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vivi
vivi
19:33 03 May 23
I am so happy to have Dr. Goldberg as my surgeon. She is diligent,patient and a masterful microsurgeon. My case was complex. It involved breast reconstruction via diep flap, lymph node transfer and lymphovenous Bypass to resolve lymphedema from my first Cancer removal surgery. Dr. Goldberg is an excellent listener and offered me options when other surgeons were not interested in pursuing my case. I am thankful for her tenacity and her compassion. I can not leave this review without also thank her excellent team Vanessa and Seline. There professionalism and kindness made this journey so much easier. 💟
Lorraine Burghardt
Lorraine Burghardt
17:25 03 May 23
I was diagnosed with breast cancer at the age of 70 and thought I had no choice but to get a mastectomy and be completely flat chested. I came to Dr. Mytien Goldberg and she informed me that I was a great candidate for an Implant based reconstruction or an autologous tissue based breast reconstruction. I chose to get a Implant based reconstruction and the best part was that it was all done in one surgery! I went directly to implant and did not need any expanders. Of course, there is some pain but it's tolerable. And this whole journey has been worth it for the results. I wish I came to see Dr. Goldberg sooner and didn't wait 4 months to muster up the courage. She put me at ease and relaxed any fears i had about having the surgery and an implant. I'm currently still in my healing process and everything is looking great! I have complete confidence in Dr. Goldberg and would highly recommend her to others, young or old, breast cancer or not.
JT
JT
23:11 27 Dec 22
In addition to her many gifts as a plastic surgeon and microsurgeon, Dr. Goldberg is also a top hand surgeon. Thanks to her, I still HAVE a right hand -- and didn't die from a (freak) staph infection that very easily could've become septic. I was seen by three "top" hand doctors. ONLY Dr. Goldberg correctly diagnosed a life-threatening infection. Her staff jumped into action and contacted her at the hospital between (her long day of) surgeries.She drove back to her BH office (at 6:00 pm!) to see me (a first-time patient), impressed upon me how serious this was, got me admitted to a hospital, found a way to get me onto a tight surgery rotation--and performed surgery on my hand and wrist within 24 hours of first contacting her. Her staff—and Vanessa in particular—deserve five stars for their competence, compassion and accessibility. Dr. Mytien Goldberg is truly a once in a lifetime medical professional: brilliant, skilled and a mighty advocate for her patients. I am so grateful to her. I'd give her ten stars if I could.
Hannah Dunbar
Hannah Dunbar
19:24 27 Dec 22
Dr. Goldberg did such an amazing job with my Botox. Dr. Goldberg is such a kind and caring doctor, I am really afraid of needles and she made sure the process was easy and painless. She made sure that I was taken care of and really made me feel cared for. I 100% recommend Dr. Goldberg to anyone!
Dianne Hopkins
Dianne Hopkins
18:22 13 Dec 22
I am 65, and had my implants for almost 40 years. I needed to have them removed due to back pain, and searched for a surgeon that specialized in breast construction. I loved my Dr. Jewel that had put them in in 2007, but they no longer accepted insurance payments. Not only did Dr. Goldberg‘s office work with my insurance, but what an absolute great find. not only was she caring, but what an expert she really is. I did a lot of research, and read how happy she can make women that have so many different kind of problems. My experience was truly wonderful, and my results were fantastic! What a happy experience, shared not only with the doctor, but the lovely ladies in her office.
Jessie Sims
Jessie Sims
00:14 09 Dec 22
My experience with Dr. Goldberg and her staff was absolutely unmatched. They always went above and beyond to answer any questions/concerns I had. This was my 3rd breast augmentation due to the errors and complications of other surgeons. I had a pretty severe capsular contracture and double bubble. I was considering removing my implants for good until I had my consultation with Dr. Goldberg. She gave me the breasts that I had be dreaming about! I am 7 months post op and beyond happy with my results and so thankful for her and her entire team.
Mary Guthrie
Mary Guthrie
22:31 03 Oct 22
My name is Mary Guthrie, and I am a breast cancer survivor of 16 years. At the time I had bilateral mastectomy and reconstructive surgery. Recently I was experiencing pain and hardening lumps in the surgical areas . I searched for a doctor experienced in this tile of reconstructive surgery and I was fortunate to find Dr. Mytien Goldberg. Immediately after we met I knew she was the right doctor for what I needed. She made me feel very comfortable and that I deserved the best. She took her time to explain the options available to me and we agreed on the best approach. We settled on replacement my prior saline implants with silicone gel also Galaflex and fat from my own body (small liposuction) The steps she took gave me much natural look and confidence. Surgery is a success.I Highly recommend Dr, Maytien Goldberg and her professional staff ! .They are amazing !!
