Breast reconstruction

Implant reconstruction

A silicone implant placed beneath or in front of the chest muscle, sometimes supported by an acellular dermal matrix. Single-stage or two-stage with a tissue expander.

Smaller to moderate breast size, shorter recovery, or where own-tissue reconstruction is not suitable.

DIEP flap reconstruction

Tissue from the lower abdomen is microsurgically transferred to rebuild the breast. No muscle is sacrificed. Longer operation, longer recovery, more natural feel and appearance over time.

Larger breast size, those wanting a single definitive result, where the abdominal donor site is suitable.

Aesthetic flat closure

Aesthetic flat closure is a carefully planned chest-wall closure after mastectomy when you choose not to have reconstruction — shaping the contours, removing extra skin, and positioning the scar so you can live flat comfortably and confidently.

LAP flap reconstruction

LAP flap reconstruction uses skin and fat from the lower back — transferred with lumbar perforator vessels when abdominal and thigh donor sites are not available, performed in specialist microsurgical centres for selected patients.

Latissimus dorsi flap reconstruction

Latissimus dorsi flap reconstruction brings skin and muscle from the upper back across to the chest — often combined with an implant when there is not enough local tissue, and a well-established option when abdominal or thigh flaps are not suitable.

PAP flap reconstruction

PAP flap reconstruction uses your own skin and fat from the upper inner thigh — transferred with its blood supply to rebuild the breast when the abdomen is not a suitable donor site, leaving a scar in the natural thigh crease.

TRAM flap reconstruction

TRAM flap reconstruction rebuilds the breast using skin, fat, and part of the abdominal muscle from the lower tummy — transferred to the chest and reconnected under the microscope, with a longer recovery than implant-only reconstruction but a natural-feeling result.