Reestablish a Natural Breast Silhouette

Breast reconstruction is a surgical process that restores the shape, contour, and symmetry of one or both breasts following mastectomy or lumpectomy. It can be performed using implants, your own natural tissue, or a combination of both methods, depending on your anatomy, health, and goals. Reconstruction may occur at the time of mastectomy or at a later stage. Dr. Ulm focuses on thoughtful planning, clear education, and techniques that help create natural and balanced results for breast reconstruction in Charleston, SC.

Breast Reconstruction Overview

What Are the Reasons to Consider Breast Reconstruction?

After a mastectomy or breast loss, changes to your body can affect far more than just physical appearance. Breast reconstruction offers a way to restore form and proportion in a manner that aligns with how you see yourself and how you want to move forward. Common reasons to consider breast reconstruction in Charleston, SC:

  • Restoring breast shape, volume, and symmetry
  • Recreating a more balanced body contour
  • Improving how clothing and bras fit
  • Reducing the visible effects of mastectomy
  • Helping you feel more like yourself again
  • Supporting emotional healing after cancer treatment
  • Addressing asymmetry after unilateral mastectomy 
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Why Choose Dr. Jason Ulm for Breast Reconstruction?

Dr. Jason Ulm is a double board-certified plastic surgeon with fellowship training in aesthetic and craniofacial surgery at Harvard and Massachusetts General Hospital. He has performed numerous breast reconstructions after mastectomy in Charleston and is trusted for complex cases that require advanced microsurgical skill, including DIEP flap breast reconstruction. 

His background in both reconstructive and aesthetic surgery allows him to restore form with technical surgical precision while maintaining a natural, balanced appearance.

You can expect a calm, unhurried consultation, during which your concerns are fully explored. Dr. Ulm takes the time to explain each option in plain language, sets realistic expectations, and offers clear guidance based on what will truly serve your goals. Patients often share that they feel genuinely heard and understood by him from the first consultation to the final stages of recovery, and that their results closely match what was discussed beforehand. 

woman with hands in pockets looking over shoulder

Am I a Candidate for Breast Reconstruction in Charleston?

You may be a suitable candidate for breast reconstruction if you have had one or both breasts removed, are cancer-free, and are in good overall health. Non-smokers or those willing to stop smoking before surgery are typically better candidates.

Dr. Ulm evaluates your medical history, anatomy, prior treatments, and goals, and uses this information to determine which techniques are safest for you and to design a plan that aligns with your body and expectations.

Benefits of Breast Reconstruction

Breast reconstruction offers both physical and emotional benefits after mastectomy or breast loss. 

While each patient’s experience is unique, common advantages of this procedure include:

  • Restoring breast shape and contour
  • Creating improved symmetry between the breasts
  • Reestablishing a more balanced body silhouette
  • Enhancing how clothing and bras fit
  • Reducing the visible effects of mastectomy
  • Providing natural-looking, long-lasting results
  • Allowing reconstruction at a time that fits your treatment plan

Timing Your Breast Reconstruction

Choosing when to undergo breast reconstruction is an important part of the planning process and depends on your medical situation, cancer treatment plan, and personal preferences. Some patients move forward with reconstruction at the same time as mastectomy, while others benefit from waiting until a later stage. Dr. Ulm carefully reviews these factors with you to determine the timing that offers the safest approach and the most predictable outcome. 

Immediate Breast Reconstruction

Immediate breast reconstruction is performed during the same operation as your mastectomy. This can preserve the natural breast skin envelope and, often, result in a more natural-looking contour and shape. Many patients appreciate waking up with a breast mound already in place, which can ease the emotional transition after surgery. Dr. Ulm works with your oncology team to ensure this option is appropriate based on your diagnosis and treatment plan.

Delayed Breast Reconstruction

Delayed breast reconstruction is performed months or even years after mastectomy, often after cancer treatments such as chemotherapy or radiation are complete. This timing can be ideal for patients who need to focus first on cancer treatment or who prefer to postpone reconstruction. Delayed reconstruction allows your tissues to fully heal and may offer additional flexibility in selecting the most suitable technique to restore breast shape and symmetry. 

