Resources

Breast Oncology & Reconstruction Frequently Asked Questions

We're Here to Answer Your Questions

Have questions about the different types of breast reconstruction, health insurance, or how to identify risks of breast cancer? We’ve gathered answers to common questions patients ask. Below, you’ll find helpful information about our surgical hospital, our reconstruction procedures, and important breast health topics.

Surgeons perform a breast cancer procedure in a modern operating room at ReCenter in Baton Rouge, using advanced surgical technology and patient-focused care.
ABOUT RECENTER
What is ReCenter?

ReCenter is a state-of-the-art surgical hospital that specializes in breast cancer and reconstruction procedures. Our surgeons and staff are highly skilled and extensively trained in breast surgery alone. Because we focus on this single area of care, we bring deep expertise to every procedure. We also designed our facility with healing in mind, so you feel comfortable, safe, and supported at every step.

Where are you located?

Our address is:

6330 Mourning Dove Drive, Baton Rouge, Louisiana 70817

Clinics for the following doctors are located at Entrance C:

  • Dr. Everett Bonner, The Baton Rouge Clinic
  • Dr. Mindy Bowie, Mary Bird Perkins Cancer Center
  • Dr. Luke Cusimano
  • Dr. Taylor Theunissen

The hospital for surgical procedures is located at Entrance A.

What is your Visitation Policy?

We welcome your loved ones during your stay. To keep every patient safe and comfortable, we follow these guidelines:

  • Visiting hours run from 8 a.m. to 5 p.m.
  • Up to 3 visitors may stay at a time during visiting hours.
  • 1 person may stay with the patient overnight.
  • Visitors must check in with registration for a guest pass.
  • Guest passes must stay worn and visible at all times.
Where do I file a compliment or grievance?

We value your feedback, whether you feel pleased or displeased with the service, treatment, or care you received at ReCenter. Please email compliance@recenterhospital.com. We take your input seriously and will address it right away.

BREAST RECONSTRUCTION
What types of breast reconstruction are offered at ReCenter Hospital?

We offer autologous (tissue-based), implant-based, and hybrid breast reconstruction. Our procedures include DIEP, PAP, TDAP, IGAP and SGAP, TUG, Hybrid Stacked Flap, and APEX. We tailor each option to your individual needs and goals. During your consultation, we’ll walk you through these choices and help you find the right one for you.

Will insurance cover breast reconstruction surgery?

In almost all cases, yes. Under federal law—the Women’s Health and Cancer Rights Act(opens in new tab) (WHCRA)—most group insurance plans that cover mastectomy must also cover breast reconstruction. This coverage includes:

  • Reconstruction of the breast removed by mastectomy
  • Surgery on the other breast to create a balanced, symmetrical appearance
  • External breast prostheses needed before or during reconstruction
  • Treatment of physical complications, including lymphedema(opens in new tab)

Coverage details can vary by plan, so we recommend checking with your provider. Our team can also help you understand your benefits.

What is autologous (tissue-based) breast reconstruction?

Autologous reconstruction rebuilds your breast using your own body fat and tissue, usually from the abdomen, thighs, buttocks, or back. Because it uses living tissue, this approach often creates a natural look and feel. Many patients also enjoy added contouring benefits, such as a tummy tuck or thigh lift effect. Unlike implants, your own tissue ages and heals with you over time.

What is a DIEP flap reconstruction, and why is it considered advanced?

The DIEP flap (Deep Inferior Epigastric Perforator) uses skin and fat from the lower abdomen without removing any muscle. As a result, it produces a natural-looking breast, gives you a flatter stomach, and lowers the risk of abdominal complications compared to older methods like the TRAM flap. This muscle-sparing approach also supports a faster, more comfortable recovery.

Who is a good candidate for PAP or TUG flap procedures?

PAP and TUG flap techniques work well for women who don’t have enough abdominal tissue for DIEP reconstruction. These procedures use skin and fat from the upper thighs, offering a natural breast shape along with a subtle thigh-contouring effect. They are especially helpful for thinner patients.

What is a TDAP flap, and how does it differ from traditional back tissue reconstruction?

The TDAP flap (Thoracodorsal Artery Perforator) uses fat and skin from the upper back near the bra line while preserving all muscle tissue. Older back-based methods often removed the latissimus dorsi muscle, but the TDAP approach keeps it intact. This helps maintain your back strength and mobility, and it makes a great option for women with limited abdominal or thigh tissue.

What are SGAP and IGAP flaps, and when are they used?

SGAP and IGAP flaps use fat and skin from the upper (SGAP) or lower (IGAP) buttocks. They serve as excellent alternatives when you can’t use abdominal tissue due to previous surgeries or limited volume. Both techniques preserve muscle and leave scars that are easy to hide beneath underwear.

What is hybrid stacked flap reconstruction?

Hybrid stacked flap reconstruction combines natural tissue with a breast implant to achieve both softness and the desired volume or projection. This approach helps women who don’t have enough donor tissue for a full flap-based reconstruction on its own. It blends the natural feel of your own tissue with the added shape an implant can provide.

