Dr. Dec Plastic Surgery

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Dr. Dec Plastic Surgery

Welcome! Taking care of patients is my passion and priority. I am a plastic surgeon and am dedicated to the highest quality of care for every patient.

My goal is to provide the highest quality of care to every patient. I hope to empower you with information and partner with you to make the best decisions for your health. I am a plastic and reconstructive surgeon in New York City and a faculty member at Lenox Hill Hospital and the Manhattan Eye, Ear & Throat Hospital. I perform a broad range of plastic surgery including facial, breast, and body aesthetic surgery, microvascular surgery, as well as reconstructive surgery. My joy is seeing patients whose lives are enhanced by my work.

10/02/2022

I am seeing all NYC patients in a new office location at 799 Park Avenue.

To be seen as a patient for treatment or a consultation please contact the office:

Manhattan Patient:
799 Park Avenue
New York, NY 10021
(212) 390-8400

Westchester Patients:
244 Westchester Ave, Suite 411
West Harrison, NY 10604
(212) 390-8400

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12/19/2020

A can be performed either at the time of or sometime later. This post illustrates the idea perfectly. This patient’s right breast was originally reconstructed by another surgeon with a . The implant is too small, it is displaced, it has formed a firm capsule that feels tight and uncomfortable. The skin shows signs of radiation damage, which limits options for future implant reconstruction. What you can’t see in the photo is the muscle twitching over the implant that occurs with movement.

To correct this breast reconstruction deformity the implant and implant capsule were removed, the pectoralis muscle was repositioned to its anatomic position on the chest, and a flap was positioned to replace the volume of the left breast.

At the same time the patient underwent a preventative right mastectomy and immediate DIEP flap reconstruction.

Delayed breast reconstruction is one of my favorite procedures to perform because of the significant impact it has on a patient’s quality of life.
To be seen as a patient for treatment or a consultation please contact the office:

Virtual consults
www.drdec.com
drdec@drdec.com

Manhattan Patients:
210 East 64th Street, 3rd Floor
New York, NY 10065
(212) 390-8400

Westchester Patients:
777 North Broadway
Sleepy Hollow, NY 10591
(914) 269-1870

12/09/2020

I recently posted about single stage, pre-pectoral (over the muscle), direct to implant breast reconstruction. Many patients ask about this option because of the benefits that result form completing all the surgery in a single stage, and the relatively more comfortable recovery. However, not everyone is a candidate for direct to implant reconstruction.

The decision on how to best plan a reconstruction is largely based on the preoperative appearance of the breasts. When the breasts are very large, ptotic, or have thin skin it is generally better to stage the reconstruction, as in this case.

In a staged reconstruction a temporary tissue expander is placed at the time of the mastectomy. Then in a second operation the tissue expander is exchanged to a permanent implant, and modifications to the breast skin are made.

The quality of the final results can be very good in both scenarios. The key to breast reconstruction is finding the safest and most reliable way to complete the reconstruction.
To be seen as a patient for treatment or a consultation please contact the office:

Virtual Consults:
www.drdec.com
drdec@drdec.com

Manhattan Patient:
210 East 64th Street, 3rd Floor
New York, NY 10065
(212) 390-8400

Westchester Patients:
777 North Broadway
Sleepy Hollow, NY 10591
(914) 269-1870

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12/04/2020

Proud to be a co-author on THE definitive study regarding incidental breast findings following breast reduction surgery. The study was recently published in the journal of Histopathology with my colleagues in the department of Pathology and General Surgery. The study evaluated 10,340 breast reduction specimens for a variety of breast lesions including breast cancer.
A breast reduction is a surgical procedure performed for the treatment of macromastia, or having very large breasts. In the procedure excess breast tissue and excess breast skin are removed to create a smaller and lifted breast. In general patients are very satisfied with the results of a breast reduction because of improvement in how they feel and look. Besides breast reconstruction, procedures like breast reduction and breast lift or are some of the most common operations I perform.
To be seen as a patient for treatment or a consultation please contact the office:

Virtual Consults:
www.drdec.com
drdec@drdec.com

Manhattan Patient:
210 East 64th Street, 3rd Floor
New York, NY 10065
(212) 390-8400

Westchester Patients:
777 North Broadway
Sleepy Hollow, NY 10591
(914) 269-1870

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11/30/2020

There are two broad categories of breast reconstruction: implant reconstruction and natural tissue reconstruction. This patient underwent a single stage, direct to implant, pre-pectoral breast reconstruction after double mastectomy.

When a patient chooses to have an implant based reconstruction several decisions have to be made. 1) single stage vs. two stage with a tissue expander. 2) “pre-pecoral” which is over the muscle vs. “retro-pectoral” which is under the muscle. 3) implant characteristics (i.e. size, shape, material), 4) incision pattern.

There is no one best reconstruction that fits every scenario. A combination of patient characteristics and intra-operative finding determine the best reconstruction. This patient had non-ptotic breasts, and healthy mastectomy skin, which was conducive to the reconstruction she received.
To be seen as a patient for treatment or a consultation please contact the office:

Virtual Consults:
www.drdec.com
drdec@drdec.com

Manhattan Patient:
210 East 64th Street, 3rd Floor
New York, NY 10065
(212) 390-8400

Westchester Patients:
777 North Broadway
Sleepy Hollow, NY 10591
(914) 269-1870

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11/22/2020

This patient underwent a double and . Please pay particular attention to the breast scars. They are limited to the region of the ni**le and ar**la and completely covered with ar**la tattoos, which makes them extremely inconspicuous. Preoperatively this patient had a slight degree of breast ptosis, because of this her required an additional stage to achieve an optimal result.
To be seen as a patient for treatment or a consultation please contact the office:

Virtual Consults:
www.drdec.com
www.BRCAcenter.com
drdec@drdec.com

Manhattan Patient:
210 East 64th Street, 3rd Floor
New York, NY 10065
(212) 390-8400

Westchester Patients:
777 North Broadway
Sleepy Hollow, NY 10591
(914) 269-1870

11/13/2020

Hot off the press. Our latest article on optimizing outcomes in breast reconstruction.

The text of the article emphasizes the influence of the mastectomy incision design on the appearance of the eventual reconstruction.

The subtext of the article relates to the importance of the relationship between the oncologic breast surgeon and the reconstructive plastic surgeon. A mutual respect and understanding of each other’s goals and limitations is essential. The partnership between the two surgeons is how outcomes are optimized.
To be seen as a patient for a breast reconstruction consultation please contact the office:

Virtual Consults:
www.drdec.com
drdec@drdec.com

Manhattan Patient:
210 East 64th Street, 3rd Floor
New York, NY 10065
(212) 390-8400

Westchester Patients:
777 North Broadway
Sleepy Hollow, NY 10591
(914) 269-1870

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11/09/2020

Achieving optimal symmetry in a after a single sometimes requires also operating on the other breast. In this case the healthy right breast was lifted to match the left breast reconstruction.
To be seen as a patient for a breast reconstruction consultation please contact the office:

Virtual Consults:
www.drdec.com
drdec@drdec.com

Manhattan Patient:
(212) 390-8400
210 East 64th St, 3rd Fl
New York, NY 10065

Westchester Patients:
(914) 269-1870
777 North Broadway
Sleepy Hollow, NY 10591

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04/23/2020

This video shows an ultrasound guided Transversus Abdominis Plane (TAP) nerve block. This procedure, which involves injection of medicine, is performed at the end of each DIEP flap operation to numb the nerves which bring sensation to the abdomen. The procedure takes about 12 seconds and brings three days of postoperative pain relief. I incorporated the TAP block to my routine about 4 years ago and have witnessed an absolute night and day difference in patient’s postoperative pain relief.
To be seen as a patient for a breast reconstruction consultation please contact the office:
(212) 390-8400
drdec@drdec.com
www.drdec.com

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04/21/2020

Scar contraction and bunching of loose skin is very common after a mastectomy complicated by loss of implant or tissue expander. A natural tissue breast reconstruction can restore both the breast volume and skin surface area to restore a natural breast shape.
To be seen as a patient for a breast reconstruction consultation please contact the office:
(212) 390-8400
drdec@drdec.com
www.delayedbreastreconstruction.com

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04/20/2020

This is a nice technique. The loss of a native umbilicus is occasionally encountered
following abdominoplasty or abdominally based autologous
breast reconstruction. This complication is especially common in the setting of an umbilical hernia. In cases where preoperatively there is a high suspicion for loss of the
umbilicus, a deep inferior epigastric artery perforator flap is designed based on one of the periumbilical perforators. This can be done safely and easily in the setting of unilateral DIEP
flap breast reconstruction or abdominoplasty, and with more
careful planning in the setting of bilateral DIEP flap breast
reconstruction.
To be seen as a patient for a breast reconstruction consultation please contact the office:
(212) 390-8400
drdec@drdec.com
www.delayedbreastreconstruction.com

, , , , , @ New York, New York

Address

210 East 64th Street, 3rd Floor
New York, NY
10065

Telephone

+12123908400

Website

http://www.delayedbreastreconstruction.com/

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