How does Dr Small decide between a DIEP vs SIEA vs Free Tram Flap?

Once it is determined during consultation that you are in fact a candidate for an autologous tissue flap to be harvested from your abdomen, the rest is up to your internal anatomy. Dr Small always first dissects out the Superficial Inferior Epigastric Arteries to evaluate their suitability for a flap to be based on them. Although the literature states that around 10-15% of patiens are candidates for the Read more >

Two Surgical Team Approach

Dr. Small’s goal during the day of microsurgical breast reconstruction by either DIEP or other means, is to successfully transfer the flap to the breast area and to shape the new breast. This is a lengthy and complex procedure that is vastly shortened in duration by the use of a second microsurgical team. This vastly shortens OR time and helps to hasten recovery.

Preparing for my Consultation

Once you are scheduled for a breast reconstruction consultation our office will email you our “Guide to Breast Reconstruction”. The Guide contains most of what will be discussed in the consultation as well as discusses post-operative care and management. Instructions for showering, drain care, activities etc is all included in the Guide. You should also review our website for details about the numerous procedures available. Afterwords, please feel Read more >