Andrea Nasev
Andrea Nasev
20:20 26 Sep 22
After going to two different breast surgeons, I chose Dr Goldberg for my breast reduction surgery. Dr Goldberg has a thorough understanding of womens health and approached my case with knowledge and sensitivity so that she could help boost my self confidence and alleviate much of the pain my breasts were causing on my shoulders and back. Since my surgery I have started standing significantly straighter and I have been able to start wearing clothes I never thought I could. The recovery process was very easy. Very little pain for me and within 6 days I was back pretty much back to my regular activities. Dr. Goldberg also has the most magnificent assistants— Celine and Vanessa that answered all of my questions while I was in the office and out and made me feel very supported before and after my surgery. Thank you to everyone at Dr. Goldberg’s office!!
ala tabatabai
ala tabatabai
15:17 13 Aug 22
I had a deviated septum and difficulty breathing for most of my adult life. I was dependent Afrin nasal spray for breathing everyday. Finally I decided to fix the problem. I chose Dr Goldberg for my septirhinoplasty. Not only did she corrected my breathing problem, she also corrected my nose hump and droopy tip. I am so happy with how my nose look. It is so natural and straight. Breathing has never been so easy. Extremely happy with my results. Thank you Dr Goldberg.
Rocket Props
Rocket Props
21:15 12 Aug 22
I was fortunate that my Nurse Practitioner read an article about peripheral nerve reconstruction and sent a referral for a consultation with Dr. Mytien Goldberg. Immediately upon meeting Dr. Goldberg, I felt at ease because she listened, understood, and provided me hope for relieving debilitating sensory nerve pain for the first time in over 4 years since my nerve injury. There are doctors and then THERE IS MYTIEN GOLDBERG, MD, truly a ONE of a KIND, not only SKILLED, TALENTED, & EXPERIENCED but also CARING when most of the other orthopedic surgeons just did not provide any hope. I am grateful every second I remember I have become sensory nerve pain-free thanks to Dr. Goldberg!!
Susan Williams
Susan Williams
01:40 30 Jun 22
I saw Dr. Goldberg after having a reoccurrence of breast cancer and needing a lumpectomy revision. I had multiple complications and she was very supportive and compassionate. She was always available when I had questions. She did an amazing job and things are all looking great!
Tamela Johnson
Tamela Johnson
19:10 24 Jun 22
I have seeing Dr. Goldberg Plastic for 5 years and my results are amazing! I had a right breast reconstruction with stack Free Diep, and right breast tissue expander removal and right breast complete capsulectomy.I am very very happy with my results and would happily recommend anyone to Dr. Goldberg Plastic Surgery.
Brenda Blackmon
Brenda Blackmon
01:34 15 Jun 22
My journey started with (2) amazing doctors Ali-Jones my cancer surgeon and Mytien Goldberg my breast reconstruction surgeon in '2020, I call them my Dream-Team. I opted for breast reconstruction Immediately after my surgery which meant a longer surgery time about 9 or 10 hours. But, I knew I was in good hands! Dr. Goldberg made me feel at ease explaining every detail about the procedure in professional and compassionate manner. she was in contact with Dr. Ali-Jones via text letting her know my progress as well as contacting my family after I came out of surgery. My journey will continue as I will have my final surgery this month. I Highly Recommend Dr Goldberg ;she is definitely 5 Star. Thanks, to you and your staff for making my journey a Pleasant Experience!!
Ren Mquin
Ren Mquin
14:34 18 Mar 22
Dr. Goldberg is amazing, I have no words to describe how happy and lucky I feel to have her as my Doctor.It's my 3rd month after the surgery and I'm absolutely happy with results. Surpassed every expectations I had,I can't recommend her highly enough.
Rebecca Lino
Rebecca Lino
04:02 02 Mar 22
Dr. Goldberg is kind and very caring, always so concern about how other feels. Her work is superb very excellent, I came across her at Harbor UCLA and has been the best. Planning to visit her office also, I love Dr. Goldberg she knows best take your problem areas to her she is specialized, u won't be disappointed.
Ingela Jussen
Ingela Jussen
18:52 16 Feb 22
I had a nipple sparing masectomy with immediate reconstruction with tissue exapander. Dr. Goldberg and her staff are excellent and I am very happy with my results. I would recommend anyone to Dr.Goldberg Plastic Surgery.Dr.Goldberg is so open and kind. She and her staff have been with me every step of the way through this difficult journey and I have felt so supported. I am so grateful to her and her staff for the great work that they do.
Gianna Sanchez
Gianna Sanchez
21:31 09 Feb 22
Dr. Goldberg performed reconstructive surgery alongside my surgeon for my breast cancer treatment in 2020. Her staff was wonderful to work with, and made it a point to follow up with me after surgery just to see how I was feeling, even giving me their personal cell phone number in case I had any questions or concerns. My experience with Dr. Goldberg and her staff was wonderful from beginning to end, and I'd recommend them without hesitation to anyone considering her services!
