Breast Reconstruction

Natural tissue breast reconstruction uses the body’s own natural tissue to reconstruct the breast without the need for implants, which are foreign bodies and as such, will create multiple problems for the patient including the need for future exchange of implants or their removal. Natural tissue breast reconstruction provides a reconstructed breast that feels, looks and behaves like a natural breast. Replacing the skin and soft tissue removed at mastectomy with soft, warm, living tissue is accomplished by borrowing skin and fatty tissue with the blood supply. The most common area fat and skin are taken from (donor site) is the abdomen-DIEP flap. Using sophisticated microsurgical techniques, the underlying muscle is totally preserved. Therefore, the patient does not need to sacrifice a major muscle in her body in order to have a natural, normal looking and feeling breast reconstruction. In addition to reconstructing breast, the contour of the abdomen is often improved much like a tummy tuck. Restoration of the nipple and areola follow. Scars fade substantially with time. Natural tissue breast reconstruction can be used to restore breast after failed or unsatisfactory implant-based breast reconstruction. For many years, Mr Kosutic had dedicated his practice to highly sophisticated forms of microsurgical breast reconstruction called perforator flaps.

Most common technique used for natural tissue breast reconstruction called the DIEP flap (Deep Inferior Epigastric Artery Perforator Flap). Perforator flaps are the state of the art in breast reconstruction. These procedures, otherwise surgically very challenging, have been made safer and more reliable using advanced imaging – CT and MRI scans. Mr Kosutic has published some of the key papers that described these techniques in planning of perforator flap breast reconstruction with the DIEP flap, which have been cited hundreds times in scientific literature and accepted worldwide as the gold standard. Dr Damir Leads Breast Reconstruction at The Christie- one of the largest European Cancer centres. Dr Damir is one of the few surgeons in the world with extensive experience in simultaneous DIEP Flap breast reconstruction and Lymph node transfer for patients suffering from lymphoedema requiring breast reconstruction after breast cancer. Mr Kosutic works with some of the best Consultant Radiologists in England, to capture most important information for planning of these procedures and has developed protocols for CT angiogram and MRI to improve safety and efficacy for every woman in need for breast reconstruction. Breast reconstruction procedures Dr Damir has particular expertise in are DIEP Flap, DIEP Flap with Lymph node transfer and LD Flap.

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Breast reconstruction surgeries
DIEP flap transplants abdominal fat and skin to chest, reconnecting blood supply microsurgically, creating a natural-looking breast post-mastectomy.
DIEP flap with lymph-node transfer reconstructs the breast using abdominal tissue and relocates lymph nodes to alleviate lymphedema.
LD flap transfers skin and latissimus dorsi muscle from the back to the breast, restoring shape after mastectomy.
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