Scarless* Breast Reconstruction after Mastectomy

Providing the Best in Natural Breast Reconstruction to Orlando & nearby areas of Florida

Breast Reconstruction Surgeon in Orlando, Dr. Jeffrey Hartog has first-hand experience of the difficulties that women have to endure during treatment and reconstruction for breast cancer. Michelle Hartog, R.N. is herself a breast cancer survivor who had to deal with the emotions of mastectomy surgery and make choices with regard to her reconstruction options. With all the options of breast reconstruction available to her, she chose to proceed with the only truly natural approach of fat grafting, avoiding implants and complex flap procedures.

Whether you've had a "simple" or "total" mastectomy, modified radical mastectomy, radical mastectomy, partial mastectomy, or a subcutaneous (nipple-sparing) mastectomy, or are considering a prophylactic mastectomy, you are probably a good candidate for fat grafting, which is a 100 percent natural procedure that can be done completely as an outpatient. 

To see examples of complete breast reconstruction with fat grafting alone, visit our gallery.

When possible Dr. Hartog would like to graft some fat at the time of the initial mastectomy procedure, and can join your cancer surgeon in the operating room to begin the reconstruction process and you will leave the hospital already with a small breast mound. Subsequent grafting procedures are 100 percent outpatient. The technique is minimally invasive without implants or additional scarring. After breast cancer surgery the last thing most women want is yet another major surgery. As compared to the traditional methods of breast reconstruction, fat grafting involves only tiny needle sized incisions, no added scars, no foreign objects and it recreates a natural feeling breast with the added benefit of liposuction. 

*Fat grafting and suture suspension techniques are performed using only small needles for the procedures, thus the procedures will result in either no visible scars or possibly very small, almost invisible scars.

Additional benefits of breast reconstruction with fat after mastectomy include:

  • You will keep as close to normal sensation in your breasts and nipples.
  • The procedure is covered by insurance for breast cancer patients.

Total breast reconstruction with fat is a staged procedure that is usually completed in 3-5 grafting procedures. To minimize the number of procedures, use of the BRAVA® device is strongly recommended to expand the tissues and allow more fat to be placed at each of the subsequent outpatient procedures.

There are a number of benefits of fat grafting over traditional breast reconstruction procedures. There are three traditional breast reconstruction alternatives, and they all involve major surgery with further scars either in the breast area or tissue donor areas. If muscle transfer is involved, there may be additional problems such as muscle weakness or even hernia formation.

The breast implant approach involves the placement of a foreign object such as silicone or saline under the muscle and leads to an artificial feeling breast mound. Unfortunately there are frequent problems associated with implants such as infection, extrusion, rippling and capsular contracture. These problems are particularly the case in the face of adjuvant radiation therapy after mastectomy or lumpectomy. One of the major benefits of fat grafting is the demonstrated healing and restorative effects on radiation damaged tissue.

The latissimus and TRAM flap surgery alternatives involve taking a piece of muscle and tissue from the back or the abdomen and using it to rebuild a breast mound. The surgery is extensive; it requires major incisions and a prolonged recovery. There is also a significant complication rate with these procedures, and the result may have a patchy appearance and still often requires an implant.

The DIEP flap procedure also involves a lengthy surgery with the removal of abdominal fat and skin. Though DIEP flaps provide some of the best looking results, they must be done by a specialist who performs many of these on a routine basis. Otherwise the morbidity, complication and failure rates are very high. And even the best results may feel and look like patch work. This procedure also involves a prolonged recovery time.

With the fat micrografting procedure, the recovery is no more difficult than a routine outpatient liposuction procedure. If LiquidGold lipobanking is utilized, subsequent micrografting stages may even be performed under local anesthetic with return to normal activity the following day. Of course there are the additional advantages of no implants, and no additional scars. As with all surgeries, there is a risk of complications, such as infection, but these are significantly less likely and less complicated than those that can occur with the more major flap and implant procedures.

The result is a natural-looking breast that feels like a natural breast, skin that has normal sensation, and the additional benefit of body contouring liposuction.

Although liposuction and fat transfers have for years been used to tweak or fine-tune implant or tram flap surgery, our procedure involves total reconstruction of the breast with your own fat.

Ongoing clinical studies continue to prove the safety and efficacy of this procedure.

If you live in or around Orlando, Florida and are interested in breast reconstruction following mastectomy, please contact plastic surgeon Dr. Jeffrey Hartog to schedule a consultation.

4355 Bear Gully Road
Winter Park, FL 32792