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Breast Reconstruction

Breast reconstruction is done after the removal of a breast(s), usually for cancer, on an immediate or delayed basis. This procedure can dramatically improve a woman's self image, self-confidence and quality of life. There are many options in breast reconstruction, but all require a series of procedures to achieve the final result. Some involve implants, tissue expanders or flap type procedures. Insurance must cover these surgeries. All options will be discussed at your consultation.

WHO IS A CANDIDATE?

• You have or will be suffering the loss of one or both of your breasts, usually due to cancer.
• You have significantly asymmetrical breasts.
• You are in good general health and do not smoke.

PROCEDURE DESCRIPTION

• There are many reconstructive procedures, which will be discussed at your consultation.
• They will be done under general anesthesia with a one to five day hospital stay, depending on the actual procedure done.
• They are done at the time of the mastectomy or at a later time on a delayed basis.
• Tissue expander reconstruction is done using a deflated prosthesis with a port placed under the muscle. They will be filled gradually with intravenous saline every two weeks in the office with a small butterfly needle until it is maximally filled. The expanders will be replaced with an implant at a second surgery.
• Flap type procedures are usually from the abdomen and is done taking the abdominal muscle, skin and fat from the lower abdomen to reconstruct the breast. No implant is used.
• Nipple areolar reconstruction with tattooing will be done at a later time.

RECUPERATION AND HEALING

• Depending on the procedure used, it will take four to six weeks to recuperate and resume normal activity.

Choosing a Plastic Surgeon

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