Words from Our Clients "It has taken me some time to find the words to describe Dr. Jason Ulm."

My experience receiving chin liposuction from Dr. Ulm and his team was wonderful. From the very beginning they were supportive and informative, and really helped answer my questions and prepare me ...

My experience receiving chin liposuction from Dr. Ulm and his team was wonderful. From the very beginning they were supportive and informative, and really helped answer my questions and prepare me for exactly what I was in for. In the week leading up to surgery, they checked in on me and made sure to talk through any of my questions and fears, and the day of they were so kind and accommodating. They continued to check in during recovery, and my healing process was so quick and easy. I couldn’t be happier with the results - they’ve honestly changed my life and how I view myself. The whole process felt so personal and turned out exactly how I wanted!

SML

5 star rating

I cannot say enough amazing things about my breast reduction and brachioplasty with Dr. Ulm. From the very first consultation, I felt completely heard, respected, and cared for. Dr Ulm took the tim...

I cannot say enough amazing things about my breast reduction and brachioplasty with Dr. Ulm. From the very first consultation, I felt completely heard, respected, and cared for. Dr Ulm took the time to understand my goals, explain the procedures in detail, and set realistic expectations which gave me so much confidence going into surgery. Dr Ulm's precision, skill, and eye for aesthetics made all the difference , and I am so happy with the outcome. The entire staff was also warm, professional, and supportive throughout the entire process - from pre-op to recovery. They made sure I felt safe and informed throughout the process. I would totally recommend Dr. Ulm for any plastic surgery. This has been one of the best decisions I have ever made. I wish I had done it sooner.

Melanie

5 star rating

Best breast aug surgeon in Charleston! I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get th...

Best breast aug surgeon in Charleston! I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get them redone after breastfeeding children. My results are better than anything I could've dreamed of!

NSFW

5 star rating

I was referred to Dr. Ulm by my cousin who worked with him at MUSC. She said that he was the best and I couldn't agree more! He has brought me back to my pre-baby body after three children and I wi...

I was referred to Dr. Ulm by my cousin who worked with him at MUSC. She said that he was the best and I couldn't agree more! He has brought me back to my pre-baby body after three children and I will forever be grateful. He is very professional and took the time to make sure I would be thrilled with my results and I am! Ladies, do yourself a favor and visit Dr. Ulm. For the first time since having children, I am excited about swimsuit season!

Murrells

5 star rating

Dr. Ulm and his whole staff were wonderful. I went to a few different doctors for consults and felt most comfortable with Dr. Ulm due to his amazing bedside manner and his explanations of everythin...

Dr. Ulm and his whole staff were wonderful. I went to a few different doctors for consults and felt most comfortable with Dr. Ulm due to his amazing bedside manner and his explanations of everything. I scheduled my mommy makeover with him and I am glad I did. My results were better than expected and I received daily phone calls in the post operative time period to check on how I was doing. I highly recommend Dr. Ulm!!

Celebrated677251

5 star rating

I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get them redone after breastfeeding children....

I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get them redone after breastfeeding children. My results are better than anything I could've dreamed of!

mimzy123

5 star rating

I had 3 C-sections, the most recent 12 1/2 years ago, and during the pandemic, I lost almost 90 pounds. I had a lot of skin after I lost my fat. My abs were shot, and my skin was flabby, so I could...

