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
"A 76 Year Old's Experience with Peace Health Plastic Surgery Group - Vancouver, WA - I went online to find a plastic surgeon and happily found Peace Health Plastic Surgery Grp. My consultation appointment was with Dr. Champaneria. I knew from this meeting he was who I wanted to perform my procedure. In June, 2016 had a Face & Neck Lift. It went so well and looks great. I was to have another procedure to follow later once I was healed, a CO2 Laser treatment to my mouth and cheek areas. In the mean time he performed eyelid surgery on Oct. 17, 2016. This surgery was covered by my insurance as a medical necessity. Again, it turned out wonderful. Recently I underwent the CO2 Laser treatment, Feb. 7, 2017 and at this time am still healing from it. What I love about Dr. Champaneria is, not only he is a great guy, but he is conservative and certainly has great expertise when it comes to performing plastic surgery. Nothing drastic to alter the natural look. For me that is the art of plastic surgery. I look and feel good and would recommend this Doctor to anyone seeking the need or desire to enhance one’s self image. The staff in the office are all so nice and helpful making you feel very relaxed and welcomed. I stayed one night at Peace Health Medical Center, in Vancouver, WA, following the face-neck lift. The hospital care was excellent."- W. / RealSelf / Feb 10, 2017
"I have a great Doctor - I love Dr. Champaneria. He is great he is kind and has the best attitude. He did a wonderful job on my first surgery and I am scheduled for another one with him in one week. I know that this one will be as successful as the first. - - I love Dr. Champaneria. He is great he is kind and has the best attitude. He did a wonderful job on my first surgery and I am scheduled for another one with him in one week. I know that this one will be as successful as the first."- E. / RealSelf / Feb 09, 2017
"Breast Cancer Reconstruction - Vancouver, WA - I would and have trusted Dr, Gabriel with my life. He is one of the most compassionate and gifted people I have ever known. He is an expert in his field and feels strongly about healing all women. With women who have had a breast cancer diagnosis, Dr. Gabriel is as concerned with the psychological wounds from a cancer diagnosis, as he is with the medical procedure necessary to survive breast cancer. - - Doctor Allen Gabriel of Peace Health Medical Group did my initial surgery and several subsequent surgeries after. Aside from being an exceptional surgeon, Dr. Gabriel and his staff are equally concerned with the psychological repair of each and every women they treat. Although I had a large support group of family and friends, the staff at Dr. Gabriel's office, including Dr. Gabriel were always a source of support and comfort to me. Recently, I had the new gummy bear implants and for the first time in 6 years, I feel like I am whole again. The new implants are amazing and seem so real and Dr. Gabriel and his staff has been with me throughout the entire process. Dr. Gabriel is an amazing surgeon and I would never want to see anyone else and recommend his office to anyone I know that is considering or needing cosmetic surgery."- C. / RealSelf / Feb 06, 2017
"Seri mesh 480cc gummy bear implants. - To say Dr. Allen Gabriel is amazing would be an understatement!!! I ended up getting 480cc gummy bear implants with Seri mesh. Dr.Gabriel had suggested Seri mesh and after doing my own research I decided to get it. Seri mesh works as an internal bra so keeps your breast perky longer! Also my breast were extremely small before and I had to create a new breast fold( seri mesh helps with this by... - - To say Dr. Allen Gabriel is amazing would be an understatement!!! I ended up getting 480cc gummy bear implants with Seri mesh. Dr.Gabriel had suggested Seri mesh and after doing my own research I decided to get it. Seri mesh works as an internal bra so keeps your breast perky longer! Also my breast were extremely small before and I had to create a new breast fold( seri mesh helps with this by keeping the implant from falling down your chest wall) along with breast augmentation I got a bunch of free gifts such as laser hair removal, face cleansing products and I got to choose between latisse eye lash serum or Botox! I'm 100% satisfied with my results and it was worth every penny! (The photo posted both of us got our breast done by him) "- C. / RealSelf / Feb 02, 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.