Skinny Patient Reconstruction


Skinny Patient Donor Sites

Donor tissue for natural tissue breast reconstruction from skinny patients offers additional challenges that are easily overcome.

Am I Suitable for Breast Reconstruction?
  • Natural Tissue Construction

    Complete with their own blood supply DIEP Flaps are recognised as the best reconstructive solution.

  • Leading UK Breast Reconstruction Surgeon

    Based at Christies, Manchester, Mr Kusotic is the leading UK surgeon in PAP Flap proceedures.

  • Feel Normal Again

    Using our Microsurgical Breast Reconstruction techniques that use your own tissue; we can help make you feel whole again.

Tissue transplanted from the Upper Thigh area and used to Rebuild the Breast

PAP Flap is a micro surgical proceedure using tissue delicately lifted from a donor site and moved to a recipient site with an intact blood supply. This flap procedure is unlike a graft, which does not have an intact blood supply and therefore relies on growth of new blood vessels. The measurements are precise resulting in a accurate reconstruction.

PAP & LTP Flap Breast Reconstruction

Unfortunately, most thin women in UK will be offered implant-based breast reconstruction. This is because there is not enough volume to use the abdomen (DIEP flap) for natural tissue breast reconstruction. Implants are associated with a variety of short-term and long-term complications, which may necessitate their removal or revision surgeries.

However, new techniques and concepts to specifically help skinny women have been pioneered and are now available. These include the use of inner thigh (PAP flap), outer thigh (LTP flap) and ‘stacked flaps’. Mr Kosutic is one of the few plastic surgeons in UK, who offers these techniques to thin women to provide natural tissue breast reconstruction. These skills have been mastered from his time spent working with Dr Robert Allen and Dr Joshua Levin, the pioneering proceedure surgeons from New York.

These surgeries are made faster, safer and more reliable with advanced medical imaging systems and Mr Kosutic and his team will use these in planning your procedure to reduce complications to a minimum.

Prior to organising surgery, Mr Kosutic will assess the blood supply to various body areas to advise which one would be the most suitable option for each individual patient. Decision on where to harvest the tissue for your breast reconstruction is therefore highly individualized and can be tailored to both your own body and your choice. Mr Kosutic will discuss all potential options in detail so patient is fully informed and reassured before decision on surgery.

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