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Breast Reconstruction Surgery
Restoring Confidence and Natural Form After Mastectomy
Over the past two decades, advances in surgical techniques and genetic testing have given women more options than ever before for restoring breast shape after cancer treatment and for preventing future disease through prophylactic mastectomy and reconstruction.
Types of Breast Reconstruction Surgery
Every patient is different and deserves a surgical plan created with their unique situation in mind.
And that’s exactly what Dr. Duffy does. He takes the time to get to know you, discuss the options, and find the best path forward, together.
Immediate & Secondary
Immediate reconstruction is performed at the same time as mastectomy, while the patient is still under anesthesia. This approach allows for a single operation and a more continuous emotional and physical recovery.
Secondary reconstruction is performed months or years after mastectomy, often for patients who initially chose not to have reconstruction or who are seeking improvement after a prior unsatisfactory result.
A significant part of Dr. Duffy’s expertise lies in revising and improving failed or suboptimal breast reconstructions, helping patients regain confidence and comfort.
DIEP Flap Reconstruction
The Deep Inferior Epigastric Artery Perforator (DIEP) flap is one of the most advanced forms of breast reconstruction. It uses skin and fat from the lower abdomen to create a soft, natural breast—while preserving the abdominal muscles.
This modern technique reduces complications such as bulging or hernias associated with older methods like the TRAM flap. Recovery is typically faster, with less pain, fewer complications, and stronger long-term results than other procedures.
Dr. Duffy was the first surgeon in Dallas to perform the DIEP flap in 1998 and remains a regional leader in this specialized procedure. When appropriate, he considers autologous reconstruction using the patient’s own tissue to be the gold standard for longevity and natural appearance.
Latissimus Flap Reconstruction
The Latissimus Dorsi flap technique uses muscle and skin from the back to restore breast volume and shape. The flap is tunneled under the skin to the chest, maintaining its original blood supply—making it a non-microsurgical option with a shorter operative time and quicker recovery.
This method is often used for patients who have had radiation therapy or are not candidates for DIEP flap reconstruction. Most patients do not experience significant changes in shoulder function, and in select cases, Dr. Duffy performs this procedure as an outpatient surgery.
Implant-Based Reconstruction
For patients who are not candidates for tissue-based reconstruction, breast implants remain a common and effective option.
The process often begins with placement of a tissue expander—a temporary device that gradually stretches the skin to prepare for a permanent implant. In select cases, immediate implant placement can be performed at the time of mastectomy, reducing the need for a second surgery.
While implants provide excellent results for many patients, Dr. Duffy educates every woman about potential long-term considerations such as implant rupture, capsular contracture, and the rare condition known as Breast Implant–Associated Anaplastic Large Cell Lymphoma (BIA-ALCL).
Nipple–Areola Reconstruction
The final stage of breast reconstruction often involves recreating the nipple and areola for a natural, balanced appearance.
This can be achieved through minor local flaps, skin grafting, or 3D tattooing, which can beautifully simulate the look of a projecting nipple without additional surgery. Most procedures are performed in-office under local anesthesia and can be combined with other refinements to the reconstructed breast.
Prophylactic Mastectomy & Reconstruction
As genetic testing and breast cancer awareness have improved, more women are choosing preventive (prophylactic) mastectomy to significantly reduce their cancer risk—especially those with a strong family history or genetic predisposition.
Dr. Duffy has helped many young women in their 20s and 30s take proactive steps toward their health through prophylactic mastectomy and reconstruction, most often using autologous tissue techniques such as the DIEP flap for the most natural outcome.
Oncoplastic Breast Reduction
Oncoplastic surgery combines the principles of oncologic tumor removal with aesthetic breast reshaping.
For patients with larger or drooping breasts, this approach allows for a lumpectomy and breast reduction in the same procedure, improving symmetry and easing subsequent radiation therapy. The result is both a safer cancer treatment field and more balanced breast shape for the patient.
Kind Words from Satisfied Patients
“I am EXTREMELY SATISFIED with my results!!
Dr. Duffy and his staff made me feel very proud being a Army Veteran to whom they served. Tumors removed and breasts were reconstructed!! Love you Dr. Duffy!!”
— Satisfied Patient
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Expert care with a personalized approach
Dr. Duffy and his team take the time to truly understand your goals, health history, and personal preferences. Together, you’ll discuss the available options to design a reconstruction plan tailored uniquely to you.
The office coordinates closely with your referring surgeons, oncologists, and other specialists to provide seamless, collaborative care—before, during, and after treatment.
Always in Good Hands
All reconstructive and aesthetic surgeries prioritize patient safety, sterility, comfort, and satisfaction—always.
Accredited Surgical Facility
Board Certified Anesthesiologist
Time & Care to Get to Know You