further procedures to help improve the overall breast symmetry.  LEARN MORE

Although there are many different ways to perform nipple reconstruction, the bow-tie method, which gets its name from the bow-tie shaped incision, is the method used by PRMA surgeons. This procedure can be done during your revision stage in the operating room, or as a separate procedure in the office. The nipple and areola are later tattooed to match your original color by the nurse during an in-office procedure. 

Breast reconstruction using abdominal tissue flaps can change the contour of the tummy area. Revision surgery can improve the shape and contour of the lower abdomen and provide the best cosmetic results.