Breast Reconstruction in Houston, TX
A breast cancer diagnosis marks the beginning of a powerful journey. At Murillo Plastic Surgery, our mission is to help you feel confident in your body, comfortable in your skin, and ready to move forward with strength and self-assurance.
We specialize in breast reconstruction surgery for women who’ve undergone mastectomy or lumpectomy. Whether you’re newly diagnosed or years into survivorship, we offer personalized, compassionate care using today’s most advanced surgical options. From implant-based procedures to flap reconstruction using your own tissue, we’re here to help you make the choice that feels right for you: your body, your life, your future.
To speak with our team or schedule a consultation, call (832)582-8114 or reach out online. Patients facing active breast cancer are typically seen within 48 hours. Murillo Plastic Surgery welcomes patients from all across the greater Houston area, including The Woodlands, Katy, Sugar Land, and Pearland. We also care for women traveling from out of state and abroad.
What Is Breast Reconstruction?
Breast reconstruction is a surgery (or series of surgeries) that rebuilds the breast after breast cancer treatment, most commonly following mastectomy or lumpectomy. The goal is to restore a natural shape, symmetry, and softness to the breast, so you can feel like yourself again.
Reconstruction may include rebuilding the nipple and areola, contouring the chest wall, and adjusting the opposite breast for balance. The process can be done at the time of mastectomy (immediate reconstruction) or delayed until after cancer treatment is complete.
At Murillo Plastic Surgery, we offer both options and will help coordinate your care with oncologists and breast surgeons from the beginning.
Your Options for Breast Reconstruction
Each woman’s body and cancer journey are unique, which is why we offer multiple types of reconstruction to suit your needs, treatment plan, and long-term goals. Whether you’re seeking the fastest recovery, the most natural results, or something in between, our team will walk you through your choices with care and clarity.
DIEP Flap Reconstruction
This is the most common form of breast reconstruction for our practice, as Dr. Murillo specializes in microvascular surgery. This approach uses the tissue from your lower abdomen to rebuild a soft, natural-feeling breast.
Benefits of DIEP Flap Reconstruction:
- What is typically thrown away in a tummy tuck, is used to create a new breast.
- This flap will grow into the mastectomy skin to provide a support structure that gives the breast a ‘perky’, more youthful appearance. This breast will support itself rather than ‘hang’ in the thin mastectomy skin like an implant.
- Permanent results that do not require implant replacement
- No risk of implant rupturing, rippling, or replacement
- Tummy tuck effect due to using the lower abdominal skin and fat to recreate the breast
Considerations for DIEP Flap Reconstruction:
- 2-3 day inpatient hospital stay is required
- Longer surgical time than implant-based reconstruction
- Due to the tummy tuck, you will be required to walk slightly bent at the waist for two weeks, as with any cosmetic tummy tuck, to allow for incisional healing
- Recovery time is expected to take 4 weeks.
Implant-Based Reconstruction
This is the most common form of breast reconstruction and may be ideal for women who do not have a significant amount of abdominal tissue for DIEP flap reconstruction. Implant-based reconstruction typically involves a two-step surgical process:
- Step 1: A tissue expander is placed beneath the breast skin and chest muscle at the time of mastectomy or later. The implant will rest for four weeks to allow the incision to heal. After the first four weeks of rest, the implant will be expanded weekly until full. The implant will then rest for four more weeks to allow the skin time to adjust to the new size of the breast.
- Step 2: Once the area is ready, the expander is removed and replaced with a silicone or saline breast implant.
Benefits of Implant Reconstruction:
- Shorter surgery and faster recovery compared to flap-based techniques
- A good choice for women who don’t have enough donor tissue or prefer not to use it
- Can be broken into multiple stages to accommodate a busy lifestyle or radiation needs
Considerations for implant-based breast reconstruction:
- You might note rippling in the implant based on the density of the remaining mastectomy skin
- Implants should ideally be replaced every 10 years
- Possible capsular contracture over time or with radiation.
- Active nicotine use can result in poor wound healing. However, the risk of wound breakdown over the implant is higher with ongoing nicotine use than with a flap.
