It can be realized immediately or secondarily. I usually use a tissue expander, placed in sub muscular position, that will be swollen post-operatively every 3 to 4 weeks with saline solution. The expander will be changed within 4 to 12 months to a final silicone prosthesis. This techniques enables the patient to choose the volume […]
This is a technique I have extensive experience of (with over 600 TRAMs carried out since 1989), and for which I have set up a procedure making it very reliable, reducing to 1% the risk of partial flap necrosis. The TRAM is a flap using one of the two rectal muscles from the abdominal wall, […]
The dorsal flap (latissimus dorsi) is technically simpler to carry out than the TRAM. The vascularization is safer than with an abdominal flap and can be offered to patients for who a TRAM is not suitable due to a vascular problem or smoking habits. It experienced a great development in recent years thanks to an […]
Lipofilling is the injection of the patient’s own fat tissue, withdrawn through liposuction, then purified by centrifugation and reinjected during the same operation. ( This injection is done as a graft of fat cellular tissue using a thin needle, in a retrograde manner, over several plans, and crosswise. The volume that can be injected is […]
Several techniques are possible. The one most satisfaying to me is the use of a skin graft withdrawn from the genital region for areola reconstruction, associated when possible to the opposite nipple graft after bipartition ( if there is enough volume). This technique has great results and leaves no sequels in the genital area. It […]
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