The standard for breast reconstruction using implants has typically involved the placement of a tissue expander which allows the muscles to be stretched over three or more months, creating a space for the final implant.

With Real Breast Reconstruction, an implant is placed immediately at the time of mastectomy. A muscle substitute called Alloderm is used to construct an Internal Bra support for the implant, removing the need to stretch the chest muscle. This method works best with size C or smaller breasts. With this method, the breast can be recreated in a lower, more natural position than typical reconstruction, and looks good even immediately after the surgery. Immediate implant reconstruction is especially good for patients undergoing bilateral mastectomies, as it yields a very symmetrical cosmetic result. The final scar is minimal, or it may be completely absent.


Some women prefer to use their own tissue for reconstruction rather than an implant. For these women, Dr. Cassileth offers Immediate DIEP Flap Reconstruction.