Maria LoTempio - Plastic Surgery for Woman

After a mastectomy, many women feel as though they’ve lost a part of their feminine identity. One of the reasons Dr. LoTempio chose to specialize in breast surgery and microsurgical breast reconstruction is that this is a very personal form of surgery. Many women simply feel more comfortable and understood when being treated by a female surgeon—someone who can immediately empathize with their needs and concerns.

The goal of breast reconstruction is to create a breast that looks and feels natural—to restore the femininity that women may feel was taken away. Dr. LoTempio is an expert in the modern microsurgical techniques that are making this goal more achievable than ever before. Her unique training enables her to take live skin and fatty tissue from the abdomen, medial thigh, or buttock and move it to the breast, using microsurgery to re-attach the blood vessels and nerves. This gives patients a new breast that is alive and natural without the use of implants or interference with the abdominal muscles.

Dr. LoTempio specializes in breast reconstruction procedures including:

DIEP FLAP Deep Inferior Epigastric Perforator Flap
Skin and fatty tissue are taken from the abdomen and used to replace the skin and tissue removed from the breast during mastectomy, resulting in a soft, natural, reconstructed breast.

SIEA FLAP Superficial Inferior Epigastric Artery Flap
Just as in the DIEP flap procedure, skin and tissue are taken from the abdomen to reconstruct the breast. In the SIEA flap, however, the blood vessels in the lower abdomen, just beneath the skin, are used.

LoTempio Plastic Surgery offers a new technique using the posterior thigh - the area under the buttock that is almost impossible to get rid of from exercise and diet. This tissue provides a wonderful shape of a natural breast. The operation is very similar to the transverse gracilis free flap, however the scar is imperceptible, a huge advantage for women who want to wear that tiny bikini! In addition, the patient receives a mini thigh lift.

Example of a PAP Flap procedure

TUG FLAP Transverse Upper Gracilis Flap
Skin, fat, and muscle from the inner part of the upper thigh are used to construct a natural reconstructed breast. Many patients prefer this surgery as it involves no abdominal tissue and they may also receive an "inner thigh lift" as a result of the surgery.

Click to see Procedural Diagrams

SGAP FLAP (bilateral simultaneous) Gluteal Artery Perforator Flap
Skin, fat, and blood vessels are removed from the gluteal area, using a small incision on the upper buttock, and are used to replace breast skin and tissue. This procedure is useful for women who do not have adequate abdominal tissue for the DIEP Flap procedure.

Click to see Before and After Pictures

I-GAP FLAP (bilateral simultaneous) Inferior Gluteal Artery Perforator Flap
One of the newest techniques in use, the I-GAP takes skin and fat from the lower buttock to replace tissue removed during mastectomy. The incision is hidden in the crease below the buttock, so scarring is almost invisible.

Example of an I-GAP Flap procedure

Many women who have undergone breast reconstruction may be unsatisfied with the size and shape of their breasts. With fat grafting to the breast we can increase the volume and obtain the shape you desire in a few hours of treatment. This is a nice option when the DIEP or any flap is too small or has an awkward shape to it.

Before and After Pictures
Contact - Dr. Maria LoTempio