Microsurgery is a relatively recent advance in surgery that involves the transfer of tissue from one part of the body to another part of the body. It involves a highly specialized skill set that involves sewing together very small blood vessels or nerves that can be less than 3 or 4 millimeters in diameter. Microsurgery demands both an exceptional knowledge of anatomy and a creative approach due to the complexity of these wounds. These surgeries are technically demanding and often require many hours in the operating room. Free flaps or free tissue transfer utilizing microsurgical techniques are sometimes the “last ditch” effort to salvage a limb or reconstruct a breast with autologous tissue, or tissue that comes from you. Frequently these wounds have failed treatment by other conventional means. Therefore, microsurgery and free flaps are necessary to provide rapid wound closure or even treat underlying infections such as osteomyelitis, or bone infections. These techniques may be needed to replace the missing parts of a wound with other tissue that provide form and function. Free flaps or other flaps may be needed to provide stable and rapid coverage to any wound. Microsurgery may be needed to reattach limbs or fingers that have been amputated by trauma.

Dr. Vasquez has trained at institutions that teach these highly sophisticated plastic surgical techniques such as Memorial-Sloan Kettering Cancer Center, Weill-Cornell Medical University, New York Presbyterian Hospital at Columbia Univeristy, Nassau University Medical Center, and the North Shore-LIJ University Health System. His specialized treatment offerings include, but not limited to:

  • autologous breast reconstruction (TRAM, DIEP, latissimus dorsi, ALT flaps, etc.)
  • free flaps (free TRAM, radial forearm, scapular, serratus anterior, fibula, perforator flaps such as ALT and DIEP flaps)
  • digit replantation and toe to thumb transfers
  • peripheral nerve repairs
  • coverage of high risk wounds, exposed orthopaedic hardware, or other vital structures
  • other complex defects requiring a combination of various plastic surgical techniques, including free or pedicled flaps, skin grafts, VAC therapy, etc.)

From day 1 I felt comfortable with Dr Vasquez. He was patient, kind and you can tell not only is he passionate about what he does but he truly care what the patient wants and listens. He showed me 3D imaging and went over everything. His office is clean and his staff are very friendly.

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