Breast Reconstruction Surgery in Dayton

For patients who have undergone a mastectomy or breast removal surgery due to breast cancer, breast reconstruction surgery offers an opportunity to restore the natural appearance of the breasts.

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Advanced Breast Reconstruction in Dayton

At pēkomd®, Dr. Nickolay P. Markov, a board-certified plastic surgeon, provides advanced breast reconstruction procedures in Dayton to help patients regain their sense of femininity and self-confidence.

Restoring Your Natural Look

Breast reconstruction surgery can significantly improve a patient’s self-image by recreating a natural-looking breast following a mastectomy. Many patients experience substantial physical, emotional, and psychological benefits from this procedure, making it a worthwhile option for those who are suitable candidates.

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Types of Breast Reconstruction

Dr. Markov offers several breast reconstruction options to meet the diverse needs and preferences of his patients:

Autologous Breast Reconstruction

This technique uses the patient’s tissue from another part of the body, such as the abdomen, back, or buttocks, to reconstruct the breast. This method often results in a more natural look and feel.

Breast Reconstruction with Implants

Breast implants can be used for reconstruction, often performed in stages. Initially, a tissue expander is placed to prepare the area for the final implant.

Flap Surgery

Flap reconstruction involves transferring tissue from a donor site on the patient’s body to form a new breast. Techniques such as DIEP flap, TRAM flap, gluteal flap, or latissimus dorsi flap can be used depending on the patient’s specific needs.

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Benefits of Breast Reconstruction Surgery

Breast reconstruction surgery offers numerous benefits, including:

  • Restoring Natural Curves: Achieving aesthetically pleasing breast contours.
  • Enhancing Breast Size and Shape: Improving overall appearance and symmetry.
  • Recreating a Realistic Nipple: Providing a natural look.
  • Improving Physical Balance: Correcting body alignment and balance.
  • Boosting Self-Esteem: Enhancing self-confidence and femininity.
  • Wearing Desired Clothing: Enjoying the freedom to wear swimsuits and form-fitting clothes.

Ideal Candidates for Breast Reconstruction

Dr. Markov considers several factors to determine if a patient is a suitable candidate for breast reconstruction surgery:

  • Having undergone a mastectomy
  • Desire to restore a natural breast appearance
  • Clearance from a physician as a cancer-free patient
  • Physical and emotional readiness for surgery
  • Commitment to the stages of reconstruction
  • Willingness to quit smoking for a specified period
  • Clear aesthetic goals and realistic expectations
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Top Breast Surgeon Near Centerville

Dr. Nickolay P. Markov is renowned for his expertise and commitment to personalized patient care. As a top breast surgeon near Centerville, he ensures each patient receives the best possible outcome tailored to their unique situation.

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Breast Reconstruction Techniques

Implant-Based Reconstruction

For patients preferring implants, reconstruction can be done in stages. Initially, a tissue expander is placed under the skin and muscle to prepare the area for the final implant. In some cases, a permanent expander can serve as the final implant, eliminating the need for a second surgery.

Flap Reconstruction

Flap reconstruction uses tissue from other parts of the body to create a new breast. This technique is more invasive but can yield more natural results. Common flap techniques include:

  • DIEP Flap: Uses skin and fat from the lower abdomen, preserving abdominal muscles.
  • TRAM Flap: Involves transferring muscle, fat, and skin from the abdomen.
  • Latissimus Dorsi Flap: Uses muscle, fat, and skin from the upper back.
  • Gluteal Flap: Harvests tissue from the buttocks.

Before & After

Implant Breast Reconstruction

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Advanced Options for Secondary Breast Reconstruction

The path to breast reconstruction doesn’t always end with the first procedure. Some individuals may encounter complications, scarring, implant-related issues, or find that their initial results don’t meet their expectations.

At pēkomd®, we specialize in secondary breast reconstruction, offering advanced solutions to refine, repair, or rework previous reconstructions for optimal results.

Among the most advanced options is the DIEP (Deep Inferior Epigastric Perforator) flap. This innovative procedure uses skin and fat from the lower abdomen to recreate the breast, all while preserving the abdominal muscles. By utilizing living tissue, the DIEP flap creates a soft, natural appearance that is more durable than traditional implant-based methods.

Secondary breast reconstruction may also include:

  • Replacing implants with autologous flaps when implants cause discomfort or complications.
  • Using microsurgical techniques to correct asymmetry or repair radiation-induced damage.
  • Combining tissue flaps and implants for enhanced volume and a more natural contour.
  • Employing fat grafting (lipofilling) to smooth transitions, improve shape, and refine skin quality.

At pēkomd®, our fellowship-trained microsurgeons possess the rare expertise to handle even the most complex secondary reconstructions. Their skills in microsurgery offer patients the opportunity for personalized, life-changing results that feel authentic and aligned with their goals.

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How pēkomd® is Redefining Breast Reconstruction

What distinguishes pēkomd® from other practices is the unique expertise of fellowship-trained microsurgeons, a rare capability that sets us apart. Microsurgery is an intricate field requiring specialized skill to repair delicate blood vessels and nerves using a surgical microscope. This precision is critical for modern breast reconstruction, especially in procedures like free-flap, which employ the patient’s own tissue to achieve natural-looking, lasting outcomes.

Dr. Nickolay Markov, who completed prestigious fellowships in plastic surgery and microsurgery at Dartmouth and Yale University, brings unmatched expertise to his practice. He also served as the Chief of Microsurgery at Wright-Patterson Air Force Base Medical Center, blending military discipline with surgical excellence. As the only plastic surgeon in Dayton with advanced microsurgical training, Dr. Markov provides patients with access to autologous reconstruction options not available in many other areas.

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You Have the Right to Unlimited Coverage for Breast Reconstruction

Every individual deserves the chance to feel whole and restored after a mastectomy. That’s why it’s important to understand that, under federal law, women who have had a mastectomy due to breast cancer are entitled to unlimited breast reconstruction coverage.

The Women’s Health and Cancer Rights Act (WHCRA) of 1998 requires health insurance plans that cover mastectomies to also cover all stages of reconstruction, symmetry procedures, prosthetics, and any related treatments—without limitations on the number of surgical revisions.

Thanks to this law, most insurance policies are obligated to provide comprehensive reconstructive care after a mastectomy. Our team is here to guide you through the process, assisting with prior authorizations, appeals, and claims, so you can focus on your recovery.

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Consult With a Breast Reconstruction Expert in Dayton

If you’re considering breast reconstruction surgery in Dayton, contact pēkomd® to schedule a consultation with Dr. Markov. Our team is here to support you through every step of your reconstruction journey, ensuring you achieve the best possible results.

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Schedule a Consultation Contact any of our Ohio locations today to begin your journey toward a rejuvenated, more confident you.

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