Breast Reconstruction

Breast reconstruction rebuilds the shape and form of your breast after surgery or injury, restoring both appearance and confidence.

Restore Your Comfort and Self-Image With Breast Reconstruction

Facing breast loss or deformation—whether due to mastectomy, trauma, or congenital issues—can bring emotional and physical challenges that impact your daily life. Breast reconstruction aims to restore not only the shape of your breasts but also a sense of wholeness that supports your overall well-being. At pēkomd®, our board-certified surgeons approach each reconstruction with empathy, expertise, and a commitment to authenticity. We tailor each surgical plan to your unique anatomy and goals, ensuring the final result harmonizes with the rest of your body and aligns with your personal vision. Reach out to pēkomd® today to learn how breast reconstruction can be a vital step toward renewed confidence and peace of mind.

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What Is Breast Reconstruction?

Breast reconstruction is a specialized procedure designed to rebuild the breast mound and contour after tissue loss or deformity. This can occur following mastectomy for breast cancer, a traumatic injury, or congenital differences in breast development. The surgery often involves restoring both shape and symmetry, and may even recreate the nipple-areolar complex for a more natural appearance.

At pēkomd®, we recognize that each patient's story is unique. Our board-certified providers offer a range of reconstructive options—from implant-based techniques to microvascular tissue transfers—so you can choose the path that feels most aligned with your body, lifestyle, and aesthetic preferences. We aim to create outcomes that blend seamlessly with your natural proportions, enhancing both comfort and self-confidence.

Breast Reconstruction Before & After

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Reasons to Consider Breast Reconstruction

Choosing breast reconstruction is a deeply personal decision, often influenced by physical, emotional, and lifestyle factors. Many individuals seek reconstruction to:

Restore breast shape and volume lost to mastectomy or trauma
Regain a sense of wholeness and balance in their appearance
Reduce the need for external prostheses in clothing or swimwear
Improve self-esteem and overall body image

Regardless of the motivation, our goal at pēkomd® is to guide you toward a solution that supports both your physical health and emotional well-being.

Implant-Based vs. Microvascular Reconstruction

When planning breast reconstruction, there are two primary routes: implant-based reconstruction and microvascular (tissue) reconstruction.

Implant-Based Reconstruction

In this approach, a saline or silicone implant is used to recreate the breast mound. This can be done immediately during a mastectomy or as a staged procedure involving a tissue expander to gradually stretch the chest muscles and skin. Implants tend to offer a shorter surgery and recovery period, though future revision surgeries may be needed for implant maintenance or replacement.

Microvascular (Tissue) Reconstruction

Also known as autologous or “flap” reconstruction, this method uses your own tissue from areas such as the abdomen (DIEP flap), back (latissimus dorsi flap), or thighs to recreate the breast. Because the tissue is your own, results can feel and look more natural, with less risk of complications like implant rupture. The surgery is typically more complex and requires a longer recovery, but many patients find the outcomes particularly satisfying in terms of touch and long-term stability.

What to Expect During Your Breast Reconstruction Procedure at pēkomd®

Your journey starts with a thorough consultation, where our board-certified surgeon will review your medical history, current breast condition, and overall goals. We encourage you to share any preferences or concerns, whether it's the size and shape you envision or the type of reconstruction you're leaning toward. From there, we'll recommend a personalized plan—implant-based, microvascular, or a combination of techniques.

On the day of surgery, you'll arrive at our accredited facility, where patient safety and comfort guide every step. Depending on the complexity of your procedure, you'll receive either general anesthesia or sedation. If you opt for implants, your surgeon may place a tissue expander first, or proceed directly to implant placement if there's enough skin and muscle coverage.

In microvascular reconstruction, the harvested tissue—often from the abdomen or back—is meticulously transferred and reconnected to blood vessels in the chest. Our team's precision and attention to detail ensure the best possible outcome. Once the procedure is complete, you'll recover in a monitored setting before returning home with detailed aftercare instructions.

Recovering After Your Breast Reconstruction Procedure

Recovery times vary widely based on the type of reconstruction. Implant-based surgeries generally require a shorter convalescence, with many patients resuming light activities within two to three weeks. Microvascular flap surgeries tend to be more extensive; expect a longer hospital stay and a few weeks of limited activity. In both cases, it's common to experience swelling, bruising, and mild to moderate discomfort in the chest or donor sites.

