Breast Reconstruction, Columbus, Ohio: Implants vs. Autologous Tissue

What is Breast Reconstruction?

For women who have undergone mastectomy or lumpectomy for treatment or prevention of breast cancer, the disfigurement can leave emotional as well as physical scars. Plastic surgery can help women cope with the loss of one or both breasts through breast reconstruction.

Columbus, Ohio, plastic surgeon, Dr. Jeffrey H. Donaldson, offers advanced breast reconstruction techniques using implants or the patient’s own body. He often prefers immediate reconstruction, during the same operation as the mastectomy, but he treats many patients months to years after mastectomy as well.

Autologous Tissue Reconstruction vs Implants: Which is Better For Me?

Breast reconstruction without implants is usually performed by moving fat and tissue from other areas of the body to recreate one or both breasts. This technique is called autologous breast reconstruction. Columbus, Ohio, women who may be uncomfortable with silicone gel or saline implants can now consider reconstruction with one’s own tissue at Donaldson Plastic Surgery.

Breast cancer patients who receive radiation therapy may opt for autologous tissue reconstruction because it offers fewer long-term complications and a more realistic “feel” than breast reconstruction with implants in this setting.

Implant-based breast reconstruction is a great option for some mastectomy patients, particularly when no radiation is required. The surgery is usually less complex, but the preparation process can require several weeks.

When it comes to making a final decision on breast reconstruction, Columbus, Ohio,
plastic surgeon, Dr. Donaldson, will evaluate your individual circumstances and help you make the best choice.

How is Autologous Tissue Reconstruction Performed?

Muscle, fat and skin is tunneled to the mastectomy area to reconstruct the breast.

The TRAM Flap (transverse rectus abdominus myocutaneous) technique uses abdominal musculature to form the new breast, while the latissimus dorsi (lat flap) technique uses the upper back muscle for the same purpose.

Two of the most recent additions to the reconstructive armamentarium is the DIEP (deep inferior epigastric perforator) flap and SIEA flap. They use only superficial fat, skin and blood vessels from the belly or buttocks to create a new breast. This means less disturbance of the muscles and less chance for weakness or abdominal bulging, but it they also require many more hours in the operating room under a microscope, and more prolonged recovery time in the hospital.

As a finishing touch after breast reconstruction, Dr. Donaldson can perform nipple reconstruction and tattooing to create a new areola, so your breasts look as natural as possible.

State-of-the-art breast surgery requires a multidisciplinary approach. Dr. Donaldson will communicate with you and your general surgeon, oncologist, radiologist and primary care physician as necessary to create a solution that is tailored to your needs.

To schedule a consultation, please call Dr. Donaldson at 614-442-7610 or simply send us your contact information with the form to the left.


We invite you to call us at 614-442-7610 to schedule your personal consultation with Columbus plastic surgeon Dr. Jeffrey H. Donaldson. Read more about Dr. Donaldson’s plastic surgery specialties: