Restorative Techniques

Perforator Flap Breast Reconstruction

Perforator flaps do not contain muscle. Using highly specialized microsurgical techniques, by which the blood vessels can be carefully separated from the muscle that normally surrounds them, an experienced perforator flap microsurgeon can reconstruct a breast with a woman’s own tissue and not sacrifice important functional muscles.

In addition to giving you excellent cosmetic results without compromising important functional muscles, perforator-flap breast reconstruction offers several unique advantages:

• A more natural look and feel to reconstructed breasts than can typically be obtained with implants
• Less postoperative pain than is typically associated with reconstruction using flaps that include muscle
• Reconstructed breasts that will grow and shrink naturally as one’s weight changes, thereby keeping your reconstructed breast in proportion to your body
• Possible connection of sensory nerves in a perforator flap to nerves at the mastectomy site to help restore sensation to the reconstructed breast
• More rapid return to work and other activities than typically occurs following reconstruction with flaps that include muscle
• A significantly lower rate of unplanned reoperation (only 5%), as compared to the approximately 50% rate reported for implants 7 years after reconstruction
• Ability to reconstruct a breast after failure of an implant or other natural-tissue reconstruction, even after radiation


» Learn more about specific Perforator Flap Procedures

Connecticut Breast Reconstruction
New York Breast Reconstruction

Breast reconstruction surgery can restore the shape, size and appearance of a woman's breast following mastectomy or lumpectomy. New kinds of treatment and improved reconstructive surgical techniques mean that women who have breast cancer today have better options than ever before. Dr. Greenspun specializes in breast reconstruction surgery; his offices are located in Connecticut and New York City.

Microsurgical Breast Reconstruction

Advances in the field of microsurgery and the availability of sophisticated microsurgical techniques have revolutionized breast reconstruction surgery in recent years. In particular, when perforator flaps are used for reconstruction, skilled surgeons can shape tissue so that looks and feels as natural as a woman’s own breast. Perforator flap breast reconstruction offers the benefits of autologous breast reconstruction without the disadvantages of procedures that necessitate the sacrifice of muscle.

Our practice specializes in perforator flap breast reconstruction in Greenwich, Connecticut and New York City.