The art of plastic surgery

Breast Reconstruction

Breast reconstruction surgery is an opportunity to restore your appearance and self-confidence. For a breast reconstruction procedure, Stafford Broumand, MD or Daniel Maman, MD, our board-certified plastic surgeons, will guide you through determining the surgical methods that can offer you the best outcome.

During your personal consultation, your surgeon will discuss how to prepare for your surgery, customize a procedure plan, and explain the recovery process. You can have breast reconstruction through several reconstructive surgery options. Each technique offered can help restore your breast to a normal shape, appearance, and size following a mastectomy.

Breast Reconstruction Candidate 740 Park Plastic Surgery Technique Breast Reconstruction Information Breast Reconstruction Preoperative Instructions
  • Post-mastectomy
  • Positive BRCA gene
  • Limited incisions
  • Anatomic implants
  • Fine shaping with fat grafting
  • Surgical time 1-2 hours
  • Recovery, approximately 1 week – varies per person
  • Pre-testing required
  • No Aspirin or non-steroidal anti-inflammatory products for seven–ten days prior to surgery
  • No fish oil / omega oils for seven-ten days prior to surgery
  • Begin Arnica herbal tablets two days prior to surgery

Breast Reconstruction Using an Implant

Post-mastectomy breast reconstruction with a tissue expander and an implant requires a staged approach. Our doctors use a tissue expander as a temporary device placed on the chest wall deep in the pectoralis major muscle. The expander creates a pocket to contain your permanent breast implant.

The tissue expander may be placed immediately following the mastectomy or later, which is called a delayed procedure. Tissue expanders are available in a variety of shapes and sizes to fit the size of implant you and your doctor choose.

The Gummy Bear Implant – Sientra® Implants

740 Park Plastic Surgery is one of the few practices in the U.S. to offer the new Sientra® breast implant. This recently FDA-approved implant is composed of a cohesive silicone gel that allows for a very natural look and feel. Sientra® implants come in a variety of sizes and shapes, as well as smooth and textured surfaces. They are also known for a reduced risk of developing folds and wrinkles. Sientra® breast implants are designed to not only restore breast volume, but also result in the best possible proportions. These implants, sometimes referred to as “gummy bear implants” because of the strong gel composition, are more resistant to leaking in the unlikely event of rupture, and have been shown to provide remarkably natural results.

I have been lucky enough to have Stafford Broumand, M.D. as my Plastic Surgeon for the last decade. As a breast cancer survivor, Dr. Broumand has done multiple procedures on me; from the initial phase of expanding my chest area through the process of inserting implants all the way to pioneering a ground breaking fat transfer procedure which replaced the implants with my own tissue. I do not and would never, hesitate to assure anyone coming to Dr. Broumand for the first time that they have wound up with a medical professional who brings great talent and true kindness to both his work and his patient care.

Grafting Techniques

Dr. Broumand and Dr. Maman offer fat grafting as an effective breast reconstruction technique. Fat grafting uses fat harvested from a different part of your body to reconstruct your breast. The fat can be enriched with your own stem and regenerative cells, if you choose the cell-enriched fat transfer procedure. The goal is to rebuild your breast either completely from your own tissues or in combination with implants. Our doctors are pioneers in using a patient’s natural tissue/fat in reconstruction of the breast to improve upon other breast reconstruction techniques.

Nipple Sparing

In some cases, a mastectomy may be performed in such a way that the nipple and areola complex can be preserved. This type of surgery maintains more of your own anatomy and it can reduce the recovery from your original surgery. The mastectomy scar may also be better concealed when compared to a standard mastectomy operation. There are a number of things to consider before your surgery. Although not everyone is a candidate for a nipple sparing mastectomy, it can be performed for some patients. During your consultation with Dr. Broumand or Dr. Maman, they will discuss the nipple sparing option with you and determine if this may be possible.

Innovations in Breast Reconstruction

Dr. Broumand discusses new technology and techniques in breast reconstruction, including alleviating pain and regaining sensation with the addition of fat transfer.

TRAM Flap Breast Reconstruction

A TRAM (transverse rectus abdominis myocutaneous) flap breast reconstruction procedure relies on using your own tissue, taken from your abdomen, to build a new breast following a mastectomy. At our practice, our doctors use the entire rectus abdominis muscle to carry the abdominal skin and fat up to the chest wall. Your breast shape will be created from this tissue. In order to transfer the flap to the chest, the muscle is tunneled under the upper abdominal skin.

The TRAM flap can be used for reconstructing one or both breasts. If you undergo unilateral reconstruction with Dr. Broumand or Dr. Maman, the TRAM flap can potentially offer better symmetry than using an implant. The result is a more natural-appearing breast reconstruction.

All of these possible breast reconstruction techniques and surgical options are discussed at length and in detail with your surgeon to give you the best possible outcome and meet your specific individual needs. Additionally, you can have any subsequent surgeries in the privacy and comfort of our state-of-the-art, nationally and internationally accredited surgery suite.

What Is The Best Option For Me?

Dr. Maman explains how a plastic surgeon can help determine the best option for breast reconstruction patients.

Breast Reconstruction Recovery and Results

Recovery and results from breast reconstruction will be dependent upon the particular technique utilized for your procedure, as well as your body’s natural healing processes. You can typically expect some bruising, swelling, and tenderness to occur initially; however, an innovative analgesic called EXPAREL® can often be utilized to control discomfort during the first 48 hours after your procedure.

During the initial stages of recovery, Dr. Maman and Dr. Broumand advise you make arrangements with a friend or family member to assist you with everyday activities – such as taking care of children or lifting relatively heavy items around the house – as resuming demanding tasks too soon can potentially compromise your results. Most patients are able to return to normal daily routines about one to two weeks after surgery, but strenuous activities should be avoided for at least a month.

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Contact 740 Park Plastic Surgery

If you would like more information on breast reconstruction, or if you would like to schedule a consultation with one of our surgeons to talk more about your options, please contact us today.

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