Whether performed at the time of mastectomy or later, breast reconstruction aims to restore the breast’s shape safely and harmoniously. Together, we will decide the best timing based on your medical needs, cancer treatment, and personal goals—always prioritizing your physical and emotional well-being.
When using your own tissue for reconstruction, I employ microsurgical flaps such as DIEP, PAP, TUG, or SGAP. These techniques create a natural breast using skin and fat from other areas of your body while preserving muscle function, resulting in a more natural look and smoother recovery.is to support both physical recovery and emotional wellbeing after cancer treatment.
In appropriate cases, I perform implant-based reconstruction enhanced with acellular dermal matrix (ADM) or synthetic mesh. These materials provide additional support and help achieve better projection and symmetry, offering reliable results with a shorter surgical time.
Hybrid reconstruction combines the structure of implants with the softness and natural contour provided by fat grafting. This approach allows us to achieve a personalized and natural result in both shape and texture, tailored to your unique body.
If you have had a prior reconstruction that no longer meets your expectations or has changed over time, I offer revision surgeries to improve shape, symmetry, and comfort. Each case is approached with care and precision to help you achieve results that truly align with your needs.
After tumor removal in the head and neck region, I reconstruct complex defects to restore both function and appearance. Procedures like orbital exenteration or maxillectomy require precise reconstruction to support vital structures, improve aesthetics, and enhance quality of life.
Following soft tissue sarcoma removal in the limbs, reconstruction is essential to preserve mobility and contour. I use advanced reconstructive techniques to cover defects, restore tissue integrity, and maintain limb function for optimal recovery.
For complex oncological defects, I utilize local and free flaps such as anterolateral thigh (ALT), superanterior lateral thigh (SALT), and lateral circumflex femoral artery (LCFA) flaps. These options provide reliable tissue coverage and help restore form and function in challenging cases.earance. This procedure often brings immediate physical relief and improved self-image.
I treat a wide range of hand conditions, including traumatic injuries and degenerative diseases such as Dupuytren’s contracture, nerve compression syndromes, and arthritis. My goal is to restore function, relieve pain, and improve hand mobility.
For complex hand injuries or defects, I use local or free flap techniques to provide durable soft tissue coverage. These reconstructive options protect underlying structures and promote optimal healing.o highlight your natural shape while maintaining a smooth and safe recovery.
Microsurgery allows me to precisely repair damaged tendons and peripheral nerves in the hand. This specialized approach enhances functional recovery and reduces long-term disability.
In cases of traumatic amputation or severe injury, I perform revascularization and digit replantation to save fingers and restore blood flow, maximizing the chance for functional recovery.
I perform nerve repairs using grafts or synthetic conduits to bridge damaged nerve segments. This technique promotes nerve regeneration and helps restore sensation and movement.
When nerve function cannot be fully restored, I utilize functional tendon transfers to reestablish lost movement by rerouting healthy tendons to compensate for paralysis or weakness.
I address both traumatic and iatrogenic nerve injuries with precise surgical intervention to repair or decompress nerves, aiming to reduce pain and improve function.
Complex nerve cases often require collaboration with neurosurgeons and other specialists to provide comprehensive care and achieve the best outcomes for my patients.
I use free gracilis muscle transfer to restore dynamic facial movement in patients with facial paralysis. This microsurgical technique enables voluntary smile and expression by reanimating the affected side.
Nerve transfer procedures, such as masseteric or hypoglossal transfers, reroute functioning nerves to restore facial muscle activity, improving symmetry and voluntary movement.
For patients who are not candidates for dynamic surgery, static suspension techniques provide facial support to improve symmetry and prevent sagging, enhancing overall facial appearance.
I offer eyelid reanimation and periorbital support surgeries to restore eyelid function and protect the eye, improving both aesthetics and ocular health in facial palsy patients.
I perform lymphaticovenous anastomosis to connect lymphatic vessels directly to nearby veins, promoting fluid drainage and reducing lymphedema swelling through minimally invasive microsurgery.
Vascularized lymph node transfer involves transplanting healthy lymph nodes, including options like the omental flap, to restore lymphatic function and improve lymph drainage in affected areas.
For advanced lymphedema cases, I use specialized liposuction techniques to remove excess fibrotic tissue and reduce limb volume, complementing reconstructive procedures.For advanced lymphedema cases, I use specialized liposuction techniques to remove excess fibrotic tissue and reduce limb volume, complementing reconstructive procedures.
By combining microsurgical and supermicrosurgical methods, I offer comprehensive treatment tailored to each patient’s needs, optimizing lymphatic function and improving symptoms.
I provide advanced soft tissue coverage for complex wounds to promote healing, protect underlying structures, and restore form and function using local or free flap techniques.
I offer specialized treatment for burn injuries and problematic scars, including surgical revision and laser therapies, aiming to improve appearance and restore mobility.
When previous surgeries fail or infections cause tissue loss, I perform reconstructive procedures to repair damage, restore anatomy, and optimize patient outcomes.
Mario Cherubino