Gina Collins
Gina Collins
23:44 28 Jan 22
I had right breast reconstruction and left breast reduction with Dr. Goldberg Plastic Surgery. She is amazing! She and her staff are so knowledgeable and welcoming. My questions are invited and well-answered. I love the extra little touches, like the text I received the night before my surgery to wish me well. I will definitely recommend her to friends and family.
Rogelio Ruiz
Rogelio Ruiz
18:49 28 Jan 22
I saw Dr. Goldberg for a broken finger repair. The experience was great and she made sure I knew what to expect during the process. Very pleasant experience. Great doctor and I would recommend Dr. Goldberg Plastic Surgery to anyone.
Lynne Amberg
Lynne Amberg
18:31 28 Jan 22
My Dad had skin cancer removal from scalp and nose. Excellent customer service and beautiful results. Dr. Goldberg Plastic Surgery is excellent and I am happy to recommend her office to my friends.
Maria Mayorga
Maria Mayorga
02:11 25 Jan 22
I had Breast reconstruction with a DIEP flap at Dr. Goldberg Plastic Surgery. She was wonderful. She was very knowledgeable and supportive through my whole process. My results after my surgery made me feel whole again! I feel so happy to have had her as my doctor.
Monica Martin
Monica Martin
22:43 21 Jan 22
I went Dr Goldberg plastic surgery for excess breast tissue removal and tummy tuck my experience was amazing. Her professionalism was superb and bedside manners so comforting. I would highly recommend Dr. Goldberg for all of your plastic surgery needs!
Dorothy Gamboa
Dorothy Gamboa
22:12 21 Jan 22
I went to Dr. Goldberg Plastic Surgery and had a double mascetomy and bilateral reconstruction with Diep Flap procedure. I had great results. Also, had second stage reconstruction and liposuction with Dr. Goldberg. I love my results and am feeling so beautiful and confident. I would recommend anyone to Dr. Goldberg Plastic Surgery.
My K
My K
17:21 29 Dec 21
The services that I have received from Dr. Goldberg are excellent. I have had the migraine for years. Dr. Goldberg has given me the Botox treatments which have resolved my headache migraine. The latest treatment that I received from Dr. Goldberg, was the Microneedling or so called “Vampire Facial!” I start noticing more vibrant, youthful skin within the first week: my skin tone tighter, even-toned, younger-looking skin! Not only Dr. Goldberg gave me the best treatment, she also follow up my health exam by face-time me daily for the first four days after the post procedure. Dr. Goldberg ensures that her patient is satisfied with the result of her treatment. It is difficult to find the best doctor, who has the combination of personal touch and delicate care/kindness for a patient as a person with the outstanding quality of surgical care. It is Dr. Goldberg, who has both these qualities. Dr. Goldberg and her staff are friendly, kind, and patient. They ensured I had a smooth prep, surgery, and follow-up. I am so glad that I choose her as my personal surgeon. I gave her expertise with the overall experience/treatments/kindness and her staff FIVE stars! HIGHLY RECOMMEND to anyone looking for a specialist!
Young Kwon
Young Kwon
18:08 20 Dec 21
Dr. Goldberg did a very good job for my wife's breast reconstruction surgery after breast mastectomy cancer surgery. We are very lucky to have her as my wife's breast reconstruction surgeon. She is very professional, kind and thoughtful to her patient. We are very happy for the results.
Mary Kilzi
Mary Kilzi
03:57 03 Nov 21
Dr Goldberg is amazing. She is so professional and sincere explaining the entire procedure that you are having, i never felt rushed in any of my appointments and always came away feeling really good. Her staff Reina and Sophie are super nice and answered all my questions.
Marilyn Van
Marilyn Van
23:06 02 Nov 21
Dr. Goldberg is amazing. Dr. Goldberg did my reconstruction work after a mastectomy. I have other doctors who have seen her work on me and they’re impressed with her skills. I highly recommend her. Plus Sophie who works for her is also amazing. Love them both.
Shadeh Tabatabai
Shadeh Tabatabai
21:54 28 Sep 21
Dr. Goldberg is absolutely amazing! I’m scared of needles but she’s extremely soothing and calming, and gentle with every procedure I’ve had done. She thoroughly explains solutions and procedures, and everyone at her office is so nice and welcoming and supportive. Can’t recommend her enough!!
Cher
Cher
23:16 24 Sep 21
Dr. Goldberg and her staff are the best.
MJ S
MJ S
20:56 13 Nov 19
Dr. Goldberg is the best surgeon in California, perhaps the entire United States. She is incredibly intelligent but has the skills to go along with those smarts.If I could give more than five stars I would. For all your plastic surgery needs, she is above and beyond your best option.Thank you Dr. Goldberg, from the bottom of mine and my wife's hearts. You are incredible.Go see her. You will be just as happy as my wife and I are.Ps. If I could give my wife’s body more than 5 stars I would too 🙂
chelly McKay
chelly McKay
19:51 26 Jul 19
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Why Choose Dr. Goldberg as Your Breast Reconstruction Surgeon?

