What's New

This section was added to keep all aware of what is new in breast cancer reconstruction, what is new on this Web site, and what interesting events are occurring. The Web site was updated based on your comments to make it more informative and readable. The table of contents page link was added to multiple pages. This should help with the navigation of the site and for someone looking for a specific piece of information.

In January of 2009 Annals Of Plastic Surgery accepted a paper of mine for publication. The paper presents a documented algorithm on the evaluation of a DIEP flap both intraoperatively and postoperatively. Because strict criteria have been established, surgeons are able to reduce the likelihood of patients experiencing fat necrosis or losing a flap postoperatively because poor blood supply or poor drainage went unrecognized.

Beginning of the fall of 2008 and continuing through January of 2009 I have presented on the DIEP flap and flap monitoring in general at the Northeastern Society of Plastic Surgery, the American Society of Plastic Surgery, and the American Society of Microsurgery. These presentations are part of the same continuing commitment to excellence that has placed me at the forefront of investigations on the physiology of the DIEP flap and perforator flaps in general, as well as research of methods for monitoring and mapping these flaps. Through this research, I can help ensure that each of my procedures creates a healthy flap that is soft, natural, and without compromise, and that each patient receives state-of-the-art reconstruction results and care.

My achievements and commitment to being at the forefront in my specialty have resulted in my being named an honoree of the American Cancer Society in 2005 and being named a Physician of Distinction.

Former patients have organized and raised enough money for us to purchase a new microscope with the appropriate teaching equipment so that I'm now able to teach this procedure to others. It is gratifying to see people that I have trained beginning to do this type of work.

A scientific paper that I presented at the Northeastern Society of Plastic Surgeons entitled "The Deep Inferior Epigastric Perforator Free Flap for Breast Reconstruction" was published in the May 2001 issue of the Annals of Plastic Surgery. In January of 2003 I presented a paper on when not to perform the DIEP flap. Some patients have a dominant superficial system, and in those situations it is better to use the superficial system. This occurs about 15% of the time.

I also spoke on April 26, 2003 at the spring meeting of the New York Regional Society of Plastic Surgeons on the DIEP and SIE flap for Breast Reconstruction. Currently I am reviewing the effects of radiation on the DIEP flap. We are in the process of reviewing patients who have had radiation treatment either before or after DIEP flap breast reconstruction. Early information seems to indicate that there has been no adverse affect on the reconstruction.

Press Releases

Breast Reconstruction Specialist in New York Boasts a 99.5% Success Rate
Dr. Alex Keller, a breast reconstruction surgeon, has performed more than 1,200 Deep Inferior Epigastric Perforator (DIEP) flap surgeries with a success rate of better than 99.5%. Read More »

Breast Cancer Patients Find Support through Breast Reconstruction Surgeon's Site
National Breast Cancer Awareness Month is over, but women across the country remain focused on early detection and treatment for breast cancer. Prominent breast cancer reconstruction surgeon Dr. Alex Keller explains why. Read More »

Spotlight Still on Breast Cancer Reconstruction
More and more women are finding support groups to help them with recovery and share their experiences following breast cancer removal. A nationally-recognized breast reconstruction specialist, Dr. Alex Keller has updated his Web site to provide the latest information and resources for these women. Read More »

5/16/05 - On Friday May 13th, 2005 Dr. Alex Keller, a Plastic Surgeon from Great Neck, New York was named as the physician honoree at the American Cancer Society's Eastern Long Island Gala. Dr. Keller is a recognized expert in breast reconstruction with a national and international reputation. He specializes in a natural tissue reconstruction of the breast utilizing the body's own fat and without the sacrifice of any muscle.

9/18/00 - On Saturday September 16th, 2000 Dr. Alex Keller, a Plastic Surgeon from Great Neck, New York, presented a paper of original work at the Northeastern Society of Plastic Surgeons annual meeting in Montreal, Canada. The paper entitled "The Deep Inferior Epigastric Perforator Free Flap for Breast Reconstruction" was extremely well received by Dr. Keller's colleagues and he was praised on the superior aesthetics of this non-implant type of breast reconstruction.

The technique that Dr. Keller utilizes involves transferring to the chest the abdominal flesh that is discarded in a tummy tuck and shaping it into a breast. What is new and exciting about this method compared to older techniques is that no abdominal muscle is removed.

Dr. Keller reported 148 of these cases and showed excellent postoperative results. Some of these pictures can be viewed in the Patient Photos section of this Web site.


Some of my patients have joined together and started a new Web site called www.diepsisters.com. This is a very informative site and worth looking at.

Our popular support group meetings occur monthly. In the last few meetings we ran out of chairs. The group has volunteered to visit patients in the hospital who have had this procedure. We have many patients who are happy to share more about their experience with other women who are considering their breast reconstruction options, as many women deeply appreciate having the support of a woman who has "been there." Contact us and we will put you in touch with one or more of these patients.

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