I had 3 C-sections, the most recent 12 1/2 years ago, and during the pandemic, I lost almost 90 pounds. I had a lot of skin after I lost my fat. My abs were shot, and my skin was flabby, so I couldn't really enjoy my huge weight loss. I wanted a tummy tuck and brachioplasty. Last minute, I added on a little liposuction for the last little bit of stubborn fat. I met with Dr. Ulm, and felt immediately comfortable with going through with the procedure. We moved quickly because I wanted it done over my holiday break. It was DEFINITELY worth it. I was really anxious on surgery day as the pandemic was still going on, and I was nervous about major surgery, especially one I didn't "need." The anesthesiologist, nurse, and Dr. Ulm did not ignore my mental health on that day! I felt very safe and "in the right hands." He said the pain/recovery would be like with my C-sections, and that was about right! Afterward, Dr. Ulm called my husband every day to make sure I was okay, and I had to check in with a nurse every day. I felt confident that if there were a problem, I would be taken care of, even over a holiday break. Aftercare has been great, as well. My scar (on my abdomen) is right over my C-section scar. My arm scars are, of course, harder to hide, but I'm still very, very happy (as my arm flab was harder to hide!). I am still getting used to my tummy being numb, but he says it will keep getting better, and that is a small price to pay! I am about 12 weeks post-op, and I bought my first bikini ever! On the day of the consult, Dr. Ulm showed me where my scar would be, and he asked if that would "interfere with where my bikinis normally lie." I told him I have never worn a bikini. He said, "well after this, maybe you will." I didn't believe I would ever be THAT confident with my body. Laura was also awesome, helping me navigate all the craziness of scheduling the surgery and aftercare. She was always available to me. In summary, I DEFINITELY recommend Dr. Ulm and his team for your tummy tuck!

Sshdoughty

5 star rating

I am so glad I went to Dr. Ulm, I am 10 days post op for a tummy tuck, implant exchange and lift. This is by far the worst pain I have ever been in but it gets better each day. I’m excited to see w...

I am so glad I went to Dr. Ulm, I am 10 days post op for a tummy tuck, implant exchange and lift. This is by far the worst pain I have ever been in but it gets better each day. I’m excited to see what my final results will be but so far I’m satisfied!

Thrifty444293

5 star rating

My dream was to find a plastic surgeon to make me look refreshed and very natural. After going on several consults, I was so impressed with meeting Dr Ulm and his team. He listened to me when I exp...

My dream was to find a plastic surgeon to make me look refreshed and very natural. After going on several consults, I was so impressed with meeting Dr Ulm and his team. He listened to me when I expressed that I wanted to smooth out the deep wrinkles on my cheeks, remove the excess skin from my neck, & give me a slight lip lift to refresh my face . When I asked Dr. Ulm if I could speak to one of his past clients, he did not hesitate, and after listening to her rave about Dr Ulm and looking at her before and after pictures, I knew that I could trust Dr Ulm. He listened to every word I said.
Dr Ulm did a perfect job and truly displayed excellent work and making me look very natural. I find    myself looking in the mirror & so happy with what I see!! Double board certified, highly accomplished, and extremely meticulous in his work , Dr Ulm took the time to listen to me, showing me genuine care and concern while making me feel comfortable and explained the process every step of the way. Dr Ulm has a wonderful team that is professional, personable and dedicated. His experience, skill, and compassionate approach made me trust him completely.
Dr Ulm made me “Trust The Process” Forever grateful 🤍

Kat

5 star rating

A few months ago, I solicited a recommendation from an Aesthetispa professional (Lisa) for a plastic surgeon to perform an elective facelift. Being a retired engineering professional from New York,...

A few months ago, I solicited a recommendation from an Aesthetispa professional (Lisa) for a plastic surgeon to perform an elective facelift. Being a retired engineering professional from New York, I began to compile data on Dr. Jason Ulm, and requested a consultation. My “data mining” and research verified Dr. Ulm’s technical competence, credentials and experience. What was unexpected and most delightful was Dr. Ulm’s “ bedside manner” and personable style. I was so impressed with his compassion, attentive listening skills and probing questions intended to fully understand my personal goals. He thoroughly and clearly articulated the surgical procedures and processes, expected outcomes, and requirements to ensure success. SUCCESS ON ALL FRONTS WAS ACHIEVED! I could not be more delighted with the outcomes! Dr. Ulm and his competent support staff far exceeded every expectation. I highly recommend Dr. Ulm and his professional staff to anyone who demands world class technical competencies, compassion, and professionalism. Dr. Jason Ulm is “the whole package”….and I’m blessed he was my surgeon

Nagelc

5 star rating

Best breast aug surgeon in Charleston! I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get th...

Best breast aug surgeon in Charleston! I had an amazing experience with Dr. Ulm. He did a breast aug & mini tummy tuck. I had previous breast implants (from another doc), but I needed to get them redone after breastfeeding children. My results are better than anything I could've dreamed of!

