Mastectomy with Implant-Based Reconstruction using Autologous Local Flap is a modern surgical approach that combines the oncological benefits of mastectomy with immediate breast reconstruction. In this technique, a breast implant restores the volume of the breast, while autologous tissue (local flap)—usually skin and fat from the lateral chest wall or adjacent areas—provides soft tissue coverage and natural contouring.

This hybrid method is especially suitable for women who want the volume and shape of an implant with the soft-tissue coverage and aesthetics of their tissue without the complexity or morbidity of distant flaps like DIEP or TRAM.

Dr Kanmani Govindrao Telkar, a leading Breast Oncoplastic and Reconstructive Surgeon specializes in offering safe, reliable, and aesthetic reconstruction options. Her expertise ensures that each patient receives individualized care based on cancer stage, body type, and personal goals.

What Is This Procedure?

This combined approach involves two main components:

• Mastectomy – Surgical removal of one or both breasts to treat or prevent breast cancer.
• Implant-Based Reconstruction with Autologous Local Flap – Reconstruction of the breast mound using a silicone or saline implant, supported and covered by a local flap of the patient's skin and fat (usually taken from the lateral chest wall or axillary region).

The local flap, often based on intercostal or thoracodorsal perforators, provides additional tissue to support the implant, improve cosmetic outcomes, and reduce complications such as implant exposure, especially in thin patients or those undergoing radiation therapy.

Who Is This Procedure Best Suited For?

Dr. Telkar may recommend this method for patients who:

• Want immediate breast reconstruction after mastectomy
• Prefer implant-based Reconstruction but require additional soft-tissue coverage
• Have moderate to small-sized breasts
• Are unsuitable for full autologous flaps like DIEP due to lack of abdominal tissue or comorbidities
• Require oncoplastic precision with better cosmetic outcomes
• Have had previous breast surgeries, making tissue conservation essential
• Are undergoing nipple-sparing or skin-sparing mastectomy

This technique is particularly beneficial in patients with thin chest wall tissue, where the implant is otherwise too prominent or at risk of exposure.

Surgical Technique

The surgery is usually performed in a single stage under general anesthesia and takes approximately 2.5 to 4 hours, depending on the complexity.

Mastectomy

Dr. Telkar performs a skin-sparing or nipple-sparing mastectomy, depending on the cancer's location and size. The breast tissue is removed while preserving as much skin as possible to allow for a more natural reconstruction.

Harvesting the Local Flap

Using tissue from the lateral chest wall or inframammary fold, a local perforator flap is dissected with care to preserve blood supply. This tissue is rotated or advanced into the mastectomy site.

Implant Placement

A silicone or saline breast implant is inserted either under the chest muscle (subpectoral) or above the muscle (prepectoral), depending on the patient's anatomy and tissue thickness. The autologous flap covers and supports the implant, improving projection and softening the appearance.

Closure

The incision is closed in layers to promote healing, and surgical drains may be placed to reduce fluid accumulation. The donor site (usually on the lateral chest) is closed with minimal scarring, often hidden beneath the bra line.

Benefits of This Technique

• Single-stage Reconstruction that offers both function and aesthetics
• Natural contouring of the breast with the patient's tissue
• Improved implant coverage, reducing risks of rippling, visibility, and exposure
• Less complex than full autologous flap reconstructions like DIEP or TRAM
• Faster recovery time and minimal donor site morbidity
• Suitable for patients undergoing radiation, with added soft-tissue protection
• Combines oncologic safety with reconstructive finesse

With this technique, Dr. Telkar achieves both oncological clearance and restorative results, allowing women to feel whole again after breast cancer surgery.

Postoperative Care and Recovery

Most patients spend 2 to 3 days in the hospital after surgery. Recovery is smoother than full autologous reconstructions and includes:

• Drain management for 7–10 days
• Wearing a supportive surgical bra for 4–6 weeks
• Mild to moderate discomfort, well controlled with medication
• Gradual return to daily activities within 2–3 weeks
• Avoiding heavy lifting or intense workouts for 6 weeks
• Regular follow-ups with Dr Telkar to monitor healing and implant position

Aesthetic refinements, such as nipple-areolar reconstruction or symmetry surgery on the opposite breast, may be offered as needed during follow-up.

Long-Term Outcomes

When performed by an experienced surgeon like Dr. Kanmani Govindrao Telkar, this approach offers durable, aesthetically pleasing results with a low complication rate. The breast shape and projection can be maintained long-term, and patients often report:

• Increased self-confidence
• Improved body image
• Better clothing fit and comfort
• A sense of emotional closure and healing

For many women, this reconstruction becomes not just a physical restoration but also a decisive step in moving forward after breast cancer.

Why Choose Dr. Kanmani Govindrao Telkar?

• Specialist in Oncoplastic and Reconstructive Breast Surgery
• Skilled in Hybrid Reconstruction Using Both Implants and Autologous Flaps
• Focus on Minimally Invasive, Muscle-Sparing Techniques
• The Holistic Care Model Prioritises Oncologic Safety, Aesthetics, and Emotional Healing
• Trusted by Patients for Compassionate, Transparent Communication

From diagnosis to recovery, Dr. Telkar's care combines surgical excellence with deep empathy — helping each woman regain her health and confidence.

Book a Consultation

Considering breast reconstruction after mastectomy? Implant-based reconstruction using Autologous Local Flap may perfectly balance safety, beauty, and comfort.

Contact our clinic today to schedule your personalized consultation with Dr. Kanmani Govindrao Telkar and take the first step toward a full and confident recovery. Aesthetic Reconstruction. Restorative care. Expert hands.