Fat Grafting and Revisions
Fat grafting is a minimally invasive enhancement technique that can be used as a standalone procedure or to refine other types of reconstruction. It involves using gentle liposuction to remove fat from donor areas such as the thighs, flanks, or abdomen. The fat is then purified and re-injected into the breast to smooth contours, fill hollow areas, or correct asymmetry.
Benefits of Fat Grafting:
- Improves shape and symmetry after flap or implant reconstruction
- Minimally invasive with small incisions and a short recovery
- Improves texture and softness, especially in areas affected by radiation
- This is also a wonderful option for women who want natural-looking enhancements without synthetic materials.
Considerations for fat grafting with breast reconstruction:
Fat grafting is a safe, well-tolerated procedure that offers beautiful, natural-looking refinement. In some cases, more than one session may be recommended to achieve optimal fullness and contour—especially in areas affected by radiation. The results are soft and subtle, and because it uses your own fat, there’s no risk of rejection. Most women are excellent candidates as long as there’s enough donor fat available.
Nipple and Areola Reconstruction
The final step for many women in the reconstruction process is restoring the nipple and areola. For patients whose nipples were removed during mastectomy, we offer two compassionate, artistic options:
- Surgical Nipple Creation: Small flaps of skin from the breast are used to create a raised nipple structure.
- 3D Nipple and Areola Tattooing: Medical tattooing gives beautiful, natural-looking color and dimension, with shading that mimics a real nipple even if no projection is present.
Considerations for nipple creation and tattooing:
Both surgical and tattoo options are optional, low-risk, and can be tailored to your preferences and timing. If you’ve had radiation or scar tissue in the area, we’ll carefully plan your reconstruction to ensure beautiful, lasting results. No matter what you choose, we’re here to support you every step of the way.
Why Women Choose Murillo Plastic Surgery
At Murillo Plastic Surgery, we offer more than just technical skill. We offer a sanctuary of healing, compassion, and unwavering support for women facing some of life’s most difficult moments.
Dr. Carlos Murillo is a board-certified plastic surgeon and Associate Clinical Professor at the University of Texas, Houston Department of Plastic Surgery, recognized across Texas and beyond for his expertise in complex breast reconstruction procedures. Dr. Murillo listens without rushing, explains without confusing, and empowers every woman to feel in control of her journey.
A native Texan who speaks Spanish as his first language, Dr. Murillo understands the importance of clear, respectful communication. He and his team are proud to serve a multicultural community with fluency in Spanish, and we’re expanding services in Vietnamese and Arabic to meet the growing need among international and non-English-speaking patients.
Women from all over Texas, across the U.S., and overseas come to us because we offer something rare in medicine: expert care delivered with kindness, efficiency, and genuine human connection.
Carlos Murillo, MD
Board-Certified Plastic Surgeon
Global & Multicultural Support – We welcome patients from all backgrounds and provide care in multiple languages with culturally sensitive communication.
Personalized Communication – Same-day email responses and attentive guidance from Dr. Murillo and the team keep you informed and reassured.
Efficiency & Professionalism – Immediate consultations and treatments are available, with thorough planning and patient education every step of the way.
Cosmetic & Reconstructive Expertise – From aesthetic enhancements to breast cancer reconstruction, we tailor every treatment to your unique needs and goals.
Patient-Centered Philosophy – To us, you’re more than a patient—you’re a person whose needs we value. Our goal is to help you look your best, feel your best, and thrive.
Am I a Good Candidate for Breast Reconstruction Surgery?
Breast reconstruction may be right for you if:
- You’ve had or are planning a mastectomy or lumpectomy
- You want to restore your breast shape after treatment
- You’re medically healthy enough for surgery
- You’ve discussed timing with your oncology team
- You’re emotionally ready for reconstruction (now or in the future)
Many breast cancer patients are surprised to learn that reconstruction is not just cosmetic; it’s protected by federal law and covered by most commercial insurance plans. Whether you’re ready now or want to wait, we’re here to support you.
What to Expect: From Consultation to Recovery
At Murillo Plastic Surgery, we believe in clear, gentle communication every step of the way. We’ll sit down, review your diagnosis, explain your surgical options in detail, and help you understand what’s possible. With us, there will be no pressure, just partnership.
