Autologous breast reconstruction using a patient's own tissue, transferred microsurgically — including DIEP, PAP, TUG and lumbar artery perforator flaps.
Breast reconstruction restores the shape, size and appearance of the breast following mastectomy or lumpectomy for breast cancer. Dr Doherty's practice focuses on autologous reconstruction, which uses the patient's own tissue rather than an implant.
Flap choices include:
The choice of flap depends on the patient's body habitus, donor-site availability, prior surgery, and goals. Dr Doherty will discuss the most appropriate option for your circumstances.
Reconstruction can be performed immediately at the time of mastectomy (immediate reconstruction) or after healing and any required adjuvant therapy (delayed reconstruction). The timing depends on several factors including cancer stage, planned radiotherapy, and patient preference, and is best determined as part of a multidisciplinary care plan.
Microsurgical breast reconstruction typically involves a hospital stay of approximately five to seven days, with close monitoring of the flap in the early post-operative period. Recovery to most activities takes six to eight weeks; full recovery may take several months. Reconstruction is often a staged process, with subsequent procedures for revisions and nipple-areola reconstruction if desired.
Related: See our scar management guide for the post-operative healing timeline, the daily silicone-and-massage protocol, and when to be concerned about a scar.
All surgical procedures carry potential risks and complications, which will be discussed in detail at your consultation.