Dr. Anshu Gupta performs various forms of reconstructive surgery for the breasts, face, hands and skin. Please visit the respective pages below for more information.
For many women, breast reconstruction plays an important role in the recovery process. Recreating the breast(s) after cancer is helpful to restore both positive body image and a sense of feeling “whole” again.
Breast Reconstruction with Implants / Expanders
This type of breast reconstruction uses breast implants — silicone devices filled with silicone or salt water (saline) — to reshape your breasts. Primary goal is to recreate the breast contour and volume. The breast reconstruction process begins with the placement of a breast implant or tissue expander, either at the time of your mastectomy surgery (immediate reconstruction) or during a later procedure (delayed reconstruction). Please do keep in mind that breast reconstruction is a multi-step process that many a times involves follow up procedures for small revisions.
DIEP / SGAP Flap
Did you know that plastic and reconstructive surgeons can rebuild your breast(s) after mastectomy using your own tissue? This is known as autologous flap surgery. The surgeon takes a section of skin, fat, tissue (and in some cases, muscle) from another area of your body and moves it to the chest to construct the new breast. There are numerous advantages to this approach: the results are very natural in look and feel.
A TRAM flap involves the transfer of skin, fat and one of the rectus muscles from the lower part of the abdomen to the chest area. The transferred tissue can either stay attached at the other end of the muscle with its blood supply and is just tunneled under the chest skin to reach the area of the breast mound, or can be completely detached from the abdomen site and re-attached to another blood supply source in the chest.
Latissimus Dorsi Flap
A latissimus dorsi flap uses muscle, fat and skin from the back tunneled to the mastectomy site and remains attached to its donor site, leaving blood supply intact. Occasionally, the flap itself can reconstruct a complete breast mound, but often needs an implant to provide additional volume. The flap itself provides the muscle and tissue necessary to cover and support a breast implant.
Moh’s Skin Cancer Defects
Moh’s micrographic surgery is a surgical technique in which minute layers of skin tissue are meticulously removed and examined under a microscope. By removing thin layers of tissue in this incremental manner, the physician can be sure that all involved tissue is excised, and can simultaneously spare healthy tissue. Of all the surgical techniques available today, Moh’s surgery offers both the lowest recurrence rate of malignant lesions, and maximum preservation of healthy tissue.