title: Breast reconstruction in private practice.
abstract: Comprehensive breast reconstruction can be performed in private practice. Our practice philosophy is that autogenous tissue provides the best substrate for breast reconstruction; the deep inferior epigastric perforator flap is our primary method of breast reconstruction. Microsurgical training and a group practice model permit routine use of all autogenous tissue techniques. Office, operating room, and hospital teams must be assembled; these teams follow clinical pathways, which make the execution of reconstructive procedures consistent and efficient. The practice must implement a plan for physician and patient education. The practice must review clinical outcomes, making adjustments in operative techniques and pre- and postoperative clinical pathways so that the best results can be achieved with a low complication rate. Breast reconstruction is a core service of our practice. We have accrued an economy of scale including these features: intraoperative and clinical efficiency, low practice overhead costs, and a high patient satisfaction rate.
authors.affiliation: Plastic, Reconstructive, and Microsurgical Associates of South Texas, P.A., San Antonio, TX.
authors.forename: Steven M
authors.initials: SM
authors.lastname: Pisano
authors.forename: Peter R
authors.initials: PR
authors.lastname: Ledoux
authors.forename: Chet L
authors.initials: CL
authors.lastname: Nastala