NSFW

5 star rating

 I got botched by a Dr in Florida who was on Lifetime fixing botched patients therefore I thought he was good. I had a saline leak from a previous implant. This Florida Dr, despite my 5 emails...

 I got botched by a Dr in Florida who was on Lifetime fixing botched patients therefore I thought he was good. I had a saline leak from a previous implant. This Florida Dr, despite my 5 emails not to be bigger than I was before (I’m small framed) not only made my breast 350 to 415,, one breast was much larger than other by one size, they were oddly shaped, and they were much saggier from what I was before. I was so scared for surgery again, who to have it with. I didn’t want to stay that way , I always work hard on my body. I worked out running and weights, it crushed me. It was extremely emotional. It’s not like a bad tailored shirt I could take off. It decreased my confidence and was financially draining . Not only did Dr. Ulm's revision make me back to where I was but better !!! I’m perkier and shaped beautifully ! I think it’s so very very important to find a doctor who listens! Who knows how to give you the right fit and knows how to do beautiful surgery! Cosmetic surgery is an art!!! It’s so extremely important to find a good surgeon ! I highly highly recommend Dr. Ulm ! Thank Dr Ulm for giving me confidence back!!!

Marcie Amoroson

5 star rating

Dr.Ulm and his team are the best! My procedure was a breast implant exchange (went smaller), and he did exactly what I asked for. I know two other ladies who have gone to him for different procedur...

Dr.Ulm and his team are the best! My procedure was a breast implant exchange (went smaller), and he did exactly what I asked for. I know two other ladies who have gone to him for different procedures that also HIGHLY recommend him.

Camille

5 star rating

Dr Ulm and staff were so good to me . They are so nice and care for me well. Dr Ulm is down to earth, he was so gentle and professional. I didn't get any pain or discomfort after my breast argument...

Dr Ulm and staff were so good to me . They are so nice and care for me well. Dr Ulm is down to earth, he was so gentle and professional. I didn't get any pain or discomfort after my breast argumentation. Highly recommended.

QL

5 star rating

All I can say is after this procedure is I wish I had found Dr. Ulm and did this years ago! Dr Ulm listened to my concerns for wanting to look and feel as natural as possible and where I feel some ...

All I can say is after this procedure is I wish I had found Dr. Ulm and did this years ago! Dr Ulm listened to my concerns for wanting to look and feel as natural as possible and where I feel some plastic surgeons will go bigger then requested when it comes to breast Aug he gave me a range to work with and I trusted him to do the rest which could not have been more perfect. I feel like my new breasts were made for my body and I would recommend him and his friendly amazing staff to anyone! I have a new confidence I never thought could be possible

Bostonchick4

5 star rating

I had the most amazing experience with Dr. Jason Ulm! He is an amazing surgeon, very professional and gave me exactly what I wanted! My breast augmentation went smoothly and my scars are almost gon...

I had the most amazing experience with Dr. Jason Ulm! He is an amazing surgeon, very professional and gave me exactly what I wanted! My breast augmentation went smoothly and my scars are almost gone after 2 months! Highly recommend!!!

Hailey

5 star rating

I have had multiple procedures with Dr. Ulm and each time I couldn’t be happier!!
I have had a breast augmentation, chin lipo, and recently just got lipo 360. I am extremely happy with all of my...

I have had multiple procedures with Dr. Ulm and each time I couldn’t be happier!!
I have had a breast augmentation, chin lipo, and recently just got lipo 360. I am extremely happy with all of my results!!! 10000 out of 10 recommend Dr. Ulm 🤩

Taylor

5 star rating

Dr. Ulm’s office and staff are incredible! Friendly and helpful in every way. Dr. Ulm has been very helpful, knowledgeable, and answered all of my questions! Pre and post operative care has been in...

Dr. Ulm’s office and staff are incredible! Friendly and helpful in every way. Dr. Ulm has been very helpful, knowledgeable, and answered all of my questions! Pre and post operative care has been incredible. If I could give more than 5 stars, I would! My breast augmentation and lift healed great, the whole experience has been incredible. I would recommend Dr. Ulm and his practice to anyone wanting plastic surgery!

