Implant Based Breast Reconstruction

After a mastectomy, women can choose reconstructive breast surgery using breast implants as the foundation of their new breast shape. Implant based reconstruction can be performed as either immediate or delayed breast reconstruction, and is the least complex and most popular option for reconstruction following breast cancer.

Implant Based Reconstruction

Dr. Michael Halls is a board certified plastic surgeon who specializes in breast reconstruction for women in the San Diego area. In addition to implant-based reconstruction, Dr. Halls also offers tissue based reconstruction as well as a full range of cosmetic breast enhancement procedures.

Please contact us online or call La Jolla Breast Institute today at (858) 458-0100 to schedule your implant-based breast reconstruction surgery consultation.

Why Choose Dr. Halls

Dr. Halls graduated Cum Laude from the University of Western Ontario in Canada before going on to complete seven additional years of plastic surgery-specific training in residencies and fellowships, including two years spent practicing at Harvard and Massachusetts General Hospital in Boston.

Dr. Halls was a former Chief of Staff at Sharp Grossmont Hospital, Dr. Halls is also the co-founder and chairman of Doctors Offering Charitable Services (DOCS). He maintains active memberships in a number of breast and plastic surgery associations, and has published multiple papers in respected medical journals over the past three decades, including his own research on performing immediate breast reconstruction surgery using the SIDA procedure to reduce mastectomy scarring.

Dr. Halls founded La Jolla Breast Institute to offer comprehensive cosmetic breast enhancement and reconstructive breast surgery care in a relaxed environment. Together with his experienced support staff, Dr. Halls strives to offer every woman a positive experience along with superior results.

About Implant Based Breast Reconstruction

Women have two basic options when it comes to reconstructive breast surgery: using implants to recreate the breast or reshaping a new breast mound using your own tissue. Many times, the preference of which approach to use during surgery comes down to personal preference, although some women may be candidates for one type of breast reconstruction over the other. Of these two options, breast implant based reconstruction is performed more often.

For most women, breast implant reconstruction can begin immediately at the time of the mastectomy, typically when a skin-sparing or nipple-sparing mastectomy is performed. Before placing the implant, the skin envelope is sometimes lined internally with an acellular dermal matrix to provide extra support and maintain a natural breast shape.

For women who have a limited amount of skin or tissue after a mastectomy, or who have chosen to delay their reconstruction, Dr. Halls may recommend a staged reconstruction instead. This begins by inserting a tissue expander below the skin and muscle. Over time, the volume of the expander is increased in small increments of saline over a period of several months, allowing the skin to stretch enough that the appropriate implant size can be accommodated. Once the ideal volume has been reached, Dr. Halls replaces the expander with your final implant.

In women with a more generous breast size, Dr. Halls may recommend a SIDA procedure, developed through his own practice and research. The SIDA approach in combination with immediate expander reconstruction allows for the mastectomy scar to be placed entirely within the natural crease under the breast, or inframammary fold. This means that breast scars will not be visible on the surface of the breast itself after reconstruction.

After the initial reconstruction, further procedures, such nipple reconstruction, may be necessary to complete the reconstruction process. Additionally, Dr. Halls may recommend a balancing procedure for the opposite breast in order to ensure symmetry.


Visiting our patient photo gallery to see real women before and after undergoing implant based breast reconstruction can give you a better idea of what kind of results you can expect to see after your own reconstructive procedure. You can also find answers to commonly asked questions about breast reconstruction in our Breast Reconstruction FAQs.

Implant Reconstruction Pricing

The cost of your implant-based reconstruction will vary depending on the approach Dr. Halls takes during surgery, the types of implants used and whether cosmetic procedures need to be included on the opposite breast.

After your consultation Dr. Halls’ staff will discuss surgical costs with you, including information about procedures that may be allowed by your insurance plan or are self-pay, so you can make an informed decision before moving forward, but you should know that insurance coverage for breast reconstruction is mandated by federal law for any health insurance provider that also covers the costs related to your cancer treatment. This coverage not only applies to the affected breast, but also any procedures needed to ensure symmetry between breasts and even nipple reconstruction. Dr. Halls’ staff will assist you in collecting any necessary documentation that’s required by your insurance provider for coverage.

Recovery & Results

Your recovery experience for immediate implant reconstruction compared to a staged process using tissue expanders may be a little different. In both cases, you may feel sore at first, so Dr. Halls will have you wear a special bra after surgery to support your reconstructed breast and help you feel more comfortable. You should notice an immediate difference in your breast shape, especially as post-surgical swelling and the appearance of breast scars continue to improve.

Your reconstructed breast should give your figure a more symmetrical appearance, along with freeing you from the need to wear breast inserts or mastectomy forms. In addition to an improved self-confidence and quality of life, many women feel that implant-based breast reconstruction helps them find a sense of closure after breast cancer treatment.