Dr. Goldberg is a board-certified plastic surgeon whose passion is to empower women with the most advanced breast reconstruction techniques available. As a plastic and reconstructive surgeon in Beverly Hills, she uses the latest microsurgery techniques to achieve natural results and restore your pre-mastectomy breast shape. No matter where you’re at on your journey or what type of reconstruction you desire in Beverly Hills, Santa Monica, or the greater Los Angeles area, Dr. Goldberg looks forward to enhancing your physical and mental well-being so you can feel confident and beautiful.

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Am I a Candidate for Breast Reconstruction?

Candidates for breast reconstruction surgery in Beverly Hills, Santa Monica, and the greater Los Angeles area might have:

  • Undergone a mastectomy or lumpectomy to treat breast cancer
  • Undergone a prophylactic mastectomy due to an inherited genetic mutation (in the BRCA1 or BRCA2 gene) that predisposes them to breast cancer
  • Congenital breast deformities they would like corrected
  • Breast reconstruction after explantation due to BII (Breast Implant Illnesses)

While breast reconstruction after mastectomy is most common, transgender patients can also be candidates for breast reconstruction surgery. This procedure can allow them to affirm their authentic selves and have their appearance more closely match their identity.

Breast Reconstruction Patients Should Have:

  • A positive outlook for restoring their breasts
  • A clear understanding of the procedural limitations and capabilities
  • No additional medical conditions that could cause procedure complications
  • No need for further cancer treatments before undergoing this procedure
Goldberg Plastic Surgery

By understanding the choices for breast reconstructions, a woman is empowered in her fight against breast cancer.

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What Happens at a Beverly Hills Breast Reconstruction Consultation?

