A natural tissue flap typically provides enough tissue for breast reconstruction. When a patient needs more volume and projection to be proportional, surgeons can place a breast implant underneath the flap. This combination of natural tissue and implant reconstruction is called hybrid breast reconstruction.
Hybrid reconstruction is a good option for thin patients who have a full bra size and prefer the warmth of a natural tissue reconstruction. It is also helpful in some cases where radiation has damaged breast skin. In those instances, adding a natural tissue flap may make it possible to salvage implant reconstruction.
Types of Hybrid Breast Reconstruction procedures
Immediate hybrid breast reconstruction
Immediate hybrid reconstruction withDIEP flap and implant after nipple-sparing mastectomy.
Delayed hybrid breast reconstruction
- A surgeon performs a natural tissue flap reconstruction
- A biologic tissue matrix is placed beneath the flap to support the implant
- The surgeon places a breast implant under the flap either immediately or as part of a second stage procedure
Risks & Benefits
Hybrid breast reconstruction carries the same risks as implant and natural tissue reconstruction. The natural tissue flap in hybrid reconstruction may reduce some implant associated risks, like skin rippling.
This type of reconstruction facilitates some element of natural tissue reconstruction in women with minimal excess body fat.