Breast reconstruction can be an exceptionally rewarding and empowering option for many women who received – or may be contemplating – a mastectomy as part of their battle to beat breast cancer. There are several different techniques that can be employed to rebuild the breast mound following a mastectomy, each of which can help restore a normal shape, size, and overall appearance to the breast(s). At our practice, Stafford R. Broumand, MD and Daniel Y. Maman, MD offer implant reconstruction, fat grafting, and DIEP flap breast reconstruction, and they will work closely with you to customize an approach that most effectively achieves an ideal outcome based on your unique needs and desires.
What Can Breast Reconstruction Do for Me?*
Following a mastectomy or trauma to the breasts, breast reconstruction may be able to help:
- Rebuild the breast(s) using an implant and/or the patient’s own tissues
- Restore one or both breasts to their pre-mastectomy size and form
- Enhance the shape, size, and/or symmetry of the breasts, if desired
- Improve one’s body image and self-esteem
- Restore a sense of femininity and wholeness
* results may vary
Breast Reconstruction Options
The following are different breast reconstruction options employed by our board certified plastic surgeons. In certain cases, a nipple-sparing mastectomy can be conducted prior to these breast reconstruction techniques to help maintain more of your own anatomy through the preservation of breast skin and the nipple-areola complex. Additionally, the resulting scar may be better concealed in comparison to that of a standard mastectomy operation. Whether or not this advanced mastectomy approach may be right for you can be discussed in full detail at the time of your consultation with Dr. Maman or Dr. Broumand.
Implant Breast Reconstruction
For implant breast reconstruction, a tissue expander will first be utilized to create a large enough breast pocket for the selected implant to be placed both safely and effectively. Situated immediately after the mastectomy or some time later (known as a delayed procedure), tissue expanders comes in a range of sizes and shapes to match the dimensions of the desired implant. When a sufficient pocket has been created, the breast implant can then be carefully inserted through limited incisions and positioned securely in place. At this time, fat grafting can also be used to further enhance the contour of the breast(s) for an ideal outcome.
Breast Reconstruction with Fat Grafting
Breast reconstruction with fat grafting is similar to natural breast enhancement in that fat tissues are removed from one area of the body and relocated to the chest to create a new breast mound. In the weeks before the procedure, the BRAVA® tissue expansion system is employed to create an ideal environment in the breasts for the transfer of fat cells. This process generally involves wearing the BRAVA® device approximately six hours a day (or night) for a minimum of three weeks until there is ample space for large-volume fat transfer. Once this is complete and the reconstructive procedure can be performed, liposuction will first be used extract fat from one or more regions of the body that contain an adequate accumulation, such as the abdomen, thighs, and/or love handles. Upon removal, the fat is filtered, cleansed, and reinjected into the breast(s) until the desired result is attained.
DIEP Flap Breast Reconstruction
Dr. Maman is one of only a few surgeons in New York City to have received Fellowship training at Harvard University in DIEP (deep inferior epigastric perforator) flap breast reconstruction, which involves the use of tissues taken from the patient’s lower abdomen to rebuild one or both breasts. During the procedure, fatty tissue from the area between the bellybutton and pubic region is removed and transferred to the chest. Tiny blood vessels are then meticulously connected to the repositioned tissues in order to provide ample blood supply for long-term tissue survival. Once the blood vessels are attached, the relocated tissues are carefully shaped to form the new breast mound(s), and the abdominal skin is redraped to create a flatter, more sculpted abdomen.
Unlike other flap reconstruction methods, DIEP flap breast reconstruction does not require the removal and/or relocation of abdominal muscles, which can help preserve the strength of the abdominal wall while also reducing recovery time and postoperative discomfort. In addition, due to the extraction of lower abdominal tissues, patients often receive the aesthetic benefits of a tummy tuck in the process. Ultimately, by utilizing this technique, our doctors are able to achieve excellent breast symmetry with extremely natural-looking and feeling results.
Recovery from Breast Reconstruction
Recovery from breast reconstruction will vary by individual, as well as the specific technique employed. In general, most women can expect some degree of swelling, bruising, and/or tenderness in the breasts and donor regions (if skin/fat tissues were transferred), but these symptoms should diminish over time. Our doctors generally administer an advanced analgesic known as EXPAREL® to help minimize discomfort during the first 48 hours of recovery, and any soreness experienced after this time can often be well managed with medication. The majority of patients will need to arrange for a close friend or family member to provide assistance within the first few days of recovery, as taking care of children and/or lifting heavy items may compromise the healing process. On average, normal daily routines and non-strenuous work can be resumed after about one to two weeks, though vigorous physical activity/exercise should typically be avoided for a minimum of one month.
Contact 740 Park Plastic Surgery
To learn more about breast reconstruction, or if you wish to schedule a consultation with one of our board certified plastic surgeons, please do not hesitate to contact our office today.