Composite stacked flap surgery is an advanced breast reconstruction technique that is usually selected when a single flap is not enough. Plastic surgeons utilize tissue flaps from multiple donor sites to rebuild the breast mound. This may include combining the TRAM flap and latissimus dorsi flap or using flaps from the abdomen, buttocks, or thighs – depending on your anatomy and the surgeon’s expertise.

Dr. Rahul Vemula, a board-certified plastic surgeon based in Monmouth County NJ, is a seasoned practitioner in this type of autologous breast reconstruction. The surgeon takes a compassionate and individualized approach to deliver the best possible outcome for New Jersey breast cancer survivors who are suited for this technique.

Am I a good candidate for composite stacked flap surgery?

Composite stacked flap breast reconstruction is a complex surgical technique that involves the use of multiple tissue flaps to create a natural-looking and feeling breast mound. You may be a good candidate for this breast reconstruction method if:

• You are in fairly good health to be cleared for surgery. This is important for Dr. Vemula to be able to carry out the operation with minimal risk.
• There has been extensive damage to breast tissue as well as tissue loss due to radiation and mastectomy. This technique allows the patient to regain the anatomical and functional integrity of previously damaged tissues.
• You have adequate/suitable donor sites. Multiple flaps are required for this surgery and they are derived from various areas of the body such as the abdomen, thighs, back, and buttocks.
• You prefer autologous breast reconstruction as opposed to implant-based reconstruction. Flaps from your own tissue tend to result in a more natural feel and size.
• You have realistic expectations about the outcome of this procedure.

Benefits of composite stacked surgery

Some of the benefits of the composite stacked flap breast rebuilding technique include the following:

• A more natural and pleasing aesthetic.
• Potential for single-stage Reconstruction. Composite stacked flap reconstruction may sometimes be performed as a single-stage procedure. This eliminates the need for multiple surgeries and reduces overall treatment time.
• Restored functionality and anatomical structure of damaged breast tissue (thus enabling a sense of normalcy).
• Avoids complications that come with breast implants (e.g. leaking or rupture).
• A tailor-made approach to suit your preferences in terms of breast size and shape. Individual circumstances such as the extent of breast tissue loss are also taken into account.
• Sustainable for long periods of time. The use of autologous tissues promotes proper blood flow and thus reduces complications related to the blood supply. This also minimizes the likelihood that revision surgeries will be required.