Reconstructive Plastic Surgery
Services
Breast Reconstruction
State-of-the-art restorative surgery following mastectomy or lumpectomy
Facial & Body Reconstruction
Aesthetic and functional restoration following Mohs surgery or cancer excision
Peripheral Nerve
Expert surgical management for complex nerve injuries and compression syndromes; Restoration of sensation after prior surgery
Complex Hand & Wrist Surgery
Specialized diagnostic and surgical treatment for advanced upper extremity conditions
Why Dr. Kelley
Dr. Kelley earned his M.D. at Baylor College of Medicine in Houston, then completed his integrated plastic surgery residency and hand surgery fellowship at the University of Michigan — consistently ranked among the country's premier surgical training programs. He holds dual certification from the American Board of Plastic Surgery, including subspecialty certification in Hand Surgery.
When you choose Dr. Kelley, you choose a surgeon who has trained at the highest level, contributed to the science behind modern plastic and hand surgery, and is trusted by both his patients and his colleagues. You get a physician who pairs the rigor of academic medicine with genuine compassion and attentive, personalized care to every consultation, every operation, and every step of recovery.
From the Blog
5.6.2026
Nerve Pain After Breast Cancer Radiation and Mastectomy: When Surgery Helps
Struggling with chronic chest or arm pain after breast cancer? Austin-based peripheral nerve specialist and breast reconstruction surgeon Dr. Brian P. Kelley explains how post-mastectomy neuromas and radiation neuritis—not your breast reconstruction — may be the true cause. We discuss evidence-based treatments and options for advanced nerve surgeries like TMR and RPNI. Learn how targeted nerve surgery might provide meaningful pain relief while potentially preserving your breast reconstruction.
2.6.2026
Nerve Transfers vs. Nerve Grafts: How Surgeons Choose
Nerve graft or nerve transfer? Dr. Brian Kelley, dual board certified nerve surgeon in Austin, walks through the two strategies, where each works best, and how the choice is actually made — covering motor and sensory nerves, hand and brachial plexus and lower-extremity considerations, modern adjuncts including processed nerve allograft, and why timing matters. Patient-reported outcomes data and a framework for selecting a surgeon included.
2.6.2026
Breast Reconstruction Coverage in Texas: WHCRA, Medicaid, and Local Resources
Breast reconstruction is protected by federal law, but real coverage gaps remain. Dr. Brian Kelley, an Austin reconstructive microsurgeon, walks through WHCRA, Texas Medicaid (MBCC), Travis County MAP, and the Seton charity care he participates in for patients without standard coverage. The post also covers the Breast Cancer Resource Center, the coverage gray zone for sensate reconstruction and prophylactic lymphedema surgery, and how to appeal when these procedures are denied.
In the Press
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