Initial Consultation:
- Scheduled within 48 hours for patients with active cancer
- Held in person or via Zoom (especially helpful for out-of-town patients)
- You’ll meet with Dr. Murillo personally
- We’ll work closely with your breast surgeon or oncology team
Surgery and Recovery:
- Timing depends on your cancer treatment plan
- Outpatient or short hospital stay, depending on the procedure
- Follow-up care is ongoing and customized to your healing timeline
- Fat grafting or nipple tattooing may follow months later
Insurance and Cost
Thanks to the Women’s Health and Cancer Rights Act (WHCRA), breast reconstruction is required to be covered by most insurance plans when performed after lumpectomy or mastectomy surgery.
This includes:
- Reconstruction of the affected breast
- Surgery to achieve symmetry on the opposite breast
- Nipple and areola reconstruction
- Follow-up procedures like fat grafting or scar revision
Our team will help you navigate approvals, paperwork, and scheduling with compassion and speed. Many patients tell us they’re amazed by how easy we make the process feel.
Our Philosophy: You’re More Than a Patient
Our team believes in treating the whole woman, not just her diagnosis. We’re here to help you heal with dignity, reclaim your identity, and find beauty in your strength. You’ll never be rushed, pressured, or treated like a case number. From your first call to your final follow-up, we promise to listen, support, and care for you like family.
Call (832) 582-8114 or contact us online to schedule your consultation. We proudly serve patients in Houston, throughout Texas, and around the world. Your body deserves to feel whole again, so let’s take that step together.
Breast Reconstruction Houston – FAQs
Do I have to choose breast reconstruction immediately after mastectomy?
No. Breast reconstruction surgery can be done right away (immediate reconstruction) or delayed until after cancer treatment, even months or years later. We’ll help you choose the right timing based on your medical needs and personal preferences.
Is breast reconstruction covered by insurance?
Yes. Under the Women’s Health and Cancer Rights Act (WHCRA), most commercial insurance plans are required to cover breast reconstruction after mastectomy or lumpectomy, including surgeries on the opposite breast for symmetry. We are in-network with many major plans and will help you navigate the approval process.
Can I still have breast reconstruction after radiation or failed implants?
Yes. Many women come to us after radiation or previous implant complications. Our team specializes in flap-based and revision breast reconstruction to correct past results or offer new options when implants aren’t ideal.
What if I only had one breast removed; can you match the other side?
Yes. Many women come to us after radiation or previous implant complications. Our team specializes in flap-based and revision breast reconstruction to correct past results or offer new options when implants aren’t ideal.
Do you offer nipple and areola reconstruction?
Yes. We provide both surgical nipple creation and 3D areola tattooing. These procedures are often the final step in breast reconstruction and help many women feel emotionally complete.
How do I get started with breast reconstruction in Houston?
Call us at (832) 582-8114 or schedule your consultation online. We typically offer appointments within 48 hours for active cancer patients and can coordinate directly with your care team. Murillo Plastic Surgery welcomes patients from all across the Houston area, including The Woodlands, Cypress, Katy, Sugar Land, and Pearland. We also care for women traveling from out of state and abroad.
Will my reconstructed breasts look natural and match each other?
Our goal is to create a natural, symmetrical result that helps you feel confident in your body again. We can shape the reconstructed breast to match your existing one, or perform a breast lift, breast reduction, or breast augmentation on the opposite side to improve symmetry.
How long is recovery after breast reconstruction surgery?
Recovery varies depending on the breast reconstruction techniques used. Implant-based breast reconstruction generally has a quicker recovery time (2–4 weeks), while flap reconstruction may take 4–6 weeks. We’ll give you a clear, personalized recovery timeline based on your procedure.
What are the best breast reconstruction options if I don’t want implants?
Absolutely. We offer symmetry procedures, such as breast lift, reduction, or augmentation, on the remaining breast to ensure a balanced, natural appearance.
Is breast reconstruction right for me if I’ve already finished cancer treatment?
Yes. Even if you finished treatment years ago, it’s never too late to explore your options. Many of our patients come to us long after their initial diagnosis, ready to take the next step toward healing and wholeness.