Aldona Spiegel, MD

Professor of Clinical Plastic Surgery, Academic Institute
Full Clinical Member, Research Institute
Houston Methodist
Weill Cornell Medical College


Dr. Spiegel is an Associate Professor at Weill Cornell School of Medicine and the Director of the Center for Breast Restoration, at Houston Methodist Hospital.  She was born in Warsaw, Poland and grew up in Canada. She received her Doctorate in Medicine from the University of Ottawa and trained in general surgery at Johns Hopkins in Baltimore Maryland.  She completed her plastic surgery residency and microsurgery fellowship at Baylor College of Medicine in Houston Texas, and is board certified by the American Board of Plastic Surgery. Dr. Spiegel has authored two textbooks and has written over 50 articles and book chapters and has given more than 200 lectures around the world. Dr. Spiegel is recognized by her peers and has been voted to Super Docs, Houston Top Docs, Castle Connelly’s Top Docs and US News and World Report Top Doctors. She actively participates in the plastic surgery resident training program and instructs residents in the highly skilled area of microsurgical breast reconstruction.  Dr. Spiegel recently started a preceptorship program for plastic surgeons in which she teaches her specialized techniques during live surgery. 

Dr. Spiegel’s passion for developing and improving reconstruction techniques and reestablishing breast sensation has made her a highly sought out surgeon and speaker as well as author, editor and reviewer for multiple publications including The Breast Journal, Plastic and Reconstructive Surgery, Annals of Plastic Surgery and the Journal of Reconstructive Microsurgery. She travels extensively as an invited lecturer and to teach surgical techniques through educational live surgery presentations, nationally and internationally. Dr. Spiegel holds two patents, one patent pending, and sits on two medical advisory boards. She is a consultant for Mentor Worldwide Inc., the Musculoskeletal Transplant Foundation Transplant, and Ethicon as well as an active member of the American Society of Plastic Surgeons, American Association of Plastic Surgeons, American Society for Reconstructive Microsurgery, World Society for Reconstructive Microsurgery, Plastic Surgery Research Council, Texas Society of Plastic Surgeons, Texas Medical Association and Harris County Medical Society, Houston Society of Plastic Surgeons, Women’s Microsurgery Group and Society for Leading Medicine. Dr. Spiegel is honored to help women through their breast cancer journey and established The Pink Sisters Support Group for her patients to help with education, outreach and advocacy.


Description of Research

Dr. Spiegel's main field of clinical expertise and scientific interest is advanced breast reconstruction procedures. She specializes in autologous muscle-preserving perforator flaps and has performed over a thousand microsurgical reconstructive procedures. In addition, she focuses on functional aspects of breast restoration, including lymph node transfer and has pioneered techniques for restoration of sensation in microsurgical breast procedures. Dr. Spiegel also specializes in composite breast reconstruction techniques after nipple sparing mastectomy, direct to implant breast reconstruction, and fat grafting procedures.

Areas Of Expertise

Microsurgery Breast Reconstruction Breast sensation DIEP flaps SGAP flaps TAP flaps SIEA flaps
Education & Training

Residency, Baylor College of Medicine
Clinical Fellowship, Baylor College of Medicine
Internship, Johns Hopkins University
MD, University of Ottawa

Post-mastectomy sensory recovery and restoration
Hamilton, KL, Kania, KE & Spiegel, AJ 2021, , Gland Surgery, vol. 10, no. 1, pp. 494-497.

How to Maximize Aesthetics in Autologous Breast Reconstruction
Wagner, RD, Hamilton, KL, Doval, AF & Spiegel, AJ 2020, , Aesthetic surgery journal, vol. 40, pp. S45-S54.

2020 special issue: Twenty years of breast reconstruction: Past, present, and future
Spiegel, A, Kania, K & Hamilton, KL 2020, , Breast Journal, vol. 26, no. 1, pp. 39-41.

Incidental Findings in CT and MR Angiography for Preoperative Planning in DIEP Flap Breast Reconstruction
Wagner, RD, Doval, AF, Mehra, NV, Le, HB, Niziol, PA, Ellsworth, IV, WA & Spiegel, AJ 2020, , Plastic and Reconstructive Surgery - Global Open, pp. e3159.

Sensory Recovery of the Breast following Innervated and Noninnervated DIEP Flap Breast Reconstruction
Beugels, J, Cornelissen, AJM, van Kuijk, SMJ, Lataster, A, Heuts, EM, Piatkowski, A, Spiegel, AJ, van der Hulst, RRWJ & Tuinder, SMH 2019, , Plastic and Reconstructive Surgery, vol. 144, no. 2, pp. 178e-188e.

