Breast
SWIM Flap Reconstruction
Implant-free breast reconstruction that rebuilds a smaller breast mound from the patient's own remaining skin and tissue at the time of mastectomy — without an implant or a free flap taken from elsewhere on the body. Sometimes described as a Goldilocks-type reconstruction.
Overview
SWIM flap reconstruction rebuilds the breast at the same operation as the mastectomy, using the patient's own remaining breast skin and underlying tissue to form a smaller, natural mound. It avoids both implants and free flaps, so there is no donor site elsewhere on the body and no implant to maintain over time.
Who it's for
The right candidate.
This approach can suit patients with larger breasts who are undergoing mastectomy and prefer not to have an implant or a free-flap reconstruction. Candidacy is determined together with the breast surgeon at the time of surgical planning.
Where this happens
Our own surgery center.
One roof, one team.
Dr. Azadgoli operates at The Practice Healthcare's fully independent, on-property ambulatory surgery center — a Medicare-certified, physician-led facility recognized by Newsweek as one of California's top centers for independent, privately owned surgery.
Consultation, surgery, aftercare, and recovery all happen in one building, with the same team. No outside hospital. No new staff to meet the day of surgery. The same person who checked you in at the consult is there when you wake up.
Patient results
Real cases.
Insurance & coverage
Patient Advocacy handles the paperwork.
Our advocacy team verifies benefits, pursues pre-authorizations, and appeals denials. You don't navigate insurance on your own.
Cosmetic procedures are generally not covered by insurance. For reconstructive or medically necessary work, our advocacy team verifies your benefits and presents the out-of-pocket estimate before anything is scheduled.
How we work with insurance
- 1 Verification by expertsOur advocacy team verifies your benefits before any procedure — so we know exactly what is and is not covered.
- 2 Patient advocacy & follow-throughWe aggressively pursue pre-authorizations, appeal denials when appropriate, and hold carriers accountable to their commitments.
- 3 Financial transparencyYou receive a clear written estimate of potential out-of-pocket costs. No surprises on the day of surgery.
- 4 Collaboration with carriersOur team handles documentation and communication directly with your insurance company.
- 5 Options & supportIf a procedure is not covered, we walk you through cash-pay options, financing, and other pathways to care.
Ready to discuss swim flap reconstruction?
Schedule a consultation with Dr. Azadgoli and her team to explore your options.
Request a consultation