Mary-Michal

5 star rating

Dr. Ulm and his entire team are amazing! I saw him for a breast augmentation and had the most wonderful experience and am beyond thrilled with my results. He centered my experience around me and wh...

Dr. Ulm and his entire team are amazing! I saw him for a breast augmentation and had the most wonderful experience and am beyond thrilled with my results. He centered my experience around me and what I wanted. He gave his professional advice when asked but definitely followed my lead as the patient. He wants to see extensive inspirational photos to know exactly what his patients want and delivers it. I never once felt rushed in his office the way I have in others. He was also very easy to get in touch with post-surgery. I will send all my friends (in- and out-of-state!) to Dr. Ulm.

Katie

5 star rating

I came in with inspiration photos and an idea of what I wanted, but I’m so glad I trusted his recommendations because he truly knew what would look best for my body and proportions. My results from...

I came in with inspiration photos and an idea of what I wanted, but I’m so glad I trusted his recommendations because he truly knew what would look best for my body and proportions. My results from my breast augmentation look exactly like my inspiration, natural, balanced, and even better than I imagined. His attention to detail and expertise are unmatched.

Anniston

5 star rating

I recently got my first breast aug done with Dr. Ulm, it looks better than I could’ve ever imagined! I chose Dr Ulm after a long search of doctors throughout the southeast. I let Dr. Ulm use his ju...

I recently got my first breast aug done with Dr. Ulm, it looks better than I could’ve ever imagined! I chose Dr Ulm after a long search of doctors throughout the southeast. I let Dr. Ulm use his judgement to help me decide the best size and look for my body type, and I’m so happy with the results. Looks so natural and exactly how I wanted. It was such an easy recovery. The team is warm and friendly and professional, and the entire experience has been so comfortable and easy. 

Leigha

5 star rating

I had a breast augmentation/lift with Dr Ulm. He did an amazing job. He used my inspiration pictures for comparison and he hit the mark. I had pretty significant asymmetry/drooping from kids and th...

I had a breast augmentation/lift with Dr Ulm. He did an amazing job. He used my inspiration pictures for comparison and he hit the mark. I had pretty significant asymmetry/drooping from kids and they look even, perky and perfect for my body. I told him to do what he felt looked best and he delivered. Also, his bedside manner and professionalism was something I was happy with as well. I definitely recommend him and will be back for my next procedure. 

Tia

5 star rating

Could not be happier with my results! So in love with my breast Aug results, I wouldn't go anywhere else! They look and feel amazing and fit my body perfectly!

Madison

5 star rating

I can’t say enough about how great my experience has been with Dr. Ulm and his team. After two kids, I wanted my breast done so I made the appointment and we decided Preservé implants were the best...

I can’t say enough about how great my experience has been with Dr. Ulm and his team. After two kids, I wanted my breast done so I made the appointment and we decided Preservé implants were the best option for what I wanted to achieve. My surgery went better than expected and the healing process was easier than I imagined. I am beyond thrilled with my results and would recommend Dr. Ulm to anyone that is interested in having any sort of work done!

Megan

5 star rating

Dr. Ulm and his entire team are amazing! I saw him for a breast augmentation and had the most wonderful experience and am beyond thrilled with my results. Dr. Ulm was never once pushy. He centered ...

Dr. Ulm and his entire team are amazing! I saw him for a breast augmentation and had the most wonderful experience and am beyond thrilled with my results. Dr. Ulm was never once pushy. He centered my experience around me and what I wanted. He gave his professional advice when asked but definitely followed my lead as the patient. He wants to see extensive inspirational photos to know exactly what his patients want and delivers it. I never once felt rushed in his office the way I have in others. He was also very easy to get in touch with post-surgery. I will send all my friends (in- and out-of-state!) to Dr. Ulm.

Katie

5 star rating

I’d been considering a breast augmentation for years. When I consulted with Dr. Ulm and he explained the new Preserve technique it was an almost immediate “YES” for me. This type of breast augmenta...