Pain management strategies may include prescription medication, over-the-counter pain relievers, or cold compresses. Our team remains available to guide you through follow-up appointments, ensuring your incisions heal properly and that you're adapting well to your new breast shape. Over time, swelling subsides, and the reconstructed breast settles into a natural position. Regular check-ins with our staff help address any concerns and optimize your final result.

Autologous Breast Reconstruction

Another form of breast reconstruction offered at our clinic is autologous breast reconstruction. Autologous breast reconstruction uses tissue from your own body—commonly the abdomen, back, or thighs—to form the new breast mound. The harvested flap is reattached to blood vessels in the chest, providing a living tissue solution that behaves more like natural breast tissue over time. While this approach involves a more intricate surgical process, many patients appreciate the realistic feel and permanent nature of autologous reconstruction.

Testimonials

Dr Koltz and his team are fantastic. I was always made to feel so comfortable and welcomed.

The team that he has assembled are just phenomenal women who truly brighten your day. They have offered me endless support and I will forever be grateful for them. I have received excellent care from everyone at pēkomd and would very highly recommend them. 10 out of 10!

Jennifer N.

Dr. Markov is one of the best microsurgeons in Southwest Ohio

I have had surgery is some of the top hospitals in Ohio and beyond. Dr. Markov is one of the best microsurgeons in Southwest Ohio, and the surrounding areas.His education, military background, and work experience speaks for itself. I have found him to be professional, highly-skilled, and he has excellent bedside manner. Dr. Markov treated me with respect, educated me about my options, and empowered me to decide what breast reconstruction option best for me. He approached my reconstruction surgery like Michelangelo to a painting. He was detailed oriented and cared about my final outcomes. I couldn't be happier with his performance. I highly recommend Dr. Markov for any cancer related or cosmetics surgery.

Candy

Mr. Dr. Fourman has been the best doctor hands down

Mr. Dr. Fourman has been the best doctor hands down so far that I have ever experienced in my life so far and I only have had my first office visit. He is so polite, listens and exsplained in full detail. He made me feel heard and he actually listened to me as his patient and did not belittle or make me feel like i was uneducated or wrong for my reasons to be vivisting his office. Thank you to Dr. Fourman and his wonderful staff members!

Heather

Dr. Straka is very personable, professional, and earned my trust right away!

My daughter first had some work done a few years ago with Dr. Straka. Of course she was/is a beautiful girl in every way, but this definitely enhanced things for her. I inherited the worst bags you could ever imagine. Getting older I thought let me do something for me! I scheduled a consult and I am truly sad that I had not gone sooner.

Dr. Straka is very personable, professional, and earned my trust right away! I am only 10 days post op and I love my new look already! Cristina has been very attentive from day one. I am still being checked on today. Dr. Straka is doing great things at pekomd! I highly recommend him to anyone!!!!!!! He gets a 100 stars

Youlanda J.

Thank You for saving my life!!

Dr. Fourman and his whole team have always made me feel not judged and welcomed. They are helpful, knowledgeable, informative and take time to discuss my health. There are few physicians that don’t make patients feel comfortable and Dr. Fourman is not one. So thankful I chose him as my bariatric doctor!! Thank You for saving my life!!

Amanda L

Make you feel like your best self.

Every experience I’ve had at pēkomd® has been amazing. The staff and providers truly take the time to make you feel like your best self. Dr. Koltz takes the time to get to know his patients and listens to their needs, concerns and dreams. I would absolutely recommend giving them a call and taking the steps to feeling the best version of yourself!

Megan M.

I would say Dr. Markov is a bit of a perfectionist.

After learning I had breast cancer a second time in 2023 I opted to have a bilateral mastectomy with a DIEP flap reconstruction. I looked into 3 different doctors and while I am sure they are all very capable, I chose Dr. Markov. He was straight forward and to the point and he was local. I really liked his approach and he made me feel very comfortable. Today I had my 4 week post op appointment from the final phase of the reconstruction and I am thrilled with the results. I feel and look like myself again. Honestly they look better than they did before my mastectomy. I would say Dr. Markov is a bit of a perfectionist. The only thing left, if I opt to do this, is the tattooing. I am not sure if I am going to do that just yet, because they already look so good. Anyhow, I would 100 % recommend Dr. Markov.

