Name: FusionMD Cosmetic Surgery
Address: 550 Biltmore Way, Suite 105, Coral Gables, FL, 33134, US
Telephone: (305) 686-1122
Rating: 5.0

Your Body, Your Call

Breast cancer treatment often means making several big decisions quickly. Some people choose to have reconstruction during their mastectomy, while others prefer to wait. At FusionMD Cosmetic Surgery in Coral Gables, we start by looking at your remaining tissue, treatment schedule, past surgeries, radiation therapy, and the recovery you feel comfortable with. Our goal is to create a stable breast shape, not to make an exact copy of your original breast.

More Than One Way Forward

What is Breast Reconstruction?

Breast reconstruction is a surgery to rebuild the breast after a mastectomy, lumpectomy, injury, or a previous reconstruction. The surgeon can use an implant, a tissue expander, fat grafting, or your own tissue. Reconstruction can start during breast cancer surgery or after treatment is finished. Many women choose reconstruction, but others prefer a flat closure or an external breast form. During your consultation, you should learn about scars, changes in sensation, recovery, and any other possible procedures.

Breast Reconstruction at a Glance

Best for: Rebuilding one or both breasts after tissue loss
Treatment type: Implant-based, natural-tissue, or combined surgery
Downtime: Four to six weeks after many implant procedures; longer after a flap
Pain level: Moderate tightness and soreness
Treatment length: Several hours
Results: Visible early; settling continues for months
Longevity: Natural tissue can last for years; implants need monitoring
Pricing: Based on anatomy, technique, facility, anesthesia, and stages

Find Your Why

What concerns does Breast Reconstruction treat?

Breast reconstruction treats loss of shape and asymmetry after cancer surgery, injury, or an earlier operation. It may address:

Loss of only one breast or both breasts after mastectomy
A contour depression after lumpectomy
Uneven breast size after breast cancer treatment
A reconstructed breast that is painful or unstable
Implant rippling, rupture, or displacement
Scar tissue around an implant
Radiation-related changes
Loss of the nipple and areola

Breast Reconstruction Miami Coral Gables

Better Balance

What are the benefits of Breast Reconstruction?

Reconstruction can help restore your shape under clothing, improve symmetry, reduce the need for an external prosthesis, or fix a painful implant reconstruction. However, reconstruction cannot promise normal sensation, perfect symmetry, or a chest without scars. A good plan will balance how you look with tissue health and long-term support.

The Green Lights

Who is a good candidate for Breast Reconstruction?

You are a good candidate if you are healthy enough for surgery, understand the pros and cons, and your treatment plan allows for reconstruction.

You may be a good candidate if…

You are planning a mastectomy or have completed cancer surgery
You have a defect after lumpectomy
Your health and weight are stable
You do not use nicotine
You can follow wound-care and lifting restrictions
You accept scars, reduced sensation, and possible staged surgery

Breast Reconstruction may not be the right fit if…

Breast Augmentation with Lift may not be the right fit if…

Having an active infection, uncontrolled illness, using nicotine, or not having enough help at home can make healing harder. Radiation, breast size, skin quality, body type, abdominal tissue, and previous scars also affect whether reconstruction is right for you.

Before the Big Day

How should I prepare for Breast Reconstruction?

Collect your medical records, including pathology reports, imaging, surgery notes, implant details, and any radiation summaries.
Make sure your surgical oncologist, oncology team, and reconstructive surgeon are all on the same page about timing.
Complete testing. Laboratory work or medical clearance may be required.
Stop using nicotine. Smoking and vaping lower blood flow and can slow down healing.
Review medications. Ask which prescriptions and supplements need adjustment.
Arrange for someone you trust to drive you home and help with drains, meals, children, or pets.
Confirm benefits. Check authorization, network status, deductibles, and later-stage coverage.
Get your home ready by setting out front-closing shirts, pillows, easy-to-make meals, and any garments your doctor recommends.

Shape Takes Form

How is Breast Reconstruction performed?

Breast reconstruction surgery is done under general anesthesia. If you have immediate reconstruction, the surgical oncologist will do the mastectomy, and the reconstructive surgeon will check your skin, blood supply, chest muscles, scars, and space for the new breast mound. Your breast can be rebuilt with an implant, tissue flap, fat grafting, or a mix of these. The other breast may be lifted, enlarged, or reduced for balance. Later steps might include changing the implant or reconstructing the nipple.

Implant-based Reconstruction

A tissue expander may be placed beneath the skin or chest muscle, filled gradually, then exchanged for a saline or silicone implant. Selected patients may qualify for direct-to-implant reconstruction. Recovery from implant reconstruction is usually shorter at first than with natural tissue reconstruction. Keep in mind, breast implants are not meant to last a lifetime. Problems like rupture, infection, rippling, shifting, or hardening around the implant may mean you need another surgery.