During your initial Beverly Hills plastic surgery consultation, Dr. Goldberg will discuss your concerns regarding the state of your breasts and your surgical goals. After evaluating your health and examining your breasts, she will explain your options for breast reconstruction. She will then make recommendations for your treatment strategy and help you decide what is best for you.

Dr. Goldberg might work with your oncologist(s) to form a surgical plan that is oncologically sound. This ensures that your Beverly Hills and greater Los Angeles breast reconstruction is not only emotionally empowering and aesthetically pleasing but supportive of your overall health.

How Is Breast Reconstruction Surgery Performed?

Dr. Goldberg provides a wide selection of breast reconstruction procedure options using the latest techniques in microsurgery. By understanding the options available for breast reconstruction, women can feel encouraged in their fight against breast cancer and other breast deformities.

Breast reconstruction can be performed either in a single stage (surgery) at the same time as mastectomy or as 2 or more stages with multiple surgeries. Patients also have the option of delayed reconstruction, where they can undergo treatment to restore their breasts at a later time, often after they are finished with their cancer treatments.

Breast Reconstruction Before and after - Goldberg Plastic Surgery Beverly Hills

*Individual Results May Vary

Case study

Description:

48 year old female with history of left breast cancer. She underwent left breast cancer lumpectomy and radiation.

Patient was unhappy with the lumpectomy deformity that cause significant breast asymmetry and pain.

Surgery:

  • Left breast lumpectomy defect reconstruction with DIEP flap – using tissue from the abdomen.
  • Right breast augmentation for symmetry

Photo Gallery

What To Expect Following Your Breast Reconstruction

Following your surgery, Dr. Goldberg and her team will provide you with detailed post-care instructions. If you have any questions regarding your recovery period, you can reach the team directly at the contact detail they provide.

After surgery, gauze or bandages will be applied to your incisions. This will minimize swelling and give additional support to the reconstructed breast(s) during your healing process. A thin tube may be placed under the skin to drain any excess fluid as you heal.

Most patients will remain in the hospital for 1 to 3 days depending on the reconstructive techniques. On average, patients may return to work at 4 weeks after a breast reconstruction.

Patients might experience discomfort and swelling in the treated area for several days after their reconstructive procedure. Pain medication can alleviate discomfort and make swelling, irritation, and bruising manageable.

Dr. Goldberg will provide clear instructions on caring for your breasts following surgery, taking medications, and looking for specific concerns. The breast reconstruction recovery process will continue for several weeks while swelling decreases and the breast shape and position settle. Patients should continue to follow recovery instructions and attend follow-up appointments.

Specific Care

You must have an adult drive you home from the facility after your procedure. You are not allowed to drive yourself (this includes taxis and public transportation). Once home, an adult will need to stay with you for at least 24 hours from the time you are discharged from the facility, as you cannot be left alone.

Nutrition & Hydration & Medications

  • You’ll need to drink plenty of fluids to help your body remove the drugs used during surgery.
  • Eating foods that are bland and low-sodium for the first 1 – 3 days following surgery might be tolerated best by your body. You must eat more than crackers and juice. Dr. Goldberg and her team can provide you with a list of foods.
  • Avoid alcohol for at least the first 2 weeks and while the pain medications are being used.
  • Take only medications that have been prescribed by Dr. Goldberg for your post-operative care and follow the instructions on the bottle.

Dressings

  • Dressings need to be kept clean and dry. Dr. Goldberg will advise you when it is okay to remove them.

Physical Activity

  • Minimal activity for the first 48 hours, as this will enable your body to heal properly.
  • Limit lifting, pulling, or pushing for 10 days.
  • Do not put your head down below your waist if you have had facial surgery.
  • You are requested to remain within a reasonable traveling distance of the office for approximately 10 days.
  • Once cleared to shower you may do so.
  • Please do not use the bathtub or hot tub for 4 weeks post-op.
  • No smoking for the first 3 weeks post-operative as this will only delay healing.
  • You may drive after all the following conditions are met: three days after anesthesia, 24 hours after the last pain pill, and when you experience no pain with activity (you need to be able to react quickly).
  • Cardio workouts can be resumed (such as walking) 7 days after your surgery, but you must first be cleared by Dr. Goldberg.

