Breast Reconstruction

Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy.

Although breast reconstruction can rebuild your breast, the results are highly variable:

• A reconstructed breast will not have the same sensation and feel as the breast it replaces.
• Visible incision lines will always be present on the breast, whether from reconstruction or mastectomy.
• Certain surgical techniques will leave incision lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks.

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_A note about symmetry: If only one breast is affected, it alone may be reconstructed. In addition, a breast lift, breast reduction or breast augmentation may be recommended for the opposite breast to improve symmetry.

Is it right for me? Breast reconstruction is a highly individualized procedure. You should do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

Breast reconstruction is a good option for you if:

• You are able to cope well with your diagnosis and treatment
• You do not have additional medical conditions or other illnesses that may impair healing
• You have a positive outlook and realistic goals for restoring your breast and body image. Breast reconstruction typically involves several procedures performed in multiple stages. It can:
  
• Begin at the same time as mastectomy, or
• Be delayed until you heal from mastectomy and recover from any additional cancer treatments

It’s important that you feel ready for the emotional adjustment involved in breast reconstruction. It may take some time to accept the results of breast reconstruction.

Enhancing your appearance with breast reconstruction. Breast reconstruction is a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition. The creation of a new breast can dramatically improve your self-image, self-confidence and quality of life. Although surgery can give you a relatively natural-looking breast, a reconstructed breast will never look or feel exactly the same as the breast that was removed.

There are 3 main types of reconstruction techniques:

• Temporary expander followed by a permanent implant
• DIEP/TRAM flap or a variation (taking tissue from lower abdominal wall).
• Latissimus flap (using tissue from your back and swinging it around (to the chest)

These reconstructive techniques are combined with either a skin-sparing mastectomy (standard procedure removing nipple-areolar complex but preserving skin) or a nipple-sparing mastectomy. Generally speaking the more complex the surgery the more natural the look and feel of the reconstruction. Often a breast reduction and/or lift of the opposite breast is required to provide symmetry. Dr. Manolis will guide you to discuss the pros, cons, benefits and risks of each of the three types of flap surgery.

For more information call for a complimentary consultation with Dr. Manolis to discuss in-depth how the breast lift is performed and help you visualize your breast lift.

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