I’d been considering a breast augmentation for years. When I consulted with Dr. Ulm and he explained the new Preserve technique it was an almost immediate “YES” for me. This type of breast augmentation checked all the boxes:
• noninvasive
• little downtime
• subtle and natural results

I carefully consulted with Dr. Ulm and his staff about my desired results. The day of surgery his entire staff was incredibly comforting and put my worries at ease. The recovery has been remarkably easy. I rested the day of surgery but was able to drive my kids to school the next morning. One of my biggest hesitations with the surgery was anticipating a long recovery and I am so pleased Preserve allowed me to get right back into my daily life. I am currently two weeks postop and easily give this entire experience a 10/10. I could not be happier with my results.

Kelly

5 star rating

I am absolutely obsessed with my results — truly over the moon. I did so much research before committing to breast augmentation, and going with Dr. Ulm and the P...

I am absolutely obsessed with my results — truly over the moon. I did so much research before committing to breast augmentation, and going with Dr. Ulm and the Preservé technique is hands down one of the best decisions I've made for myself!!

The recovery genuinely shocked me. I was back at work the very next day, feeling like myself and so good. Everything looks natural and exactly the way I'd hoped. Dr. Ulm and his team made me feel completely taken care of from the first consult through every step after.

If you're even thinking about it, this is your sign, go see Dr. Ulm. You won't regret it.

H

5 star rating

I have an active lifestyle, so a procedure that would take me out for six weeks was never going to work.

After months of research, I found the Preservé technique — smaller...

I have an active lifestyle, so a procedure that would take me out for six weeks was never going to work.

After months of research, I found the Preservé technique — smaller incisions, less pain, and a recovery that actually let me get back to my life. It preserves your natural tissue and sensation, and the implants move with your body for a more natural look and feel.

I did a few consults. Some felt rushed. Dr. Ulm took his time and understood my lifestyle. He's double board-certified and one of the only surgeons in Charleston trained in this technique. Couldn't be happier I did the Preservé technique with him.

Hannah Jackson

5 star rating

I had the most amazing experience with Dr. Jason Ulm! He is an amazing surgeon, very professional and gave me exactly what I wanted! My breast augmentation went smoothly and my scars are almost gon...

I had the most amazing experience with Dr. Jason Ulm! He is an amazing surgeon, very professional and gave me exactly what I wanted! My breast augmentation went smoothly and my scars are almost gone after 2 months! Highly recommend!!!

Hailey

5 star rating

My experience with Dr. Ulm and his staff was outstanding. Their communication was clear and supportive throughout the entire process, and the results exceeded my expectations. Truly professional, c...

My experience with Dr. Ulm and his staff was outstanding. Their communication was clear and supportive throughout the entire process, and the results exceeded my expectations. Truly professional, caring, and skilled!

Gina

5 star rating

Dr Ulm took the time listen and provide guidance on what to expect during and after surgery. He was recommended to me by a friend and I am so thankful to him for changing my life for the better! He...

Dr Ulm took the time listen and provide guidance on what to expect during and after surgery. He was recommended to me by a friend and I am so thankful to him for changing my life for the better! He provided me the confidence I was lacking without judgement.

Denise

5 star rating

I had lip fillers done by the doctor Jason Ulm and I loved the results! The shape is beautiful and natural, not fake or stiff at all. The doctor was very gentle and gave great advice. After the pro...

I had lip fillers done by the doctor Jason Ulm and I loved the results! The shape is beautiful and natural, not fake or stiff at all. The doctor was very gentle and gave great advice. After the procedure, my lips look fuller but still natural. I feel so much more confident!

Buddhawajana

5 star rating

It has taken me some time to find the words to describe Dr. Jason Ulm. He is kind, compassionate, and incredibly talented. His super power is his unique ability to listen to your concerns and desir...

It has taken me some time to find the words to describe Dr. Jason Ulm. He is kind, compassionate, and incredibly talented. His super power is his unique ability to listen to your concerns and desires. He is skilled and perfectly delivers results that YOU want. I am amazed daily at how "perfect" my outcome is. I fully trusted him and allowed him to guide me through my process and I am so thankful I did. He nailed it and quite honestly gave me a restored confidence that I thought was unattainable. My prep, surgery, and recovery were all seamless and with very minimal pain. Dr. Ulm is hands down a master of his craft, and will always be my go to plastic surgeon!