Scarring

  • All surgeries involve some scarring, which can take up to 1 year to fade.
  • Apply sunscreen with SPF 25 or higher to help protect the surrounding tissues.
  • Scar gel can be used once the incisions are well-healed.
Goldberg Plastic Surgery

Types of Breast Reconstruction

One or more techniques can be used to reconstruct the breasts. These options include:

  • Implant reconstruction
  • Tissue expander and implant reconstruction
  • Autologous flap reconstruction (using your own tissue)
  • Hybrid reconstruction (tissue flap and implants)

1-Stage Implant Reconstruction: Direct-to-Implant

Direct-to-implant (DTI) breast reconstruction is a modern technique that completes mastectomy and breast reconstruction in one surgery. This technique involves Dr. Golberg installing a silicone gel breast implant immediately after a breast cancer surgeon performs a mastectomy to remove the breast tissue. It is common for Dr. Goldberg to use mesh products (acellular dermal matrix) to support the tissue’s regenerative process.

DTI breast reconstruction is an ideal option for those who can have mastectomies that spare the nipple and those in the early stages of breast cancer. DTI breast reconstruction is especially advantageous for a faster return to a natural body image. This is because the procedure offers simplicity and avoids multiple surgeries and recovery periods.

2-Stage Implant Reconstruction: Tissue Expander

The 2-stage breast reconstruction method uses 2 surgeries (stages) to recreate breasts after a mastectomy. In the first stage, the surgeon performing the mastectomy removes the breast tissue. During that same surgery, Dr. Goldberg will place a tissue expander (balloon-like device) into the breast pocket to create a new breast shape. This is similar to DTI reconstruction, except a tissue expander is placed initially instead of a permanent implant.

In the second stage, the tissue expander will be removed and replaced with permanent silicone breast implants.

It is common for patients to require minor adjunct procedures, such as:

  • Capsulotomy (opening the capsule)
  • Capsulorrhaphy (tightening of the capsule)
  • Fat grafting (fat injections)
  • Removal of excess skin

Breast reconstruction using the 2-stage method is ideal for patients who desire larger breasts than their original breast size. This is because the tissue expander allows for stretching of the breast skin and placement of larger implants at the final stage of the reconstruction.

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Prepectoral Implant Reconstruction Technique

The prepectoral breast reconstruction technique can be used for 1-stage or 2-stage implant reconstruction. Traditionally, implant reconstruction involves placing the implant or tissue expander completely under the chest muscle (submuscular placement) or partially under the muscle and partially under an acellular dermal matrix (dual-plane placement). This can lead to significant pain after surgery and animation deformities.

Dr. Golberg positions the implants under the mastectomy skin flap but above the muscle, and she uses an acellular dermal matrix mesh to support the implant. This preserves the function of the pectoralis major muscle and chest wall to reduce postoperative pain.

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DIEP Flap Reconstruction

The DIEP flap method reconstructs the breast using the patient’s abdominal tissue. Skin, fat, and blood vessels (perforators) from the deep inferior epigastric perforator (DIEP) artery in the lower abdomen are moved to the chest to rebuild the breast. DIEP flap reconstruction does not cut or remove muscle, which reduces recovery time and the risk of losing abdominal muscle strength.

A DIEP flap is ideal for women who would like to have a more flat and lean stomach area, as the results are similar to what can be achieved with a tummy tuck procedure. After the donor tissue is removed, the remaining tissue is smoothed over the abdomen and the navel is reshaped. Although a DIEP flap can leave a horizontal scar across the hips, it can be easily hidden below the bikini line.

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PAP Flap Reconstruction

The profunda artery perforator (PAP) flap is one of the most groundbreaking breast reconstruction techniques used today. It uses skin and fat tissue from your inner thigh and the profunda artery perforator blood vessel. State-of-the-art microsurgery rebuilds the breast by reattaching the blood vessel and thigh tissue to the chest.

The PAP flap is ideal for patients who do not have enough abdominal fat for a DIEP flap. Patients who wish to have a completely natural breast reconstruction without using an implant are also good candidates for a PAP flap.

