Breast reconstructive surgery has evolved with time. New medical procedures are available to help reconstruct breast tissue lost to breast cancer operations (mastectomy), congenital abnormalities or trauma. Your breast tissue can be reconstructed with your own tissue, for example, a rectus flap from your abdomen can be used to reconstruct your breast or in many cases, a prosthesis or breast implant can be used. If you are a women about to undergo a mastectomy you should consult with your general surgeon about your tumor surgery and investigate if you have the option to have your reconstructive procedure immediately following your mastectomy. Dr. Majzoub will work with your general surgeon to help determine if you are a candidate for breast reconstructive surgery using your own body tissue or a breast prosthesis (implant).
Your surgical reconstructive options will vary depending on the preferred method you and your surgeon choose to follow. Two examples are given below as possible reconstructive options.
Your implant would be placed after your breast skin is fully expanded, often
Dr. Majzoub needs to perform a mastopexy (breast lift) on the opposite breast to better match both breast shapes. Nipple recreation generally takes place on a later date when you have fully recovered from your implant placement.
Each reconstructive surgical procedure has its advantages and disadvantages. Some important considerations to think about include: the breath of the operation with its inherent surgical risks, the amount of time you want to spend reconstructing your breast, the donor site deficit and the impact it may have on your body, your physical health, the impact that chemotherapy and radiation may have on your healing at the reconstructive site or donor site, your surgical scars, the quality of your reconstruction with regard to its appearance.
Dr. Majzoub and the staff of Louisville Plastic Surgery Consultants will discuss all of the above concerns with you at the time of your consultation. Our office will work with your general surgeon to coordinate your reconstructive plan, if immediate breast reconstructive surgery is desired, Dr. Majzoub may begin this process on the same day as your mastectomy. Operative times vary depending on the reconstructive procedure. A TRAM flap generally requires 3-5 hours of operative time. Tissue expander placement generally requires 1 hour to complete.
Your recovery will depend on your reconstructive procedure. A mastectomy with immediate tissue expander placement (in preparation for an implant prosthesis at a future date) generally requires 3-5 days of recovery in the hospital. A patient recovering with a mastectomy and TRAM reconstruction generally requires 6-7 days of recovery in the hospital. If complications arise, your hospital stay will be prolonged.
Patients may experience muscular discomfort which is controlled with pain medication. Patients are encouraged to ambulate shortly after surgery and perform breathing exercises. Drains are commonly place at the reconstructive site and in the case of TRAM patients at the donor site in the abdomen.
Your breast reconstruction results may vary depending on your initial mastectomy, the need for chemotherapy or radiation therapy, your general health, the quality of your own body tissue and the route you have choose to reconstruct your breast.
Most patients are pleased with their reconstruction, however, your newly reconstructed breast may not exactly match your other breast in texture and shape. These differences may only be apparent to you, most individuals who see you in clothes will not notice that you had reconstructive surgery.
For more information on whether you may be a candidate for a breast reconstructive procedure, contact Louisville Plastic Surgery Consultants at 502.899.9996. Your insurance may cover some or all of the procedural cost if you are mastectomy patient. Dr. Majzoub and his staff will be able to give you a better idea after your consultation. At Louisville Plastic Surgery Consultants our goal is complete patient satisfaction.
Medical Disclaimer: All medical procedures are associated with some degree of anesthetic and operative risks. Surgical results may vary from person to person.Your specific anesthetic and operative risks will be outlined at the time of your consultation.