Management of Microsurgical Patients using Intraoperative Unfractionated Heparin and Thromboelastography
Zavlin, D, Chegireddy, V, Jubbal, KT, Agrawal, NA & Spiegel, AJ 2019, , Journal of Reconstructive Microsurgery, vol. 35, no. 3, pp. 198-208.

Nipple viability after nipple-sparing mastectomy in patients with prior circum-areolar incisions
Rose, JF, Zavlin, D, Lim, SJ, Spiegel, AJ, Chevray, PM, Albright, SB & Friedman, JD 2018, , Breast Journal.

Algorithmic Approach for Intraoperative Salvage of Venous Congestion in DIEP Flaps
Bartlett, EL, Zavlin, D, Menn, ZK & Spiegel, A 2018, , Journal of Reconstructive Microsurgery, vol. 34, no. 6, pp. 404-412.

Risk-Reducing Mastectomy and Breast Reconstruction: Indications and Evidence for Current Management Strategies
Eisemann, BS & Spiegel, A 2018, , Clinics in Plastic Surgery, vol. 45, no. 1, pp. 129-136.

Implications of Internal Mammary Lymph Node Sampling During Microsurgical Breast Reconstruction
Rose, JF, Zavlin, D, Menn, ZK, Eldor, L, Chegireddy, V, Baker, TP, Teh, BS, Lim, SJ & Spiegel, AJ 2018, , Annals of Surgical Oncology, vol. 25, no. 11, pp. 3134-3140.

ASO Author Reflections: Implications of Internal Mammary Lymph Node Sampling During Microsurgical Breast Reconstruction
Rose, JF, Zavlin, D & Spiegel, A 2018, , Annals of Surgical Oncology.

Sensation of the autologous reconstructed breast improves quality of life: A pilot study
Cornelissen, AJM, Beugels, J, van Kuijk, SMJ, Heuts, EM, Rozen, SM, Spiegel, AJ, van der Hulst, RRWJ & Tuinder, SMH 2018, , Breast Cancer Research and Treatment, vol. 167, no. 3, pp. 687-695.

Sensory recovery of the breast after innervated and non-innervated autologous breast reconstructions: A systematic review
Beugels, J, Cornelissen, AJM, Spiegel, A, Heuts, EM, Piatkowski, A, van der Hulst, RRWJ & Tuinder, SMH 2017, , Journal of Plastic, Reconstructive and Aesthetic Surgery, vol. 70, no. 9, pp. 1229-1241.

Comparing the sensation of common donor site regions for autologous breast reconstruction to that of a healthy breast
Cornelissen, AJM, Beugels, J, Lataster, A, Heuts, EM, Rozen, SM, Spiegel, A, van der Hulst, RRWJ & Tuinder, SMH 2017, , Journal of Plastic, Reconstructive and Aesthetic Surgery.

The impact of resident involvement in breast reconstruction surgery outcomes by modality: An analysis of 4,500 cases
Jubbal, KT, Echo, A, Spiegel, AJ & Izaddoost, SA 2017, , Microsurgery, vol. 37, no. 7, pp. 800-807.

Breast reconstruction with DIEP and SIEA flaps in patients with prior abdominal liposuction
Zavlin, D, Jubbal, KT, Ellsworth, IV, WA & Spiegel, A 2017, , Microsurgery.

Keyhole Flap Nipple Reconstruction
Chen, JI, Cash, CG, Iman, AH, Spiegel, A & Cronin, ED 2016, , Plast Reconstr Surg Glob Open, vol. 4, no. 5, e703, pp. 1-4.

Beyond Quantitative Measurement of Breast Reconstruction Outcomes: Evaluation of Nipple-Sparing Mastectomy and the Breast-Q
Wommack, CC & Spiegel, AJ 2016, , Breast Journal, vol. 22, no. 1, pp. 7-9.

Flap-based breast reconstructions
Bartlett, E, Kolacinska, A & Spiegel, A 2016, , Nowotwory, vol. 66, no. 6, pp. 463-469.

XPAND Patient-Activated Controlled Tissue Expander System for Breast Reconstruction
Ascherman JA, Castle J, Colwell A, Chun YS & Spiegel, A 2014, , Plastic and Reconstructive Surgery, pp. 93-94.