Achieve immediate breast reconstruction with direct-to-implant surgery at New York Group for Plastic Surgery. This one-step procedure rebuilds the breast during mastectomy, eliminating the need for expanders. Led by board-certified plastic surgeon Dr. Jordan M.S. Jacobs, our team delivers natural-looking results with advanced techniques and compassionate care.
Restore Breast Shape Immediately After Surgery
Direct-to-implant breast reconstruction is a one-step procedure performed at the same time as a mastectomy. Instead of placing a temporary tissue expander, Dr. Jacobs inserts a permanent silicone or saline implant after the breast tissue is removed. Using a special material called acellular dermal matrix (ADM), he creates a supportive pocket for the implant without the need for months of stretching. This approach reduces the number of surgeries, speeds up recovery, and offers immediate restoration of breast shape and volume.
You May Consider Direct-to-Implant Reconstruction If:
- You want breast reconstruction completed in one surgery
- You wish to avoid tissue expanders and stretching
- You have healthy breast skin after a mastectomy
- You are planning a nipple-sparing mastectomy
- You are looking for faster recovery and fewer procedures
- You prefer the immediate restoration of breast volume
- You are not significantly overweight or don’t have severe breast sag
Explore Your Options & Visualize the Results
During your consultation, you will receive a comprehensive evaluation to determine if direct-to-implant breast reconstruction is right for you. He will review your mastectomy plan, assess the condition of your skin, chest wall, and muscle tone, and ask about any previous treatments like radiation. Based on this assessment, he’ll explain whether you’re a good candidate for a one-step procedure or if another method might better suit your anatomy and health history.
To help you visualize your potential outcome, we use the Vectra XT 3D imaging system. This advanced tool captures high-resolution images of your chest and simulates how different implant sizes and shapes will look on your body. With this technology, Dr. Jacobs will curate a personalized, realistic surgical plan you can trust.
Your Direct-to-Implant Breast Reconstruction Session
Your procedure begins in coordination with your breast or general surgeon, who performs a skin-sparing or nipple-sparing mastectomy to preserve as much native breast skin as possible. Immediately after the mastectomy, Dr. Jacobs initiates the reconstruction by elevating the pectoralis major muscle from the chest wall. He then sutures a sterile, processed sheet of acellular dermal matrix (ADM) to the lower edge of the pectoralis major muscle.
This ADM acts as an extension of the muscle, and its lower edge is anchored to the inframammary fold to form a complete submuscular pocket. A silicone or saline implant is placed into this pocket for immediate volume and shape. Surgical drains are inserted to prevent fluid buildup, and the skin is closed with internal, dissolvable sutures to support optimal healing and minimal scarring. The result is a full reconstruction completed in a single operative session.
Before & After
Direct to Implant
*Each patient is unique, and individual results may vary.
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The Recovery Process After Direct-to-Implant
Following your direct-to-implant procedure, you can expect moderate swelling, bruising, and tightness in the chest for the first few days. You’ll go home with surgical drains to help prevent fluid buildup—these are usually removed within 1 to 2 weeks. Pain is generally well-controlled with prescribed medication, and most patients can return to light activities within 7 to 10 days.
Dr. Jacobs will provide you with detailed aftercare instructions, including how to care for your incisions, monitor drain output, and wear a supportive surgical bra. You’ll need to avoid lifting, pushing, or strenuous upper body activity for at least 4 to 6 weeks. Follow-up appointments will allow Dr. Jacobs to monitor your healing and ensure optimal results as your body adjusts to the implants. Most patients begin to see final contours within a few months.
The Final Direct-to-Implant Results
With direct-to-implant breast reconstruction, you’ll see an immediate restoration of breast volume and contour right after surgery. The final shape continues to refine over several weeks as swelling subsides and tissues settle.
Because the implants are placed in a single stage, you avoid the prolonged process of tissue expansion. Dr. Jacobs’ technique ensures symmetry and natural-looking results, helping you feel whole as you heal.
Why Choose Dr. Jordan M.S. Jacobs?
New York's Premier Breast Reconstruction Specialist
Dr. Jordan M.S. Jacobs is a board-certified plastic and reconstructive surgeon with advanced expertise in microsurgical breast reconstruction. He is widely respected for his surgical precision and unwavering dedication to patients with breast cancer. He takes the time to truly understand your journey, your goals, and your concerns, carefully tailoring each aspect of your surgery to deliver natural, lasting results. If you’re considering direct-to-implant breast reconstruction, schedule a consultation to explore your options with one of New York’s most trusted experts.
