The IRMA Team

All of the different breast reconstruction procedures share a common goal, that is to restore a breast as much similar as possible to the patient's native breast. Such procedures, especially if performed with autologous tissues, can be defined as Intervention for Restoration of the MAmmae. The IRMA team takes its name from the acronym formed by the initials of the previous words; it is a multidisciplinary group of specialists, located in Rome, with the goal to offer patients all of the possibilities available nowadays from medical science, to face the disease, attack the tumor and come back to a normal life.

The equipe's experience started on march 2004 with the Breast Unit of the Sant'Andrea Hospital in Rome, where the majority of the procedures have been performed, then increased from 2009 to 2017 with the Breast Unit at Casa di Cura Quisisana, and later to the Casa di Cura Sanatrix.

The IRMA team, directed by Prof. Fabio Santanelli di Pompeo, performed from march 2004 untill today more than 1.500 breast reconstructions with different techniques, of which more then 30% with free microsurgical DIEP flap (80% immediately with breast cancer removal) and 28% with Latissimus Dorsi flap.

Of the remaining reconstructive procedures, the majority (20%) have been performed with expander and prosthesis, then others with Wise pattern + prosthesis, immediate prosthesis following conservative mastectomy, Wise pattern reduction mammaplasty, SIAE (from Superficial Inferior Epigastric Artery, similar to DIEP but using superficial vessels), LTD (Lateral Toraco Dorsal flap), TRAM (Transverse Rectus Abdominis Muscolocutaneous), TDAP (ToracoDorsal Artery Perforator), adipous tissue transplantation (lipofilling) and finally with TMG (Transverse Muscolocutaneous Gracilis), as showed in the slide to the right. Type of procedure has been selected according to the physical and clinical situation and patient's desires.


For further informations, please contact Prof. Santanelli di Pompeo.

Reserve a consultation

Chief of IRMA Equipe

Professor Fabio Santanelli di Pompeo MD, PhD
Chief of Plastic Surgery Unit, Sant'Andrea Hospital.

Chief of the Plastic, Reconstructive and Aesthetic Surgery Residency Program, "Sapienza" University of Rome, School of Medicine and Psychology.

Professor Fabio Santanelli di Pompeo is considered one of the major world-experts on breast reconstruction with autologous tissues. He has specifically contributed to the development and affirmation of DIEP (Deep Inferior Epigastric Perforator) flap procedure, being the first to perform a DIEP flap in Sweden and in Italy back on 1998 and then persisting on a more regular basis with the establishment of the Breast Unit at Sant'Andrea Hospital, counting more than 380 procedures performed untill nowadays. The technique of using abdominal tissues from the patient itself to reconstruct the breast, has been described first in Sweden - where Santanelli started - and later improved in United States and Europe, with Santanelli's contribute.

Professional effort of Professor Fabio Santanelli di Pompeo has produced not only clinical but also scientific results with more then 91 original publications on international and national reviews and 32 chapters on international and national books. My publications/citations

Plastic Surgery

Benedetto Longo MD
MD, PhD in Plastic Surgery, Sapienza University of Rome, Sant'Andrea Hospital.
Luca Renzi
Luca Renzi MD
Assistant, Plastic Surgery Unit, Sant'Andrea Hospital.
Rosaria Laporta MD, PhD
Assistant, Specialist in Plastic Reconstructive and Aesthetic Surgery. Aesthetic Medicine

General Surgery

Prof. Giovanni Ramacciato MD
Chief of General Surgery Unit 3, Sant'Andrea Hospital.
Francesco D'Angelo MD
Assistant at General Surgery Unit 3, Sant'Andrea Hospital.

Breast General Surgery

Claudio Amanti MD
Chief of Breast Surgery Unit, Sant'Andrea Hospital.


Prof. Giovanni Pinto MD
Chief of Anaesthesiology and Reanimation Unit, Sant'Andrea Hospital.
Dott. Fabio Corniello MD
Assistant at Anaesthesiology and Reanimation Unit, Sant'Andrea Hospital.


Paolo Marchetti MD
Chief of Oncology Science Department, Sant'Andrea Hospital.

Breast Diagnosis

Mauro Mattei MD
Chief of Breast Diagnosis Unit, Sant'Andrea Hospital.


Riccardo Maurizi Enrici MD
Chief of Radiotherapy Unit, Sant'Andrea Hospital.


Maria Chiara Vulpiani MD
Chief of Physical Medicine and Rehabilitation Unit, Sant'Andrea Hospital.


Anna Costantini MD
Chief of Psychoncology Unit, Sant'Andrea Hospital.
  • Reconstructive experience from March 2004 until today.
  • In 37 cases it has been performed a bilateral reconstruction.
  • Mean operative time of unilateral (including the immediate contralateral adjustment) and bilateral DIEP flaps.
Content e graphic design studio idea comunicazione studio idea comunicazione development PanPot

Redazione Barbara Fabiani