Implant-Based Breast Reconstruction in New Orleans, LA

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What Is Implant-Based Breast Reconstruction?

At Stalder Plastic Surgery, we want to partner with women and help them feel whole again with breast reconstruction surgery. Our plastic surgeon, Dr. Mark W. Stalder, can restore the breasts to a more normal shape, appearance, and size following a mastectomy, lumpectomy, skin alterations from radiation treatment, uneven breasts since birth, ruptured breast implants, or trauma to the breast tissues. Dr. Stalder can rebuild the breast(s) using several techniques, including a direct-to-implant ("one-step" reconstruction) or two-stage implant surgery.

Every patient is different so results and surgical techniques may vary from patient to patient. Our team of compassionate medical professionals can help restore your breast tissue and the self-esteem, sensuality, and quality of life you had before. We would love to sit down with you and discuss all of your options for breast reconstruction at our New Orleans, LA office.


What Happens During Implant-based Breast Reconstruction?

Following a mastectomy, Dr. Stalder will either insert a gel implant (direct-to-implant reconstruction) or a temporary tissue expander (two-stage reconstruction) into a pocket formed under the muscle and the remaining skin on the chest wall. In two-stage reconstruction, saline solution is gradually inserted into the tissue expander to stretch the muscle and skin. Once the pocket has reached the desired size, the expander is left in place for 2 – 3 months. Then, the expander is removed and replaced with a silicone gel implant.

During a private consultation at our New Orleans, LA office at Stalder Plastic Surgery, we will discuss all of the options available to you.


Direct-to-implant (DTI) breast reconstruction, often called immediate implant breast reconstruction, is a popular approach to reinstating the breast after mastectomy due to breast cancer treatment or risk reduction. This procedure involves placing a breast implant during the mastectomy in a single stage, eliminating the need for a tissue expander. A single-stage DTI breast reconstruction is ideal for certain patients, as it addresses breast loss during mastectomy in a single operation.

Two-Stage Implant Reconstruction

Two-stage implant-based breast reconstruction is the most commonly performed postmastectomy reconstructive method. In the first stage, a tissue expander creates a pocket with enough space to accommodate the implant. This step aims to establish a solid base for the subsequent implant placement during the procedure's second stage. This method also offers the option to use larger implants if desired.

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Does insurance cover my surgery?

The Women's Health and Cancer Rights Act (WHCRA) of 1998 requires insurance plans that cover breast cancer surgery (mastectomy) to cover reconstruction surgery as well. If you have health insurance, someone from Stalder Plastic Surgery will help you understand your policy and benefits. We can also help you submit needed paperwork to your insurance carrier.

What about nipple reconstruction?

Reconstruction of the nipple and areola are typically performed using cosmetic tattooing. If you're interested in nipple and areola reconstruction, you should ask Dr. Stalder in your consultation. They will explain your options to help you decide whether you want cosmetic tattooing of your nipple-areola complex to be a part of your treatment plan.

Should I have reconstruction with my mastectomy or wait?

The timing of your breast reconstruction is based on several things. Some patients choose to get their reconstruction performed at the same time as their mastectomy, while others prefer to wait. Dr. Stalder suggests you make a consultation following a diagnosis of breast cancer so you can start considering your choices and when you may want reconstruction surgery. If you decide to have reconstruction at the same time as your breast cancer treatment, Dr. Stalder can collaborate with your oncologist to plan your surgery.

Dr. Stalder and his staff are awesome very professional and compassionate. Dr. Stalder, Abby & Jess treated me like family. I am very satisfied with my surgery & reconstruction Dr. Stalder is the best.Dr. Stalder explained everything in detail and what to expect regarding my double mastectomy & reconstruction. Dr. Stalder is the best.

S.B. Google

I had a double mastectomy with implants at Ochsner in 2021/2022. Post-surgery, I had chronic pain and my breasts were extremely hard and deformed. I was told for months that “It will get better” or “Give it a few more months”; however, the pain and discomfort never went away and I felt dismissed and unheard from my treatment team at Ochsner. I found Dr. Stalder through an internet search and made an appointment for consultation. Around October of 2022, we first met in his office where I voiced my symptoms and complaints and Dr. Stalder gave me what he thought my diagnosis was: capsular contracture. I thought he was crazy as my own plastic surgeon from Ochsner never once mentioned those words and Stalder had not even examined me. When I left, I searched capsular contracture on the internet and found that all of the photos showing this looked just like my breasts. I quickly booked the surgery with Dr. Stalder. Dr. Stalder performed my explant and flap surgery in January of 2023. I was told that I would likely need someone to stay with me for at least a week post-surgery. However, I was able to return home alone with friends to check on me for any needs. I went back to work in four weeks (six weeks is usually recommended). My second surgery to “smooth everything out and rearrange my nipples” was in June 2023. It was a same-day surgery and I was back to work in six days. I have had nothing but wonderful experiences at Dr. Stalder’s office. From Jessica at the front desk to Abbie (his PA) and most of all Dr. Stalder. He knows what he’s doing and his precision is excellent. He saved me from chronic pain and the thought that my breasts were always going to be deformed after my mastectomy. I would absolutely recommend him over and over again.

R.P. Google

Very caring doctor and staff. Extremely knowledgeable and helping breast reconstruction with several options. Just a wonderful wonderful doctor. You cannot go wrong with this doctor and his staff

D.K. Google

The best dr without a doubt and the staff is amazing. He was amazing with my surgery and my recovery.

M.C. Google

The office is beautiful and Dr. Stalder is a gem! Truly caters to your every need! I cannot recommend him enough!

D.L. Google


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*Individual results are not guaranteed and may vary from person to person. Images may contain models.