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.

Experience and Education Beyond the Ordinary: Dr. Tanna

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.

Breast Reconstruction For you

Breast reconstruction in Long Island has become well integrated in the treatment of breast cancer, prevention of breast cancer in those with genetic mutations, and the correction of congenital breast deformities. Dr. Tanna will work closely with the rest of your medical team to plan your breast reconstruction surgery, regardless of whether you have been diagnosed with breast cancer, just found out you carry a mutation like BRCA1/BRCA2, or require reconstructive surgery due to a congenital condition like Poland’s Syndrome.

While considering preventative mastectomy or treating the breast cancer is critical, planning for reconstruction in the early stages of treatment is beneficial. Restoring your breasts can help you move forward with life. Studies have demonstrated the immense benefit of breast reconstruction on health and wellbeing. Dr. Tanna offers a wide variety of implant-based and free-flap breast reconstruction options so that you can feel confident in choosing an approach that fits your unique needs.

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*Real Patient

Nipple-Sparing Mastectomy & Breast Reconstruction

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.

Before & After

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Implant-Based Breast Reconstruction

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.

Direct-To Implant Breast Reconstruction

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.

Expander-Implant Breast Reconstruction

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.

Sub-pectoral Breast Reconstruction

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.

Breast Reconstruction Long Island

Pre-pectoral Breast Reconstruction

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.

Breast Reconstruction Long Island

Breast Reconstruction Long Island

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