Oncoplastic and Breast Reconstruction

Oncoplastic surgery and breast reconstruction restore a natural appearance, symmetry, and self-confidence through modern endoscopic techniques and reconstructions using implants or the patient’s own tissue.

Schedule a consultationSee the FAQ
Hero Image

Oncoplasty and breast reconstruction surgeries

Endoscopic mastectomy with immediate breast reconstruction

In September 2023, I performed the first mastectomy with immediate implant-based reconstruction in Poland—and one of the first globally—using an endoscopic technique via a small incision in the armpit. This method is ideal for so-called prophylactic mastectomies—for instance, in cases involving BRCA1 or BRCA2 mutations or cancer phobia—as it allows for the safe, subcutaneous removal of the entire mammary gland while maintaining the integrity of the surrounding tissues. This results in a more stable implant reconstruction, creating a natural-looking breast free of the scars typically associated with a mastectomy.

Breast reconstruction after mastectomy

Breast reconstruction can be a complex process, often requiring multiple surgical procedures.
Depending on the type of mastectomy performed and the condition of the tissues—particularly if they have been affected by radiation therapy—reconstruction may be carried out using implants, implants combined with pedicled tissue flaps (such as one derived from the latissimus dorsi muscle), or entirely through the use of the patient’s own tissue, typically harvested from the abdomen, though the buttocks or thighs may also serve as donor sites.
Because a reconstructed breast will likely differ from the contralateral (opposite) breast, the latter is often adjusted to achieve symmetry. However, since tissues affected by cancer or radiation therapy behave differently than the healthy tissue of the opposite breast, asymmetry may recur over time, even after a well-executed symmetrization procedure. In such cases, a follow-up symmetrization—most commonly performed via mastopexy (link) or lipofilling (link)—can be undertaken to achieve a definitive, lasting result.

Problem section image

Results of my surgeries

After surgeryBefore surgeryBeforeAfter
↔

Breast reconstruction after mastectomy

After surgeryBefore surgeryBeforeAfter
↔

Breast reconstruction after mastectomy

View all photos

Pricing

Endoscopic mastectomy with immediate breast reconstruction

An innovative procedure performed through a small incision in the armpit, allowing for the safe removal of the breast gland and simultaneous reconstruction with an implant, with no visible scarring on the breast.

Book consultation
from17 500to45 000PLN

Out of suffering have emerged the strongest souls; the most massive characters are seamed with scars.

~ Khalil Gibran

Course of surgical treatment

Consultation

Detailed assessment of breast shape, size, proportions, and tissue quality. Determining the procedure type and scope: breast augmentation, mastopexy (breast lift), breast reduction, symmetrization, fat grafting, or a combination approach. In the case of breast augmentation—selecting the optimal size, shape, and implant type, as well as discussing the surgical placement technique.

Preoperative Preparation

Medical photography, required preoperative diagnostic lab work, and breast imaging (most commonly a breast ultrasound). Final confirmation of the surgical scope.

Surgery

The procedure is performed under general anesthesia (epidural anesthesia is exceptionally rare). Procedure duration depends on the type and scope of the surgery, followed by a post-operative observation period.

Initial Post-Operative Check-up

Evaluation of the healing process, wound assessment, and breast positioning. Depending on the procedure performed—dressing changes and updated post-operative care instructions.

Post-Operative Garments & Stabilization

Wearing a specialized supportive surgical bra and, in the case of implant augmentation, an implant stabilization belt if clinically indicated.

Subsequent Follow-up Visits

Regular check-ups throughout the healing phase to monitor wound recovery, breast contour, and implant positioning. Implementation of supportive conservative therapies if required.

Long-Term Follow-up

Following early recovery, periodic check-ups take place every 3 months, including monitoring implant integrity and position for augmented patients. A final follow-up including a breast ultrasound is conducted at 12 months to formally conclude treatment.

"Google

I am very satisfied with the result of the procedure. It's been over a year since the operation, and my breasts are perfect; I couldn't have been in better hands. My breasts were saggy after pregnancy, and they lacked fullness. The Doctor perfectly selected the implants; I completely entrusted myself to him, and it was the best decision. Now I'm enjoying beautiful, firm breasts. I recommend him wholeheartedly!

~ Marta Chmist

"Google

The experience with this plastic surgeon was amazing. He was extremely caring and competent. The entire procedure was painless, and the final result of my breasts is simply wonderful. I recommend him wholeheartedly!

I don't know a better surgeon, and unfortunately, I've had some experience with this topic already...

Beautiful breasts without scars ONLY WITH DR. BOLIGŁOWY!!!!

~ Natalia Pawłowska

"Znany Lekarz

The decision to have a breast reduction was the best of my life. The back pain is gone, and I finally feel comfortable in my own body. The medical team was incredibly supportive at every stage.

~ Katarzyna S.

"Google

I highly recommend the doctor. A month ago, he performed my breast augmentation surgery, and I am very satisfied with the result.

If I have any questions or need clarification, I always get a very quick response.

I remember the day after the procedure in the hospital very well; the service was excellent :)

I am very satisfied and recommend.

~ Laila L

"Google

I highly recommend Dr. Dominik Bolig and his entire team. Dr. Bolig performed my breast augmentation. I am delighted with his approach and immense competence. Additionally, the doctor is very empathetic.

Let me just say this was the best decision and I couldn't have been in better hands! And the result exceeded my wildest expectations. I sincerely recommend!!!

~ Dorota L

"Google

For boobs, it's only Dr. Boligłowa – my girlfriends were right!
Dr. Boligłowa measured, explained everything, showed implants, did fittings, then told me to show her! photos of breasts I liked so she would know what direction to go in! Simply amazing.
And the minimally invasive underarm method – just fantastic! No scars, minimal pain.
You do have to put in a bit of effort! with follow-up appointments, adjusting your bra, correcting the band, and monitoring your posture, but I assure you, it's worth it.

~ Edyta

"Google

I had breast augmentation surgery and I am very satisfied.

~ Joanna

Frequently asked questions

The results of breast plastic surgery are long-lasting. However, it's important to remember that the aging process, weight changes, or pregnancies can affect the appearance of the breasts in the future. In the case of implants, the manufacturer may recommend their replacement after a certain period.

Take the first step towards self-confidence

The consultation is a time for your questions and a thorough assessment of treatment options.

Make an appointment online
Call887 887 878
Fill out the form
CTA Image