Autologous Reconstruction

Autologous reconstruction uses natural tissue from the abdomen, back, thigh, or buttock. A pedicled flap stays connected to its original blood supply. A free flap is detached and reconnected with microsurgery. A TRAM flap uses skin and fat from your lower abdomen, along with some or all of the transverse rectus abdominis muscle. Other types of flaps save more muscle. The scar may look like a tummy tuck scar, but the surgeries are different.

Fat Grafting and Nipple Reconstruction

Fat grafting can help soften the edges of an implant and fill in small dents. Some of the fat may be absorbed, so you might need another session. Nipple reconstruction and areola tattooing are usually done after the breast mound has settled. A nipple-sparing mastectomy may preserve the nipple in selected breast cancer patients. Cancer location, anatomy, and blood supply determine safety.

The Days After

Recovery after Breast Reconstruction

Most people have swelling, tightness, bruising, tiredness, and less arm movement after surgery.

Social downtime

Many implant patients return to desk work within two to four weeks. Flap patients commonly need longer.

Physical downtime

You can start walking soon after surgery. However, you will need to avoid lifting, upper-body exercise, swimming, and sleeping on your chest until your doctor says it is safe. If you have a flap procedure, you will have a second healing area and usually stay in the hospital longer.

Recovery timeline

Swelling and limited movement are most noticeable in the first two weeks. Most people see improvement in how they feel and move over four to six weeks after implant surgery. The tissue keeps settling for several months.

Provider aftercare tips

The Miami heat can make wearing support garments uncomfortable, and new scars need to be protected from the sun. Call your doctor if you notice more swelling, redness, fever, drainage, worse pain, pain in your calf or chest, shortness of breath, or a sudden change in breast color.

When will I see results from Breast Reconstruction?

You will see your reconstructed breast soon after surgery, but at first it will look swollen, firm, and may sit higher than expected. The tissue softens over three to six months. The last stage may include changing the implant, fat grafting, nipple reconstruction, or surgery on your natural breast.

How long do Breast Reconstruction results last?

Reconstruction with your own tissue can last for many years and will change as your weight, pregnancy status, or age changes. If you have implants, you will need regular check-ups for life. If you have silicone implants, you may need scans from time to time to check for silent ruptures, as current guidelines suggest.

Scars after Breast Reconstruction

Scars may cross the breast, sit around the areola, or follow the breast fold. Abdominal, back, or thigh tissue creates a second scar. Scars may look pink, dark, firm, or raised at first, but they usually soften over 12 to 18 months. Using silicone products, massaging the scar after your doctor says it is safe, and protecting it from the sun can help. The Miami sun can darken new scars quickly.

Breast Reconstruction vs. Breast Augmentation

	Breast Reconstruction	Breast Augmentation
Purpose	Rebuilds shape after breast tissue loss or cancer surgery	Adds volume to an existing breast
Methods	Implant, expander, flap, fat grafting, or combination	Implant or fat transfer
Stages	Often requires more than one procedure	Commonly one main surgery
Care team	May involve a surgical oncologist and reconstructive plastic surgeon	Usually managed by the operating surgeon

Can Breast Reconstruction be combined with other procedures?

You can combine reconstruction with other procedures like a breast lift, breast reduction, fat grafting, scar revision, implant exchange, nipple reconstruction, or surgery on the other breast. Doing more than one procedure at once means fewer separate recoveries, but it also means longer surgery and more healing at the same time.

Why choose FusionMD for Breast Reconstruction in Miami?

Dr. Joshua Scurlock is a board-certified cosmetic surgeon with general surgery residency and fellowship training through the American Academy of Cosmetic Surgery. His practice includes complex breast revision, implants, breast lift, breast reduction, fat transfer, and scar management. This experience is important when previous surgery has changed your skin, breast tissue, implant pocket, or blood supply. During your consultation, you should learn about the best method for you, any tradeoffs, and whether a microsurgical team would be safer. FusionMD is located at 550 Biltmore Way, Suite 105, in Coral Gables. Call (305) 686-1122 or request a consultation online.

Breast Reconstruction Frequently Asked Questions

How much does Breast Reconstruction cost in Miami?

Pricing reflects the method, one or both breasts, operating time, anesthesia, facility fees, implants, donor-site surgery, and number of stages. Mastectomy-related reconstruction may have insurance benefits. Confirm authorization, network status, deductibles, and coinsurance before surgery.

Breast Reconstruction Miami, FL