As one of the leading surgeons in reconstructive surgery, Dr. Goldberg was one of the first to offer the PAP flap to patients in Los Angeles, California. Now, it has become one of the most popular breast reconstruction procedures in her practice.

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Extended Abdomen Flap (Love Handle Tissue) Reconstruction

If you have excess tissue in the form of love handles, the extended abdomen flap reconstruction technique may be right for your breast reconstruction. With this method, Dr. Goldberg can repurpose the lower abdomen and love handle tissues to achieve natural-looking breast reconstruction. The extended abdomen flap offers a great deal of flexibility, as it is a combination of the DIEP flap and DCIA (deep circumflex iliac artery) flap techniques.

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SGAP Flap (Buttock Tissue) Reconstruction

An SGAP flap uses the superior gluteal artery perforator blood vessel and skin and fat from the upper buttocks and hips to reconstruct the breast. Dr. Goldberg uses microsurgery to meticulously reattach the blood vessels of the flap to blood vessels in your chest to promote survival of the skin and fat tissue.

The SGAP flap method is great for patients who desire a tighter, more lifted butt, as the skin and fat are removed similar to how a buttock lift is done. Good candidates for an SGAP flap are women who don’t have adequate abdominal tissue for a TRAM, DIEP, or SIEA flap. The SGAP flap leaves an inconspicuous scar near the top of your buttocks that can be easily covered by a swimsuit or underwear.

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Hybrid: DIEP Flap and Implant Reconstruction

A hybrid breast reconstruction combines a DIEP flap with a breast implant to restore volume and shape to your breast. This method offers several advantages over a strictly implant-based or tissue-based breast reconstruction. The autologous DIEP flap provides soft tissue coverage for the implant, which creates natural-looking results and reduces the risk of visible implant rippling through the skin. Also, the newly created breast size is not limited to the tissue volume produced from the donor site, as the implant can create enhanced breast volume and projection.

Candidates for hybrid breast reconstruction may have a small amount of excess abdominal tissue that can be supplemented with an implant. Those who still require radiation after mastectomy can also benefit from this procedure, as it uses healthy, non-radiated tissue from the abdomen. Dr. Goldberg is one of the few expert reconstructive surgeons in the country who offers this breast reconstruction option.

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Delayed Breast Reconstruction

For some patients, 1-stage (immediate) breast reconstruction is performed at the same time as their mastectomy. However, a delayed breast reconstruction can be performed weeks, months, or even years after mastectomy or lumpectomy.

Patients may desire delayed reconstruction because of a medical condition, their current stage of breast cancer, or their personal lifestyle choice. Patients who undergo delayed breast reconstruction have the advantage of having additional cancer therapy without disrupting the already reconstructed breast(s).

No matter how long you wait to consider reconstructive care, it is never too late to seek breast reconstruction. Dr. Goldberg believes that every woman should have the opportunity to receive breast reconstruction that satisfies her aesthetic goals and encourages her emotional well-being.

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Transgender Patient Breast Reconstruction

Transgender breast reconstruction is a gender-affirming surgery designed to provide relief to patients experiencing gender dysphoria. Male to female (MTF) top surgery and female to male (FTM) top surgery are the primary categories for transgender breast procedures.

Male to female breast reconstruction provides feminization of the chest using breast reconstruction techniques. However, constructing breasts for transgender women is very different from breast augmentation in cisgender women. As a specialist, Dr. Goldberg understands the unique differences in chest anatomy and uses customized techniques to meet your aesthetic needs.

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Goldberg Plastic Surgery

Dr. Goldberg can restore your breast
back to its form using your own tissue.

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What Is Revision Breast Reconstruction?

Dr. Goldberg offers breast reconstruction revision for patients who are unsatisfied with their initial breast reconstruction results. Patients may find that their breast shape, volume, or symmetry has become distorted due to breast implant or tissue flap complications.

Revision breast reconstruction may also include a capsulectomy, implant replacement, and/or additional techniques to resolve breast reconstruction complications. Revision breast reconstruction can create more attractive, satisfactory, and harmonious results than your initial reconstruction.

