Autologous breast reconstruction using a patient's own tissue, transferred microsurgically — including DIEP, PAP, TUG and lumbar artery perforator flaps.
Breast reconstruction restores the shape, size and appearance of the breast following mastectomy or lumpectomy for breast cancer. Dr Doherty's practice focuses on autologous reconstruction, which uses the patient's own tissue rather than an implant.
Flap choices include:
The choice of flap depends on the patient's body habitus, donor-site availability, prior surgery, and goals. Dr Doherty will discuss the most appropriate option for your circumstances.
Reconstruction can be performed immediately at the time of mastectomy (immediate reconstruction) or after healing and any required adjuvant therapy (delayed reconstruction). The timing depends on several factors including cancer stage, planned radiotherapy, and patient preference, and is best determined as part of a multidisciplinary care plan.
Reconstruction is always a choice, not an obligation — some women choose not to reconstruct, and delayed reconstruction remains possible months or years after mastectomy. Dr Doherty’s role is to lay out the options so you can make the decision that is right for you.
Microsurgical breast reconstruction typically involves a hospital stay of approximately five to seven days, with close monitoring of the flap in the early post-operative period. Recovery to most activities takes six to eight weeks; full recovery may take several months. Reconstruction is often a staged process, with subsequent procedures for revisions and nipple-areola reconstruction if desired.
Related: See our scar management guide for the post-operative healing timeline, the daily silicone-and-massage protocol, and when to be concerned about a scar.
Microsurgical reconstruction carries specific risks including partial or complete flap loss (uncommon, but requiring urgent return to theatre), fluid collection, delayed wound healing at the breast or donor site, donor-site weakness or contour change, and the need for revision procedures. These are discussed in detail at your consultation.