Plastic & Reconstructive Surgery Quality Measures

The Center for Plastic and Reconstructive Surgery at Cedars-Sinai Medical Center provides treatments that range from elective cosmetic surgery to procedures done in conjunction with the treatment of serious conditions such as cancer, head or jaw abnormalities, hand conditions, repair of scars or injuries or weight loss.

The Center's plastic surgeons work closely with all of the programs at Cedars-Sinai, including the Saul and Joyce Brandman Breast Center, the Cedars-Sinai Orthopaedic Center, the Cedars-Sinai Center for Weight Loss and others.

All of the physicians in the Cedars-Sinai Center for Plastic and Reconstructive Surgery are board-certified by the American Board of Plastic Surgery. A Diplomate of the American Board of Plastic Surgeons has met the board's requirements for education, experience, safety and ethics.

A Multidisciplinary Approach From a Team of Experts

Cedars-Sinai Medical Center's Breast Reconstruction specialists have expertise in a wide range of breast reconstruction procedures. This includes many types of reconstructive surgery that are performed immediately after mastectomy. Such reconstructions included insertion of tissue expanders and/or implants, and TRAM (transverse rectus abdominis myocutaneous), DIEP (deep inferior epigastric perforator) and latissimus dorsi flaps.

The table below shows the volume and type of breast reconstruction procedures done at Cedars-Sinai over the past three years.

Breast Reconstruction Procedures:

2010

2011

2012

With breast prosthesis

173

134

79

With tissue expander

39

41

65

With latissimus dorsi flap

31

57

56

With other techniques

18

37

34

With transverse rectus abdominis myocutaneous flap (TRAM)

14

14

7

Total:

275

283

241

 In 2012, Cedars-Sinai physicians also performed 93 nipple areoloa reconstruction procedures.

By collaborating closely with the breast cancer surgeons, oncologists and radiologists in the Breast Center, these surgeons offer integrated options to complement the screening, diagnosis and treatment of breast cancer. This team approach, combined with leading-edge research,* allows for the opportunity for improved results.

*Skin-Sparing Mastectomy: A Survey Based Approach to Defining Standard of Care. Shen J, Ellenhorn J, Qian D, Kulber D, Aronowitz J; The American Surgeon, October 2008

*The Use of Alloderm in Breast Reconstruction. Binding Navele. Gaon M, Kulber DA, Ota K, Lee DJ. Plastic Reconstructive and Aesthetic Surgery, 2007