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Breast Reconstruction

Appointments

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When one or both breast must be removed due to breast cancer or another disease, breast reconstruction is a rewarding surgery that can make you feel complete again. Our surgeons use the latest medical techniques and devices to create reconstructed breast(s) that can come close to matching a natural breast in form and appearance.

We offer the entire range of implant-based and autologous (using a patient's own tissues) reconstruction, including DIEP (deep inferior epigastric artery perforator), latissimus, SGAP (superior gluteal artery perforator), and TRAM (transverse rectus abdominis muscle) procedures. We also offer nipple reconstruction.

Why Choose UHealth?

Highly-trained specialists to perform your surgery. Offering the latest in leading-edge research and technology, our plastic surgeons treat many patients who have been referred by doctors from across the country and around the globe. Members of our plastic and reconstructive team are experts in a variety of complex procedures and represent a wide range of medical skills and training.

Unparalleled health care for the South Florida community. The University of Miami Health System delivers leading-edge patient care by the region’s best doctors, powered by the groundbreaking research of the University of Miami Leonard M. Miller School of Medicine.

Questions? We're here to help.

Our appointment specialists are ready to help you find what you need. Contact us today.

Treatments

  • TRAM Breast Reconstruction

    The TRAM (transverse rectus abdominis muscle) flap procedure uses tissue and muscle from the tummy (lower abdominal wall) to create the new breast. The tissue from this area is often enough to shape the breast, without the need for an implant. This procedure takes a flap of skin, fat, blood vessels, and at least one abdominal muscle from the belly (abdomen) and moves it to the chest. A TRAM flap can decrease strength in your belly, and may not be possible for women who have had abdominal tissue removed during previous surgeries. The procedure also results in a tightening of the lower belly, or a “tummy tuck.

  • Pedicle flap: This type leaves the flap attached to its original blood supply and tunnels it under the skin to the breast area.
  • Free flap: With this type, the surgeon cuts the flap of skin, fat, blood vessels, and muscle away from its original location and then moves it to the chest, where they attach it to blood vessels in the chest. This requires the use of a microscope (microsurgery) to help connect the tiny blood vessels. This procedure takes longer than a pedicle flap and is not done as often. However, some doctors believe that it results in a more natural shape.
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  • DIEP Breast Reconstruction

    A newer type of flap procedure, a DIEP (deep inferior epigastric artery perforator) flap uses fat and skin from the tummy (lower abdominal wall) to create the breast, but does not use the muscle. When skin and fat in the lower belly (abdomen) is removed, it results in a “tummy tuck.” This is a free flap method, meaning that the tissue is completely cut away from the tummy and then moved to the chest area, where it is connected to the blood vessels. This requires the use of a microscope (microsurgery) to help connect the tiny blood vessels. The procedure takes longer than the TRAM pedicle flap discussed above.

  • Latissimus Breast Reconstruction

    A latissimus dorsi flap procedure moves muscle, skin, fat, and blood vessels from your upper back to your chest. It is tunneled under the skin to create a pocket for an implant (used for extra fullness in the reconstructed breast).

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  • Nipple Reconstruction

    During a mastectomy, the nipple and areola are removed. Therefore, nipple and areola reconstruction represents the final stage of a complete breast reconstruction.

    Nipple and areola reconstruction is performed at a time when you and your surgeon are both happy with the final shape and size of the reconstructed breast. Depending on the type of nipple and areola reconstruction performed, this may be done either in the operating room or as an outpatient procedure in the surgeon’s office or minor procedures room. This procedure may be performed under local or general (fully asleep) anesthesia.

    Your surgeon may reconstruct your nipple by using a flap or a graft. Flaps are pieces of tissue that are moved from one location to another with their own blood supply intact. Grafts are pieces of tissue that are completely removed from their own blood supply and rely on the ingrowth of a new blood supply at the new site.

  • Flap Reconstructions

    Your surgeon can use nearby tissue as a flap to reconstruct the nipple. The skin and some subcutaneous (just under the skin) fat is gathered from areas surrounding the new nipple location and then stitched together to create a new nipple.

  • Graft Reconstructions

    The location of the new areola is marked and the skin in that area is removed. Your surgeon then cuts a split-thickness skin graft (contains multiple layers of the skin, including the epidermis and part of the dermis) from the donor skin site. The most common donor sites include the upper inner thigh and the inner gluteal (buttocks) crease, as these areas tend to provide an acceptable color match. In some patients who have breast reduction surgery to the natural breast, can use a portion of that breast’s areola. The graft is then stitched in place and the donor site is closed..

Who is a Candidate?


If you have had part or all of a breast removed due to cancer or another disease and wish to get back your natural look, breast or nipple reconstruction can help.

What to Expect


Successful reconstruction for a breast cancer patient requires both knowledge of advanced reconstructive techniques and a cosmetic discernment of the natural breast form. Our team combines these talents within a comprehensive, interdisciplinary approach with our world-renowned colleagues at the Sylvester Comprehensive Cancer Center.

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry First Health PPO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Seasons Hospice
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care