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Breast Reconstruction (Hybrid) Before and after - Goldberg Plastic Surgery Beverly Hills

*Individual Results May Vary

Case study

Description:

68 year old female who presented to Dr. Goldberg for a breast reconstruction revision.

Patient was unhappy with the lumpectomy deformity that cause significant breast asymmetry and pain.

Surgery:

Left breast implant removal. The pectoralis major muscle was placed back down on the chest. Dr. Goldberg performed a latissimus dorsi myocutaneous flap to provide new healthy tissue and placement of a new implant – Hybrid reconstruction (latissimus dorsi myocutaneous flap plus an implant).

Results:

The patient is happy and her pain resolved.

Photo Gallery

Beverly Hills Breast Reconstruction & Plastic Surgery: Frequently Asked Questions

How much does breast reconstruction cost in Beverly Hills?

The complete cost of breast reconstruction surgery depends on the extent of the reconstruction and the technique(s) used. Breast reconstruction costs will also include additional factors such as medical imaging, facility fee, anesthesia fee, and prescription medications.

Will my insurance cover breast reconstruction surgery in Beverly Hills?

Federal law requires that health insurance companies in the United States cover breast reconstruction costs as part of a woman’s breast cancer treatment. Whether you live in Santa Monica, Beverly Hills, West Hollywood, or anywhere in the greater Los Angeles area, Dr. Goldberg and her team will work with your insurance provider to get the best care for you.

What kind of anesthesia is used for breast reconstruction in Beverly Hills?

Breast reconstruction plastic surgery is performed with general anesthesia for patient safety and comfort throughout the procedure.

Am I a candidate for immediate reconstruction if I am scheduled to undergo chemotherapy in Beverly Hills?

Immediate reconstruction is when breast reconstruction is performed at the same time as your mastectomy. Patients still undergoing chemotherapy, radiation therapy, or other cancer treatments will not be suitable candidates for immediate reconstruction, as these treatments might impair the healing of the reconstructed breast(s). Beverly Hills and Los Angeles patients can undergo delayed reconstruction after they finish their cancer treatments.

At Dr. Goldberg’s practice, your health and safety are a top priority. Patients might require clearance from their oncologist before proceeding with reconstructive surgery.

Will my breast reconstruction look natural?

Breast reconstruction techniques are designed to look and feel as natural as possible. Breast reconstruction is performed with breast implants, flap techniques, tissue expansion, or a combination of these methods. Flap methods use donor tissue from your body, and breast implants can imitate natural tissue.

Dr. Goldberg will discuss all of your options for a natural appearance during your consultation.

If I only need reconstruction on one breast, will I need additional plastic surgery on the other?

Patients who only need to reconstruct one breast have the option to undergo cosmetic surgery on the other breast. To create a more balanced, symmetrical appearance, patients can choose to have breast augmentation surgery, breast reduction surgery, or breast lift surgery on the breast opposite of the reconstructed breast.

What are the risks of breast reconstruction?

During your Beverly Hills consultation and meetings prior to surgery, Dr. Goldberg will thoroughly explain all the risks and side effects associated with breast reconstruction surgery. Patients will be asked to sign consent forms stating that they fully understand the procedure and any potential complications.

The possible risks of breast reconstruction include, but are not limited to:

  • Infection
  • Bleeding
  • Poor incision healing
  • Partial or complete loss of the flap
  • Loss of sensation at the donor or reconstruction site
  • Capsular contracture
  • Implant rupture

Does breast reconstruction decrease my chances of getting breast cancer again? Will it make cancer detection harder?

Breast reconstruction plastic surgery does not decrease your chances of breast cancer recurring or make it harder to detect if cancer does return. Your oncologist will use specialized examinations to screen for recurrence.

Does Dr. Goldberg have breast reconstruction before and after photos?

Dr. Goldberg can provide breast reconstruction before and after photographs during your consultation to help give you a better idea of similar plastic surgery treatment outcomes. Visit our breast reconstruction photo gallery to see some of Dr. Goldberg’s patient results, including breast augmentation and double mastectomy breast reconstruction images.

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