Reconstructive Breast Surgery

Reconstructive breast surgery is a specialized procedure performed to restore the shape, appearance, and symmetry of the breast following mastectomy (removal of the breast) or lumpectomy (partial removal of breast tissue) typically done to treat or prevent breast cancer. This surgery aims to help patients regain their physical appearance and improve their psychological well-being and quality of life.

Reconstruction can be achieved through various techniques, depending on the patient’s individual needs and preferences, as well as the specifics of their breast cancer treatment. Options for reconstructive breast surgery include:

Reconstructive breast surgery can be performed either immediately following mastectomy or lumpectomy (immediate reconstruction) or delayed until after additional treatments, such as radiation therapy, are completed. The decision on timing and type of reconstruction is personalized, taking into consideration the patient's medical history, lifestyle, and individual goals.

Patients undergoing reconstructive breast surgery benefit from a multidisciplinary approach, often involving plastic surgeons, oncologists, and breast surgeons to ensure optimal aesthetic and functional outcomes. As a breast surgeon with expertise in oncoplastic and reconstructive techniques, I am committed to helping patients navigate these options and make informed decisions that best support their physical and emotional well-being.

- Autologous Reconstruction: In this approach, the surgeon uses the patient’s own tissue, typically taken from areas such as the abdomen (DIEP flap), back (latissimus dorsi flap), or thighs, to recreate the breast. This method provides a more natural look and feel but may involve a longer recovery time.

- Implant-Based Reconstruction: This method uses saline or silicone breast implants to restore breast shape. Implant-based reconstruction is less invasive than autologous methods and usually requires a shorter recovery period. In some cases, expanders are used initially to gradually stretch the skin and tissue before the placement of the final implant.

- Oncoplastic Surgery: Combining cancer removal with reconstruction in one procedure, oncoplastic surgery reshapes the breast after lumpectomy, allowing for better aesthetic results while ensuring the complete removal of the cancerous tissue.

- Nipple and Areola Reconstruction: After the breast mound is reconstructed, some patients may choose to undergo nipple and areola reconstruction to achieve a more natural appearance. This can be done through surgical techniques, tattooing, or a combination of both.