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Natural Breast Reconstruction from a Board-Certified Plastic and Reconstructive Surgeon

I have a special interest in restoring the form and self-confidence of patients with breast cancer. I believe my patients deserve to be informed of their options to enable them to make educated decisions. I promise I will listen compassionately to you and guide you through this important process. Dr. Vasile

Microsurgical Breast Reconstruction Using Your Own Tissue to Rebuild Your Breasts

Perforator flaps for breast reconstrution texbtook
 

Dr. Vasile specializes in perforator flap breast reconstruction, a technique which uses your own fat and skin tissue to create a breast without harming the muscle. The tissue can be transferred from many donor sites on the body, but the abdomen is the most common source of tissue. 

While the most common form of natural breast reconstruction uses tissue from the abdomen, there are continuous advancements in knowledge resulting in more areas of fatty tissue that a breast can be reconstructed from. Dr. Vasile continues to keep abreast of surgical advancements so that patients have reconstructive options. 

Dr. Vasile performs this surgery as a team with another microsurgeon, who has also done additional extensive fellowship training with perforator flap breast reconstruction. We have treated many patients that thought they had no further options.

Advancements in Perforator Flap Reconstruction

The most useful recent advance in perforator flap reconstruction is stacked flaps, also called double flaps, to make one breast. Dr. Vasile has tremendous and successful experience with stacked DIEP flaps for reconstruction of one breast to match the other breast. The newest advance in stacked flaps is using double flaps to make two breasts or four flap breast reconstruction. 

An extended DIEP flap or four flap procedure uses the standard DIEP flap along with the fat on the sides of the abdomen (DCIP flap). It allows the creation of two breasts using the abdominal fat and sides of the abdomen to meet reconstruction volume and tissue requirements. This is a technically more complicated procedure, but can reliably provide adequate volume in one stage. 

Double flaps and multiple flaps can be a powerful reconstruction tool in the right patient. 

The world's first six flap procedure that used the front, sides, and lower back fat was done at Northern Westchester Hospital in February 2017 to successfully yield enough tissue for reconstruction of two breasts in a very thin woman. The world's second six flap procedure was done in March 2017.

Double flaps and multiple flaps can be a powerful reconstruction tool in the right patient. Double flaps simultaneously from the abdomen and thigh donor site or from two thighs are potential options that have yielded tissue in our breast reconstruction patients who thought they had no further options.

Research and Innovation MRA Imaging

MRA imaging device
MRA imaging is a safe alternative to many imaging modalities that use radiation.

Dr. Vasile is considered a world authority on using MRA imaging for perforator flap breast reconstruction. Dr. Vasile's research created protocols for using magnetic resonance angiography (MRA) to accurately map out the small vessels in the tissue (abdomen, buttock, thigh, and lateral thorax), thus identifying the best vessel and site to use for microsurgical breast reconstruction. 

She started the MRA perforator flap program that accurately and simultaneously mapped out non-abdominal and abdominal tissue with radiologist Dr. Prince in 2008. 

Advance knowledge of the best vessel to use can help the surgeon identify suitable patients for perforator flap breast reconstruction and can shorten the operating time. In contrast with other imaging modalities, MRA does not expose patients to radiation. This continuing research collaboration is an effort to improve efficiency and safety for the procedure.

"I cannot thank you enough for your kindness, consideration of my financial and insurance situation, and above all, the beautiful work you've done on my DIEP Flap Breast Reconstruction (using my own fat and skin only from my abdomen), not to mention the bonus youthful tummy tuck you did... ​I will always remember your kindness, mastery of the art in your expertise, and spread the word around to others who may want your highly specialized services."
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