Susan T.

Wish I had done this 10 years sooner.

Don't put it off any longer!
If you have thought about weight-loss surgery, Dr. Fourman is the Dr. you need to see! He's very personable, understands and is caring.I followed all the pre op instructions, did out patient, in the morning, and was up and moving around very well by that evening. He's staff is wonderful too. There are no scary front desk reception. Everyone there knows what your going through. Wish I had done this 10 years sooner. Like I said...Don't put it off for another year!

Patricia M

I couldn't be more pleased with my experience with Dr. Straka

I couldn't be more pleased with my experience with Dr. Straka and Kaleigh! Dr. Straka took the time to thoroughly explain my condition, answer all my questions, and walk me through the entire procedure. The follow-up care has been excellent as well, and I am so happy with my results. I highly recommend!!

Hannah

It’s like meeting with a friend at every consult.

Dr Koltz is one in a million. He sits down and listens to every concern. It’s like meeting with a friend at every consult. He has worked miracles for me on correcting another local surgeon mistake. He is very skilled and knowledgeable in profession. Dr Koltz and his staff treat you like family. I love them and you will too! For me there is no other choice!

Jen. H.

Feel beautiful from the inside out

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Tubular Breast Deformity Surgery

Tubular breast deformity is a congenital condition where the breast appears constricted and elongated, often with enlarged areolas. Surgical correction typically involves releasing constricted tissue, reshaping the breast mound, and sometimes using implants or fat grafting for additional volume. At pēkomd®, we personalize this surgery to address each patient's specific degree of tubular formation and aesthetic goals, helping achieve a more rounded, symmetrical shape.

Are You an Ideal Candidate for Breast Reconstruction?

Breast reconstruction may be right for you if you're physically healthy, have realistic expectations, and desire to restore or improve the shape of your breasts after mastectomy, trauma, or congenital anomalies. Good candidates typically have enough tissue or skin to accommodate reconstruction, although expansions or alternative flap sites can often be used if necessary. You should also be prepared for a surgical process that might require multiple stages, particularly if you choose microvascular techniques.

During your consultation at pēkomd®, our board-certified providers will conduct a thorough evaluation, discussing your health history, available tissue for reconstruction, and any personal preferences. If additional or alternative procedures might suit you better—such as a different flap type, fat grafting, or implant-based techniques—we'll outline all possibilities to ensure you make an informed choice.

Why Choose pēkomd® for Your Breast Reconstruction Procedure?

At pēkomd®, we're dedicated to marrying expertise with genuine compassion, offering you a supportive environment from the moment you walk through our doors. Our board-certified surgeons keep pace with cutting-edge reconstructive methods, delivering natural-looking, enduring results while prioritizing your safety and comfort. Because we offer a broad range of procedures, you'll never be pushed into a single approach—our recommendations reflect what's truly best for your anatomy, health, and lifestyle. Whether you visit us in Columbus, Dayton, or Toledo, expect consistent, high-quality care rooted in honest communication and a sincere commitment to your well-being.

Breast Reconstruction Frequently Asked Questions

Ready to explore how breast reconstruction can restore both your figure and your sense of self? Contact pēkomd® to schedule a consultation and begin your journey toward renewed confidence.

How soon after a mastectomy can I have reconstruction?

Timing varies. Some opt for immediate reconstruction during the same operation as the mastectomy, while others choose delayed reconstruction to focus on healing, cancer treatments, or personal preferences.

Will I regain sensation in the reconstructed breast?

Sensation can improve over time but may not fully return to pre-surgery levels. Nerve regeneration varies, especially in microvascular procedures, but some patients do see partial recovery.

Can I combine implant and flap reconstruction?

Yes. Some patients benefit from a “hybrid” approach, using both a flap to provide soft tissue coverage and an implant for additional volume.

Will insurance cover breast reconstruction?

Many insurance plans cover reconstruction following mastectomy or trauma, as it's considered medically necessary. We recommend checking your policy, and our staff can assist with documentation if needed.

Is breast reconstruction a single-stage procedure?

Some procedures, like direct-to-implant reconstruction, may be done in one stage, but many involve multiple steps for optimal shaping and healing. We'll outline a timeline during your consultation.