Semin Plast Surg 2004; 18(2): 157-173
DOI: 10.1055/s-2004-829050
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001 USA.

Breast Reconstruction in Private Practice

Steven M. Pisano1 , Peter R. Ledoux1 , Chet L. Nastala1
  • 1Plastic, Reconstructive, and Microsurgical Associates of South Texas, P.A., San Antonio, TX
Further Information

Publication History

Publication Date:
14 June 2004 (online)

Preview

Comprehensive breast reconstruction can be performed in private practice. Our practice philosophy is that autogenous tissue provides the best substrate for breast reconstruction; the deep inferior epigastric perforator flap is our primary method of breast reconstruction. Microsurgical training and a group practice model permit routine use of all autogenous tissue techniques. Office, operating room, and hospital teams must be assembled; these teams follow clinical pathways, which make the execution of reconstructive procedures consistent and efficient. The practice must implement a plan for physician and patient education. The practice must review clinical outcomes, making adjustments in operative techniques and pre- and postoperative clinical pathways so that the best results can be achieved with a low complication rate. Breast reconstruction is a core service of our practice. We have accrued an economy of scale including these features: intraoperative and clinical efficiency, low practice overhead costs, and a high patient satisfaction rate.

REFERENCES

Steven M PisanoM.D. 

Plastic, Reconstructive, and Microsurgical Associates of South Texas

P.A., 4499 Medical Drive, Suite 311

San Antonio, TX 78229