SWIM Flap Breast Reconstruction
in Beverly Hills
Reconstruction Without Implants
Why Choose The Practice Plastic Surgery for SWIM flap breast reconstruction?
SWIM breast cancer reconstruction is a unique procedure that allows for the breast to be reconstructed without the use of implants or free flaps from other areas of the body. This is a great alternative for women who want a breast reconstruction without implants. This innovative breast reconstruction technique, which stands for Skin-sparing, Wise pattern, Internal Mammary perforator, was developed by our leading plastic and reconstructive surgeon, Dr. Lisa Cassileth, and breast surgeon, Dr. Heather Richardson, inventor of the Goldilocks mastectomy.
SWIM Flap Breast Reconstruction at a Glance
- Reconstruction after mastectomy using the patient’s own tissue instead of breast implants.
- A “middle-ground” alternative between “going flat” and implant reconstruction.
- Does not require a free flap from another area of the body.
- Unlike two-sage reconstruction, does not require a second surgery.
- A good option for mastectomy patients with larger-sized breasts.
More Options for Mastectomy Patients
What is SWIM Flap Reconstruction?
SWIM flap reconstruction was developed as an alternative to the traditional options available to mastectomy complex reconstruction or complete removal of the breast without reconstruction. It is an evolved version of the Goldilocks mastectomy, which was pioneered by Dr. Heather Richardson, one of our esteemed partners at the Bedford Breast Center. The Goldilocks method maintained a small breast shape without implants, but it did not preserve the nipple.
Collaboration between Dr. Richardson and our own Dr. Lisa Cassileth produced the SWIM flap reconstruction technique, which preserves the nipple. The result looks more like a small sized-breast reduction, although it is, in fact, a complete nipple-sparing mastectomy.
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Swim Flap Before & Afters
Reconstruct With Your Own Tissues
What is the SWIM flap breast reconstruction procedure like?
In Swim flap reconstruction, the mastectomy and breast reconstruction are performed in one surgery. During the mastectomy, the breast surgeon precisely excises the breast tissue, while preserving the healthy skin and subcutaneous fat. Next, the plastic surgeon meticulously shapes and sculpts the preserved tissue, creating a natural breast shape, with the nipple intact.
There is no tissue transfer from other areas like the abdomen, back, or buttocks. The outcome is a breast that is smaller but similar in shape to your natural breast. The incisions from SWIM flap reconstruction are similar to those of a breast reconstruction.
Heal on Your Terms
What are the benefits of SWIM Flap Breast Reconstruction?
SWIM flap breast reconstruction uses the patient's own breast skin and fat leftover following the mastectomy to recreate a new, smaller breast mound.
Potential benefits of SWIM flap breast reconstruction:
Natural-looking appearance
The patient’s own breast tissue is used, creating a more natural-looking result than breast implants.
The nipple is preserved
Our nipple-sparing technique provides the look of a natural breast.
Permanent results
The outcome is permanent and does not require the maintenance that comes with breast implants.
Better symmetry
The breast tissue is carefully sculpted for improved symmetry between the breasts.
Decreased complication risk
SWIM flap reconstruction is an autologous procedure, meaning all the tissue comes from the patient’s own body. This comes with a reduced risk of complications compared to implants.
Enhanced quality of life
Breast reconstruction can contribute significantly to a positive body image and better self-confidence after going through breast cancer.
Deciding on the Best Path for You
Am I a candidate for SWIM flap breast reconstruction?
SWIM flap reconstruction typically works best for patients with larger breasts. It is a good option for patients who want to avoid implant reconstruction, and those who don’t want the multiple surgeries required for DIEP flap and TRAM flap techniques. The SWIM flap method can also be a good fit for patients who have certain health issues that preclude other forms of reconstruction.
Restore Your Health and Confidence
SWIM Flap Reconstruction Recovery and Results
Recovery can take several weeks to months, depending on the extent of the surgery and your individual healing process. Normal side effects include bruising, swelling, and discomfort. With proper care and attention, the healing process progresses smoothly, and most patients return to work within two weeks. Your surgeon will provide pain medication and may have you wear compression garments to help with swelling during the initial healing period.
Other instructions include refraining from strenuous exercise and heavy lifting for several weeks. The doctor will examine you and check your healing at follow-up visits. It’s very important to follow aftercare instructions, attend all of your post-operative appointments, and contact the after care team any time you have questions or concerns. Early recovery will typically take a few weeks, while full healing can take several months. As you gradually return to various activities, you will be able to enjoy the full results of your procedure—a naturally restored breast shape and preserved nipples without the ongoing maintenance of breast implants.
SWIM Flap Breast Reconstruction
Frequently Asked Questions
The overall procedure time depends on the degree of reconstruction needed and the amount of tissue used to preserve the nipple. Surgery typically takes several hours.
We generally advise patients to spend a few days at an aftercare facility to receive nursing care and guidance during early recovery. After returning home, patients should take several weeks to rest. Light exercise is usually okay after about two weeks, but you will need to avoid heavy lifting for six weeks. We recommend that out-of-town patients stay in the Los Angeles area for at least ten days after surgery.
Both SWIM and direct-to-implant help to restore a more natural-looking breast appearance following mastectomy. SWIM flap reconstruction relies on reshaping the patient's autologous tissue rather than using implants to restore volume. Your surgeon will walk you through your options to help you determine the best approach for your goals and medical history.