What is implant-based reconstruction, and what are its benefits?

Implant-based reconstruction uses silicone or saline implants to recreate the breast shape. It typically involves a shorter surgery and can restore body image and self-esteem for many women. It also offers flexibility, since implants come in a range of shapes and sizes to match your goals.

Can I combine a nipple-sparing mastectomy with reconstruction?

Yes. A nipple-sparing mastectomy removes only the underlying breast tissue while preserving the nipple, areola, and skin. When paired with reconstruction, it delivers a very natural final appearance. This option is safe for many patients, depending on tumor size and location.

How do I know which reconstruction option is best for me?

The best choice depends on your body type, medical history, cancer treatment plan, and personal preferences. Because so many factors matter, our experienced surgical team works closely with you to weigh each one. Together, we’ll build a personalized plan that fits your goals and lifestyle.

Which breast reconstruction procedures are muscle-sparing?

Most of our flap techniques are muscle-sparing, including DIEP, PAP, TDAP, SGAP and IGAP, and APEX. Muscle-sparing means we remove no major muscles during the procedure. As a result, you keep more of your natural strength, recover faster, and face fewer postoperative complications.

Is sensory nerve repair available during reconstruction?

Yes. For many patients, we can perform sensory nerve repair during procedures like DIEP flap reconstruction. This step gives the nerves a pathway to regrow, which can help restore feeling to the reconstructed breast over time. Keep in mind that nerves regenerate slowly, so sensation returns gradually, and full restoration is not guaranteed. We discuss these options with every eligible patient.

Can breast reconstruction help with lymphedema?

Yes. We can perform a Vascularized Lymph Node Transfer (VLNT) alongside some flap reconstructions to address arm lymphedema. This condition often results from lymph node removal during cancer treatment. Combining VLNT with reconstruction can help reduce swelling and improve comfort.

What if I want both breasts reconstructed?

Bilateral reconstruction is possible with all of our techniques. For complex cases, such as double SGAP or IGAP procedures, we may recommend staged surgeries or dual-surgeon teams. This approach helps ensure optimal results while minimizing your recovery time.

BREAST CANCER & BREAST HEALTH

We believe knowledge is one of your most powerful tools. Below, you’ll find helpful, easy-to-understand answers to common breast health questions.

How do I perform a Breast Self Examination (BSE)?

A breast self-exam helps you get familiar with how your breasts normally look and feel, so you can notice changes early. Try to perform one each month. Here’s a simple step-by-step approach:

  1. Look in the mirror. Stand with your shoulders straight and your arms on your hips. Check for changes in size, shape, or color, along with any dimpling, puckering, or swelling.
  2. Raise your arms. Lift both arms overhead and look for the same changes from a different angle.
  3. Check for discharge. Gently squeeze each nipple and watch for any fluid, whether clear, milky, yellow, or bloody.
  4. Feel while lying down. Use the pads of your fingers to move in small circles across the entire breast and armpit. Apply light, medium, and firm pressure.
  5. Feel while standing or sitting. Many women find this easiest in the shower, when the skin is wet.

If you notice a new lump, thickening, or any unusual change, contact your doctor. Most changes are not cancer, but early evaluation matters.

Learn More: https://www.breast360.org/topic/2015/02/03/breast-self-examination-bse/(opens in new tab)

How can I tell the difference between benign and cancerous breast issues?

Most breast changes are benign, meaning they are not cancer. Still, only a medical evaluation can confirm the cause, so never hesitate to have a change checked.

Benign issues often share certain traits:

  • Smooth, movable lumps — Cysts and fibroadenomas(opens in new tab) usually feel round, soft, or rubbery and move easily under the skin.
  • Cyclical pain or tenderness — Discomfort that comes and goes with your menstrual cycle is often hormonal.
  • Clear or milky nipple discharge — This can accompany benign conditions or breastfeeding.

Signs that deserve prompt attention include:

  • A hard, fixed lump that doesn’t move
  • A lump or thickening that keeps growing
  • Skin dimpling, puckering, or redness
  • Nipple changes, such as inward turning or bloody discharge
  • Persistent pain in one specific spot

Because benign and cancerous changes can feel similar, imaging and, when needed, a biopsy give you a clear answer. When in doubt, get it checked.

Learn More: https://www.breast360.org/topics/category/benign-breast-issues/(opens in new tab)

What should I know about breast imaging and diagnosis?

Breast imaging helps doctors detect and diagnose changes early, often before you can feel them. Different tools serve different purposes:

  • Mammography(opens in new tab) uses low-dose X-rays and remains the standard screening tool for most women.
  • Ultrasound(opens in new tab) helps determine whether a lump is a fluid-filled cyst or a solid mass.
  • MRI(opens in new tab) provides detailed images and often supports screening for higher-risk patients.
  • Breast density matters too, since dense tissue can make mammograms harder to read and may raise risk.

If a screening finds something unusual, your doctor may recommend additional imaging or a biopsy. These follow-up steps help confirm whether a change is benign or needs treatment.