Tabatha

5 star rating

I cannot say enough amazing things about my breast reduction and brachioplasty with Dr. Ulm. From the very first consultation, I felt completely heard, respected, and cared for. Dr Ulm took the tim...

I cannot say enough amazing things about my breast reduction and brachioplasty with Dr. Ulm. From the very first consultation, I felt completely heard, respected, and cared for. Dr Ulm took the time to understand my goals, explain the procedures in detail, and set realistic expectations which gave me so much confidence going into surgery. Dr Ulm's precision, skill, and eye for aesthetics made all the difference , and I am so happy with the outcome.

The entire staff was also warm, professional, and supportive throughout the entire process - from pre-op to recovery. They made sure I felt safe and informed throughout the process. I would totally recommend Dr. Ulm for any plastic surgery.

This has been one of the best decisions i have ever made. Wish I had done it sooner.

Melanie

5 star rating

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Your Breast Reconstruction Options

Implant-Based Breast Reconstruction

Implant-based breast reconstruction rebuilds the breast using medical-grade implants rather than tissue transferred from another area of the body. This may be well-suited for patients who prefer a shorter initial surgery, who are not candidates for flap reconstruction, or who desire a specific breast size and shape. Implant-based techniques can be performed at the time of mastectomy or in planned stages, depending on your anatomy and goals.

  • Immediate Implant Reconstruction: During an immediate reconstruction, an implant is placed during the same operation as the mastectomy. This approach can help preserve the breast skin envelope and provide an immediate breast mound. It may reduce the total number of surgeries required.
  • Two-Stage Implant Reconstruction: This method begins with the placement of a temporary tissue expander. The expander is gradually filled over time to stretch the skin and soft tissue. Once adequate expansion is achieved, it is exchanged for a permanent implant that helps restore size and shape.
  • Pre-Pectoral Implant Reconstruction: In this case, the implant is positioned above the chest muscle rather than beneath it. Acellular dermal matrix (ADM) is typically used to provide support and coverage. This technique may reduce post-operative discomfort and eliminate animation deformity.

Autologous (Flap-Based) Breast Reconstruction

Autologous breast reconstruction uses your own natural tissue to create a new breast mound. This approach is often chosen by patients who prefer a more natural look and feel or who may not be ideal candidates for implants alone.

Flap-based reconstruction can provide long-lasting results that change naturally with your body over time. Dr. Ulm carefully evaluates your anatomy, health, and goals to determine which option is most suitable for you.

  • DIEP Flap: The DIEP flap uses skin and fat from the lower abdomen to reconstruct the breast while preserving the abdominal muscles. Blood vessels are carefully reconnected using microsurgical techniques to maintain healthy circulation. This method allows for natural-looking, soft results and avoids weakening the abdominal wall.
  • TRAM Flap: The TRAM flap also uses tissue from the lower abdomen, but may involve using a portion of the abdominal muscle. This can be performed as a pedicled flap or free flap. While it can create a natural breast shape, recovery may take longer due to the involvement of muscles. Dr. Ulm discusses whether this option is appropriate based on your anatomy and lifestyle.
  • Latissimus Dorsi Flap: The latissimus dorsi flap uses skin, fat, and muscle from the upper back to help reconstruct the breast. It is often combined with an implant to achieve the desired breast volume. This can be a reliable option for patients who are not candidates for abdominal-based flaps. It allows Dr. Ulm to restore contour while maintaining balanced proportions. 

Hybrid Breast Reconstruction

Hybrid breast reconstruction combines your own natural tissue with a breast implant to restore shape, volume, and contour. This is often used to enhance softness, improve breast symmetry, or achieve a specific size that tissue alone may not provide. Dr. Ulm helps determine whether a hybrid technique offers the best balance of durability and aesthetic outcome for you.

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Your Complete Breast Reconstruction Experience

Breast Reconstruction Surgery

Your breast reconstruction session is performed under general anesthesia. The exact steps depend on whether your reconstruction uses implants, your own tissue, or a combination. For implant-based reconstruction, Dr. Ulm carefully creates a pocket either above or below the chest muscle and may use a supportive matrix to reinforce the tissue. An implant or temporary tissue expander is then positioned to begin shaping the breast mound.

