Just what is “Fat grafting”?

Fat grafting is the process of taking fat from one area of the body (hips, buttocks etc.) and transferring (grafting) it to another area. This is commonly in done in the later stages of breast reconstruction. As there tend to be small contour irregularities in the reconstructed breast, Dr Tzvi Small performs liposuction with fat grafting at the later stages of the reconstruction (usually when the new nipple Read more >

Breast Reconstruction in 2011

This year will continue to bring new advances and exciting developments in this field. Review our website to find out the latest and most innovative techniques in the field of breast reconstruction including the use of acellular dermal matrix and microsurgical techniques and post-operative management. Bergen Plastic Surgery remains a source for the women of Bergen County New Jersey to find out about the latest and most cutting Read more >

Welcome!

For those joining us for the first time from either Facebook, Twitter, or LinkedIn, welcome to our blog! We will be updating regularly on the latest in Plastic Surgical and Reconstructive procedures. Make sure to check out our site www.bergenplasticsurgery.com for more information, videos, and photos. And of course, feel free to give us a call if you need more information!

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 >

How long is the recovery after a DIEP Flap?

Like any type of procedure, recovery after a DIEP Flap varies from patient to patient. We have had patients back to work in 3 weeks and some who have taken up to three months to resume pre-operative activities. We tell all preoperative patients that typical recovery after DIEP Flap surgery is around 6 weeks. That is six weeks until you are able to get back to your normal Read more >

How long is the Reconstructive Process whether by DIEP flap or Implant based reconstruction?

The key to this answer is that DIEP or Implant based reconstruction is in fact “a process”. No patient wakes up with a complete breast consisting of a skin envelope, tissue or an implant to make it protrude, and a nipple-areolar complex. It requires several stages before the reconstructive process is complete. Only the first stage (either the DIEP or insertion of the tissue expander) is a procedure Read more >

Survive and Thrive Event New Jersey Breast Reconstrution

What a success! Our annual Breast Cancer Awareness tribute to our New Jersey Breast cancer patients was a huge success! Over 100 people from all over New Jersey were in attendance to salute our beautiful breast cancer survivors! Patients who had undergone implant reconstruction, DIEP Flap reconstruction and Microvascular TRAM Flap reconstruction were all in attendance as well as their friends and family. Everyone enjoyed mingling and hearing Read more >

The latest in Breast Reconstruction

Stay tuned for the latest updates on some of the least invasive and safest techniques in microvascular reconstuction. We all know that microvascular reconstruction offers the least invasive and most natural appearing results…but did you know that most plastic surgeons do not offer the option of microvascular techniques to ther patients due to lack of expertise in the procedure? Please call the office to find out information on Read more >