Learn More: https://www.breast360.org/topics/category/breast-imaging-diagnosis/(opens in new tab)

What are key things I should know about breast cancer?

Breast cancer develops when cells in the breast grow out of control. It is one of the most common cancers among women, yet advances in detection and treatment continue to improve outcomes. A few important points can help you stay informed:

  • Early detection saves lives. Regular screenings and self-exams help catch cancer when it is most treatable.
  • Symptoms vary. Warning signs may include a new lump, breast swelling, skin changes, or nipple discharge—though many women notice no symptoms at all.
  • Treatment is personal. Care plans depend on the cancer’s type, stage, and characteristics, as well as your preferences.
  • Support matters. Emotional and physical care work hand in hand throughout treatment and recovery.

At ReCenter, we focus on surgery and reconstruction, and we work closely with your broader care team to support your whole journey.

Learn More: https://www.nationalbreastcancer.org/about-breast-cancer/(opens in new tab)

What do I need to know about breast cancer risk, genetics, and prevention?

Several factors can influence your breast cancer risk, and understanding them helps you make informed choices. Some risk factors, such as age and family history, are beyond your control. Others relate to lifestyle and are within your reach.

Steps that may help lower your risk include:

  • Staying physically active and maintaining a healthy weight
  • Limiting alcohol
  • Avoiding smoking
  • Talking with your doctor about your family history and screening schedule

If breast or ovarian cancer runs in your family, ask your doctor whether genetic counseling makes sense for you. Knowing your risk allows you to plan screenings and prevention with confidence.

Learn More: https://www.breast360.org/topics/category/risk-prevention-genetics/(opens in new tab)

What do I need to know about the beast cancer gene (BRCA)?

BRCA1(opens in new tab) and BRCA2(opens in new tab) are genes that everyone has. Normally, they help protect against cancer by repairing damaged DNA. However, when someone inherits a harmful mutation in one of these genes, their risk of breast and ovarian cancer rises significantly.

Here’s what’s most helpful to understand:

  • Mutations are inherited. A BRCA mutation can pass from either parent to a child.
  • Risk increases, but it isn’t a certainty. Carrying a mutation raises your risk, yet it does not guarantee you’ll develop cancer.
  • Testing brings clarity. A simple blood or saliva test can reveal whether you carry a mutation, often after genetic counseling.
  • Knowledge empowers action. If you carry a mutation, you and your doctor can plan more frequent screenings or preventive options.

If you have a strong family history of breast or ovarian cancer, talk with your doctor about whether BRCA testing is right for you.

Learn More: https://www.nationalbreastcancer.org/what-is-brca/(opens in new tab)

Your Journey
Starts Here

Please get in touch with us by filling out an online form or calling 225-277-7200.

Why Our Patients Love ReCenter

The Staff and Surgeons at ReCenter took excellent care of me before, during, and after my diagnosis of breast cancer. They treated me and my husband like family. They put our hearts and minds at ease when choosing my surgery options and completed the procedure with skilled precision. Very grateful for ReCenter. 10/10 recommend

Gina J.

I recently had a double mastectomy at ReCenter & can't speak highly enough on the level of care and compassion from the doctors, nurses, admissions & every employee at ReCenter. They genuinely make you feel comfortable from the time you walk in until you leave. Any questions or concerns I had were addressed & handled with the utmost of respect. Everything is top notch! I know I am in excellent hands with Dr. Bowie & Dr. Theunissen & recommended them highly!

Cheryl M.

I had a breast augmentation at ReCenter and it was a wonderful experience! Dr. Theunissen and the entire hospital staff were absolutely amazing! It was such a great environment and everyone was so kind! I am thrilled about my results!!

Millie S.

The entire hospital staff was so kind and helpful during my stay after my mastectomy. The nurses kept my pain under control and were very personable throughout my stay. My night nurses were my saving grace! Every concern that I had was heard and every question was answered. The room was very comfortable and did not feel like the regular hospital stay. I would recommend Recenter to anyone needing this type of care!

Taylor F.

I traveled from Lafayette to work with Dr. Delatte at the ReCenter. I was very impressed by the staff, care I received, and the cleanliness of the entire facility. Each person I interacted with was caring, professional, and respectful. I felt that any of my concerns were met with compassion and addressed appropriately. I’d highly recommend this facility to anyone needing this type of care.

Kaitlin C.

This facility treats you like family and always there to explain any concerns. When doctors (Dr. Bowie and Dr. Theunissen) call you personally to check on you and discuss concerns that you might have is wonderful. On day of surgery, everybody was helpful and friendly. I am a very anxious person but they knew what to do to help me relax.

Linda B.

The facility is absolutely beautiful. The entire staff was friendly and very professional. I was so calm and at ease from the time that I walked in for pre-op until I was discharged from recovery. First class!

Katherine S.

Such a kind, warm, and knowledgeable staff. They helped to put any pre-surgery jitters at ease. Everyone tended to me well the entire time and were quick to respond to my vasovagal response when coming out of anesthesia. 10/10 recommend!

Emily M.