Breast reconstruction surgery is performed to restore the breast shape and contour lost after a mastectomy. Our surgeons at the Clinic have the ability to recreate breasts that are very close in shape, size and appearance to your previous natural breasts. The reconstruction can be done immediately, right after the mastectomy, or at a later date and could be performed with a tissue expander and implant or even with your body’s own tissue.
At Juventus Cosmetic Surgery our specialists in Breast Reconstructive Surgery, can become involved right after you have been diagnosed with breast cancer and are going to have a partial or total, removal of breast tissue (mastectomy).
Some women choose to have breast reconstruction, while others choose not to. This choice is only your, our breast reconstruction surgeons can help on what decision is best for you. We have assisted many women in determining whether undergoing breast reconstruction surgery is or not the correct choice for them.
Types of Breast Reconstruction
Tissue Expander / Implant Reconstruction
When a mastectomy is performed, the nipple, areola, and some breast skin is removed. This tightens and reduces the breast envelope. To re-stretch the thin skin and the breast pocket to accept an implant, a temporary expander is placed underneath the pectoral muscle.
The expander is inflated periodically in the Clinic, via a simple and painless procedure. This expansion technique will gradually stretch out the skin to accommodate the implant.
At a second surgery, after you have decided the size and whether to use saline or silicone implant, the expander is removed and an implant is placed.
The two most common procedures done for autologous reconstruction are the TRAM flap and the latissimus (back muscle) flap plus expander and implant.
A TRAM flap utilizes your abdominal fat and skin for the breast reconstruction surgery, and allows the surgeon to recreate a soft natural looking breast from your own tissue. As this technique has the additional benefit of providing an abdominoplasty, you have to have enough soft tissue to be considered for this breast reconstruction surgery procedure.
The latissimus flap plus expander and implant procedure is similar to the breast reconstruction surgery described above but utilizing the latissimus muscle, a thin muscle from your back. This procedure may be performed in cases where radiation therapy is a factor or the patient does not qualifies for a TRAM procedure due to lack of soft tissue.
Surgical procedures may be done to the other healthy breast to help them look similar. This may involve a breast lift breast enlargement, breast reduction or a combination of these different breast enhancement procedures.
Nipple and Areola Reconstruction
Months after your initial reconstruction, a nipple can be reconstructed by using a bit of the skin on your breast. The areola is then reconstructed using either a skin graft or a tattoo.
Depending on the chosen procedure, the downtime could vary.
For a Tissue Expander / Implant Reconstruction the recovery time usually ranges from 2 to four weeks back to a desk job.
For an Autologous Reconstruction the average recovery time is four to six weeks to be able to go back to desk jobs or light activity
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