In addition to traditional breast reconstruction techniques using implants, muscle flaps, and donor tissue, PeaceHealth Medical Group is proud to offer advanced microsurgical breast reconstruction techniques. Dr. Gabriel and Dr. Champaneria work closely with PeaceHealth Southwest’s Kearney Breast Cancer Center to guide patients through their breast cancer treatment and restoring their body with breast reconstruction. Microsurgical breast reconstruction allows the patient to have natural looking breast recreated from their own tissue, which is taken from other areas of the body. This specialized microsurgery allows patients to avoid many of the concerns associated with traditional breast reconstruction techniques. Women in the Portland metro area and Southwest Washington are encouraged to learn more about their options for breast reconstruction, including the advantages of microsurgical breast reconstruction by PeaceHealth Medical Group in Vancouver, WA.
"This review only contains a rating"- A.B. / Facebook / Oct 02, 2015
"Dr Gabriel is an amazing surgeon his staff is awesome they totally care and love how much of a perfectionist Dr Gabriel is ! He took good care of my daughter and she looks amazing I had Botox done and love it !!! Can't live without it ??Hands down best surgeon in the area!"- C.P. / Facebook / Apr 20, 2017
"Thank You is Not Enough... - I am forever grateful to Dr. Gabriel and his team. My decision to have skin removal surgery after losing almost 100 pounds was not an easy one. I felt ugly and embarrassed, but from the very first visit his entire staff made me feel beautiful and worthy of such a surgery. Dr. Gabriel and every person that I have come into contact with along the way have been absolutely amazing. Yes, Dr. Gabriel is a wonderful surgeon, but more than that he is a caring and gracious man with a genuine commitment to women and women's health. I am 3 weeks post-op and when I reflect on my experience with Dr. Gabriel and his entire staff am a brought to tears. I can never thank them ALL enough. "- J. / RealSelf / Apr 14, 2017
"Dr. Gabriel is the best! I am so happy with the results of my breast augmentation. From my initial consultation to my post operative check ups, the experience has been the best possible. I cannot say enough good things about Dr. Gabriel and his staff!"- A. / Healthgrades / Apr 05, 2017
"Could not be more pleased ?? - My experience with Dr. Gabriel has been wonderful! I had a breast reduction procedure and couldn't be happier with my results and my mother in law had a double mastectomy and reconstruction after a struggle with breast cancer. He makes you feel very comfortable and is as professional and courteous as they come! I would highly recommend using him ??"- M. / RealSelf / Mar 30, 2017
Breast reconstruction surgery can be performed using musculocutaneous flaps or perforator flaps. Perforator flaps for breast reconstruction use microsurgery to reconstruct the breast using tissue from other areas of the body without removing the muscles. Microsurgical breast reconstruction with perforator flaps often creates more natural looking breasts than reconstruction with implants and the patient does not need to worry about muscle weakness or movement limitations from muscle flap reconstruction techniques. There are several possible donor sites that can be used to create perforator flaps and the surgeon will carefully select the best site to use.
DIEP (Deep Inferior Epigastric Perforator) reconstruction is a refined version of the TRAM flap, in that the DIEP utilizes only the blood vessels, fat, and skin from the abdomen. The rectus abdominal muscle is left intact. Though DIEP can be performed many years post mastectomy, it is also commonly performed immediately after mastectomy.
SIEA (Superficial Inferior Epigastric Artery) breast reconstruction is a procedure in which abdominal skin and fat is removed and used to reconstruct a breast. This same tissue is discarded in patients that undergo cosmetic surgery for a 'tummy tuck'. Although the abdominal tissue used is the same as the DIEP, the SIEA relies on a distinctive blood supply and requires less surgical dissection than the DIEP. Whether the SIEA flap or DIEP flap can be used for reconstruction depends on intraoperative findings related to vessel size and blood flow. The decision between DIEP and SIEA is usually an intraoperative decision based on blood supply. If the surgeon determines the patient has an appropriate blood supply for an SIEA breast reconstruction procedure, benefits include less post-operative pain and speedier recovery.
SGAP (Superior Gluteal Artery Perforator) reconstruction can be an excellent option for patients who do not have sufficient abdominal tissue to donate to the reconstructed breast. During a SGAP flap reconstruction, skin and fat is moved from the upper buttock up to the chest, and used to create a breast mound. One advantage of SGAP is that no muscle is moved, so recovery time will be less than it would for a TRAM flap.
TUG (Transverse Upper Gracilis) creates a flap from tissue transferred from the medial thigh or the buttocks. Also called Transverse Upper Thigh (TUT), the TUG procedure is best for patients with small to medium sized breasts and most patients find the results are very natural looking with a youthful projection and shape.
Microsurgical breast reconstruction is performed in an accredited surgical facility with the patient under general anesthesia. The length of the surgery can vary greatly depending on the technique being used and whether one or both breasts are being reconstructed. Patients should expect to spend 1 – 4 nights in the hospital for monitored care. Once the surgeon has cleared the patient to continue their recovery at home, they will receive post-operative care instructions that will minimize their discomfort and speed their recovery. The surgeon will also talk to the patient about scheduling their first follow up appointment. Most patients return to work in about 3 – 4 weeks after their procedure.
Plan Your Procedure
- Procedure Recovery Location
Microsurgical Breast FAQs@headingTag>
Patients should speak to a plastic surgeon in conjunction with the doctor treating their breast cancer when deciding their cancer treatment plan. Since PeaceHealth Medical Group Plastic Surgery works so closely with PeaceHealth’s Southwest’s Kearney Breast Cancer Center, Dr. Gabriel and Dr. Champaneria can help the oncologist explain reconstruction options to the patient and determine which reconstruction technique will be best for the patient. Dr. Gabriel and Dr. Champaneria strive to ensure that every breast cancer patient receives the best reconstruction to allow them to feel whole and comfortable in their body.
Both Dr. Gabriel and Dr. Champaneria have spent extra time in surgical fellowships that have increased their skill and knowledge in breast reconstruction surgery. Dr. Gabriel studied breast surgery in a fellowship with world-renowned plastic surgeon, Dr. G. Patrick Maxwell. Dr. Champaneria completed a reconstructive microsurgery fellowship with 6 world-renowned microsurgeons to learn about microsurgical breast reconstruction techniques.
Benefits of Microsurgery?@headingTag>
Compared to traditional breast reconstruction techniques, patients who have microsurgery breast reconstruction have less post-operative pain, more natural looking breasts, a faster recovery, and a lower rate of a second operation. Perforator flap breast reconstruction also allows the new breasts to grow and shrink along with weight changes in the body, so the chest remains proportionate.
When To Have Reconstruction?@headingTag>
Patients have many options when choosing when to have their breast reconstruction surgery. Many patients have their reconstruction performed at the same time as their mastectomy if they do not need further treatment. If the mastectomy will be followed by more therapy, patients can have staged breast reconstruction, which will save the patient’s natural breast skin by inserting a tissue expander that can be removed after treatment is completed for breast reconstruction surgery. Other patients may choose to delay their breast reconstruction and wait months or years to have their breast reconstruction. A federal law passed in 1998 now requires health insurance companies to cover breast reconstruction surgery, which has prompted many former breast cancer patients to consider their reconstruction options.