For flap-based reconstruction, skin and fat are taken from a donor area such as the lower abdomen or back. Using microsurgical techniques, Dr. Ulm reconnects tiny blood vessels to restore blood flow to the transferred tissue. The tissue is then shaped into a natural breast contour, symmetry is refined, and the incisions are carefully closed.

Breast Reconstruction Consultation

Your consultation begins with a thorough review of your medical history, cancer treatment plan, and health. Dr. Ulm examines your anatomy and discusses whether reconstruction should be immediate or delayed. You then review all appropriate options, including implant-based and flap-based techniques, and receive explanations of benefits and limitations. Based on this discussion, Dr. Ulm recommends a personalized plan to restore form and answers all your questions, so you can make an informed, educated decision for your body.

Breast Reconstruction Recovery

After breast reconstruction, you can expect swelling, bruising, and soreness during the first weeks. Tightness across the chest or donor area is common and gradually improves over time. Most patients require prescription or over-the-counter pain medication for several days. You should plan to take 3 to 6 weeks off work, depending on the technique used. Light walking is encouraged early, but strenuous activity and lifting must be avoided for 4 to 6 weeks.

Breast Reconstruction Results

You will notice an initial breast shape immediately after reconstruction, though swelling will temporarily affect appearance. As healing progresses over the first several weeks, the breasts gradually settle into a natural contour and continue to refine over several months. When well cared for, breast reconstruction results are long-lasting. Flap-based reconstruction ages naturally with your body, while implants may require future monitoring or replacement.

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Possible Alternatives to Breast Reconstruction

Breast reconstruction is not the right choice for every patient. Some individuals may have medical factors that make reconstruction less advisable, while others prefer to avoid additional surgery or choose a simpler path after mastectomy. 

During your consultation, Dr. Ulm discusses these factors in detail and helps you explore options that align with your priorities. Depending on your goals and circumstances, potential alternatives may include:

  • Going flat (no reconstruction) for a natural, flat chest appearance without surgery
  • External breast prosthesis for restoring breast shape under clothing without surgery
  • Aesthetic flat closure for smoothing and contouring the chest without a breast mound
  • Fat grafting alone for subtle contour improvements without full breast reconstruction

What Is the Cost of Breast Reconstruction?

Cost depends on a multitude of factors, including the technique used, facility fees, anesthesia, and your insurance coverage. Out-of-pocket costs vary widely, and estimates in the U.S. range from $20,000 to $50,000 before insurance, depending on the approach and setting.

However, breast reconstruction after mastectomy in Charleston, SC, is considered a reconstructive procedure and should be covered by health insurance under federal law, though copays, deductibles, and out-of-pocket expenses can vary. Because every case is unique and coverage varies by plan, schedule a consultation with Dr. Ulm to receive a personalized quote.

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Breast Reconstruction Frequently Asked Questions

Can breast reconstruction be performed at the same time as a mastectomy?

Yes, breast reconstruction can often be performed during the same operation as your mastectomy, which is known as immediate reconstruction. This can help preserve the breast skin envelope and may create a more natural contour. In other cases, reconstruction is delayed until cancer treatment is complete. Dr. Ulm works closely with your oncology team to determine which timing is safest and most appropriate for you.

Will my reconstructed breast look and feel natural?

Modern techniques allow reconstructed breasts to closely resemble the look and softness of natural breast tissue. Flap-based breast reconstruction uses your own tissue, which typically feels more natural to the touch. Implant-based reconstruction can also produce aesthetically pleasing, balanced results when carefully planned. Dr. Ulm focuses on symmetry, proportion, and subtle shaping to create results that align with what you discussed during consultation.

What are the risks associated with breast reconstruction?

As with any surgery, risks may include bleeding, infection, delayed wound healing, fluid collection, implant-related complications, or issues with flap blood supply. Choosing a highly trained, experienced surgeon like Dr. Ulm significantly reduces these risks. Dr. Ulm discusses all potential complications openly during consultation so you can make an informed decision.

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