Dr. Neil Tanna has experience in all forms of breast reconstruction in Long Island. He performs a full range of advanced surgical techniques, including flap (the woman’s own tissue) or implant-based reconstruction. Women interested in autologous microvascular breast reconstruction are candidates for perforator flaps using their own body tissues such as DIEP (abdomen), GAP (buttock), PAP (thigh), TUG (thigh), SIEA (abdomen) or TDAP (chest wall) flaps.
Dr. Tanna has completed extensive training, including a specialized fellowship training in microvascular surgery and advanced breast reconstructive surgery. Having completed his training at UCLA and NYU, both high volume breast reconstruction centers, he practices the most modern, advanced techniques in breast reconstruction surgery. At this time, Dr. Tanna has vast experience performing breast reconstruction in addition to cosmetic breast surgery, assuring his patients of a natural and safe outcome.
Some women are candidates for a mastectomy that spares the nipple, areola, and surrounding breast skin, which allows for a very natural appearance when the breast is reconstructed. When the cancerous tissue has grown very close to the nipple structure, this may not be an option. In either case, Dr. Tanna has the procedures and skills to reconstruct the breasts and the nipple.
Implant-based breast reconstruction in Long Island may be performed in two stages (tissue expander and implant) or a single stage (direct-to-implant). The latest techniques such as preventive mastectomy and reconstruction, nipple- or areola-sparing mastectomy reconstruction, form stable (gummy bear) implant reconstruction, or partial mastectomy reconstruction are procedures performed by Dr. Tanna.
This breast reconstruction surgery is single-stage procedure, whereby the final implant is placed at the same time as the mastectomy. While it is not appropriate for every patient, it may be an option for you. Women who are ideal candidates for this option do not require tissue expansion because the breast envelope following mastectomy is adequate enough to fit the final implant.
This is a two-stage technique, and involves placing a tissue expander at the time of the mastectomy. The tissue expander is a temporary device, filled with saline, that works to stretch the skin where the implant will ultimately be placed as part of the breast reconstruction in Long Island. This expander works to create the necessary pocket in which to place the implant in the second phase of the reconstruction. Once the expander creates the desired breast mound, during a second, outpatient surgery, the expander will be replaced with the final implant.
In traditional subpectoral implant breast reconstruction surgery, implants are typically placed under the chest muscle (pectoralis major) to cover the implant with as much soft tissue as possible. This will help decrease implant visibility, palpability, and rippling. Since the implant is placed under the muscle, chest muscle will be manipulated during the operation, which can lead to increased pain or discomfort. As the chest muscle heals, it may cause an animation deformity (excessive movement or shape distortion) in some select patients. This means that the implant may move or stiffen every time a patient uses specific chest muscles.
Pre-pectoral breast reconstruction involves putting the implant above the chest muscle (pectoralis major muscle). This reconstruction does not require surgeons to cut through the chest muscle and can limit the complications that can occur during healing. There is no animation deformity, and many patients experience much less pain or pressure with pre-pectoral breast reconstruction. With the implant above the chest muscle, however, there is less soft tissue coverage. As such, acellular dermal matrix or adjunctive procedures such as fat grafting are often required to cover the implant.
Dr. Tanna is extensively trained in microvascular surgery – a critical aspect of transferring living tissue from one body site to another. You can trust in his advanced surgical skills in the full range of flap procedures, including:
Each of these procedures requires a high level of surgical skill to harvest body tissue, reconnect the blood vessels in the new location, and to shape the new breasts so they appear natural and symmetric. Dr. Tanna goes above and beyond in the care with which he performs these important, complex surgeries, and can be trusted to be personally committed to the patient and her future.
The HyFIL™ (Hybrid Flap, Implant, Lipofilling) breast reconstruction technique is an innovative technique developed by Dr. Neil Tanna that combines the following into one integrated procedure:
The HyFIL™ breast reconstruction combines the benefits of flap and implant-based breast reconstruction. The flap provides supple soft tissue to provide a natural result, while the implant provides desired breast projection. In addition, the flap covering the implant reduces unwanted side effects of the implant such as rippling, visibility, and palpability. By performing HyFIL™, Dr. Tanna can help you safely attain your desired breast size after surgery, without being restricted by the limitations of traditional flap-based or implant-based breast reconstruction.
Dr. Tanna has a passion to help women with breast cancer by performing arguably the best breast reconstruction Long Island has to offer. This keen interest combined with his experience in breast surgery has led him to contribute to the field of breast reconstruction. His work has been published in numerous scientific journals. He has traveled around the country and world, presenting his findings and results.