Reconstructive Surgery

The information provided is generalised and comprehensive patient-specific advice can only be given at individual Consultation.


Microsurgical free tissue transfer involves transfer of bone, muscle and skin from one part of the body to reconstruct another. These units of tissue or flaps with blood vessels attached are termed ‘free flaps’ as the recipient site is often distant from the donor site. The technique may be particularly helpful when a large defect is present that cannot be closed using nearby tissues or simple skin grafting.

Using a surgical microscope, the tiny blood vessels from the free flap are reattached at the recipient site using microsurgical techniques. Microsurgical reconstructive surgery requires meticulous precision and highly specialised skill, but the techniques have revolutionised what can be achieved, and can vastly improve a patient’s quality of life.

Mr Fallahdar is highly skilled Microsurgeon with extensive experience in Microsurgical Reconstruction of the Head and Neck region and Breast following cancer. His results are of a consistently high standard. He holds Certificate of Specialty in Microsurgery following 3 years training at the University of Milan, Italy, he was awarded the Special Recognition Award for Excellence in Microsurgery at the renowned National Cancer Institute, Milan in 2006.

Mastectomy patients can greatly benefit from Microsurgery through breast reconstruction using tissue from the tummy, thigh or back to reconstruct a breast.

The outcome of microsurgical reconstruction is dependent upon the successful connection of the tiny blood vessels of the tissue to recipient vessels, to provide a healthy blood supply to the transplanted tissue. In general the failure rate of free flaps is approximately 2% of cases.

Microsurgical reconstructive surgical procedures that Mr Fallahdar undertakes include:

  • Breast surgery
  • Free DIEP flap/ muscle sparing TRAM (transverse rectus abdominis myocutaneous) flap
  • Free TRAM (transverse rectus abdominis myocutaneous) flap
  • Free ALT (Antero-latero thigh) flap
  • LD (Latissimius dorsi) flap
  • Head and neck surgery
  • Radial forearm fasciocutaeous (skin and fascia) flap
  • Muscle flaps
  • Free fibula (bone) for jaw reconstruction
  • ALT (Antero-latero thigh) flap
  • DIEP/ MS TRAM Flap
  • LD (Latissimius dorsi), TAP, and local perforator Flaps