Breast Reconstruction: What to Expect

When a woman has breast cancer, she may undergo a lumpectomy to remove the tumor and surrounding tissue, or a mastectomy to remove one or both breasts. This can be a difficult change to accept. Many women choose to get breast reconstruction to feel like themselves once again. 

What Is Breast Reconstruction?

Breast reconstruction is a surgical procedure done to rebuild a breast lost to mastectomy. It can also fill out and give symmetry to a breast that’s lost significant tissue to a lumpectomy. Dr. Lorraine Golosow offers breast reconstruction at her Florida office. 

Types Of Reconstruction

When it comes to this procedure, there are two main options to give women the breasts they want.

1.Implant: Breast reconstruction can be done using either a saline or silicone implant that goes under the chest muscles or on top of them. If you have skin and tissue left after the operation, sometimes the implant may be added at the same time as the cancer surgery.

If you get a mastectomy, you may need to have a tissue expander put in before you can get your final implants. The expander will go under the skin and it will gradually be filled with saline to stretch the skin to make sure there is enough to cover the implant once it’s placed.

2. Flap: Flap reconstruction is also called autologous reconstruction. It uses tissue from the woman’s own body to recreate the shape of a breast. There are two main methods to flap reconstruction:

1. Free flap: This method is when the entire piece of donor tissue is removed from its blood vessels, moved to the new location and reattached to the blood vessels there via microsurgery.

2.Pedicle flap: This option is where the donor flap is still attached to its blood vessels and it’s moved under the skin to the new location in the chest. This method is easier because doctors are often more familiar with it and it does not require microsurgery. Different procedures are depending on which donor site you and your doctor choose for the flap.

Risks And Precautions

Risks of the surgery include:

  • Fluid buildup
  • Bleeding
  • Blood clots
  • infection
  • Capsular contracture
  • Implant leaking or rupturing
  • Necrosis

Other things to know:

  • Implant surgery may require a healthy breast to be surgically altered for symmetry
  • Some flap procedures make pregnancy afterward inadvisable
  • Implants often do not last a lifetime and need to be replaced
  • Breasts may be uneven

Recovery

Recovery from reconstruction can take 6-8 weeks. Things to know about recovery:

  • You may have drains and compression garments
  • You will have lifting restrictions
  • Full healing may take 1+ years
  • Avoid strenuous activity for 4-6 weeks after

Your doctor will give you aftercare instructions as well.

If you wish to discuss reconstruction options, call  Lorraine Golosow, MD  and her team today to book a consultation.

Your Breast Surgery Options Explained

A woman’s breasts can impact her self-esteem and self-confidence significantly. There can be changes in the breasts from aging, weight fluctuation, pregnancy, breastfeeding, and even diseases such as cancer. Thankfully, there are numerous surgical options available for women that can give them the breast look they want and improve their quality of life. 

Breast Surgery Options

Every woman’s body and goals are different. There are options for any need. Some surgeries can be combined, as well. Here are breast surgery options that you and your surgeon can choose from:

  1. Breast Augmentation: When your breasts are not the size you want or are asymmetrical, breast augmentation can help. This is one of the most popular surgeries performed because it helps women feel more confident and can give better shape, volume, and contours to the breasts.
  2.  Breast Implant Exchange: After a woman has had augmentation, she may eventually decide on a breast implant exchange, also called a revision. This procedure entails removing the current implant and putting in a new one. Some reasons this surgery is done are due to capsular contracture, rupture, wanting to change the size or shape of the implant, or wanting to change the type of implant.
  3. Breast Implant Removal: Sometimes, a woman may decide to remove the implants permanently. It can be because she experienced problems with her implants, or sometimes she just wants to go back to the natural size and shape of the breasts instead of the current augmented one.
  4. Breast Reduction: When a woman’s breasts become excessively large, they can cause great discomfort to her. The weight can cause back and postural issues that impact the quality of life. If a woman is faced with these problems, she may decide to reduce the size of her breasts surgically to help. This surgery can reduce and eliminate pain and other issues caused by large breasts such as sell-consciousness or the inability to do activities she loves.
  5. Breast Lift: Aging, pregnancy, weight fluctuations, and breastfeeding can impact the firmness and volume of the breasts. They may begin to sag and droop. A breast lift can help them sit higher on the chest and look more youthful and firmer. Sometimes breast lifts are combined with augmentations or reductions to give the best results.
  6. Breast Reconstruction: Breast cancer can sometimes cause a woman to lose her breasts via mastectomy. This is a necessary surgery, but the loss of one or both breasts can impact a woman emotionally. There are methods to reconstruct breasts after mastectomy. The two main options surgeons have are implants or using the patient’s tissues to rebuild and give them a new breast or breasts. Having this surgery can help a woman celebrate survival and also help her heal emotionally at the same time. She will feel more feminine and like her old self again.

Schedule a Consultation

If you are interested in one or more of these procedures, call Lorraine Golosow, MD. and her staff today to book your consultation.

Breast Reconstruction: What to Expect

When a woman has breast cancer, she may undergo a lumpectomy to remove the tumor and surrounding tissue, or a mastectomy to remove one or both breasts. This can be a hard change to accept. Many women choose to get breast reconstruction to feel like themselves once again.

What Is Breast Reconstruction?

Breast reconstruction is a surgical procedure done to rebuild a breast lost to mastectomy. It can also fill out and give symmetry to a breast that’s lost significant tissue to a lumpectomy. Dr. Lorraine Golosow offers breast reconstruction at her Florida office.

Types Of Reconstruction

When it comes to this procedure, there are two main options to give women the breasts they want.

1.Implant: Breast reconstruction can be done using either a saline or silicone implant that goes under the chest muscles or on top of them. If you have skin and tissue left after the operation, sometimes the implant may be added at the same time as the cancer surgery.

If you get a mastectomy, you may need to have a tissue expander put in before you can get your final implants. The expander will go under the skin and it will gradually be filled with saline to stretch the skin to make sure there is enough to cover the implant once it’s placed.

  1. Flap: Flap reconstruction is also called autologous reconstruction. It uses tissue from the woman’s own body to recreate the shape of a breast. There are two main methods to flap reconstruction:
  2. Free flap: This method is when the entire piece of donor tissue is removed from its blood vessels, moved to the new location and reattached to the blood vessels there via microsurgery.

2.Pedicle flap: This option is where the donor flap is still attached to its blood vessels and it’s moved under the skin to the new location in the chest. This method is easier because doctors are often more familiar with it and it does not require microsurgery. Different procedures are depending on which donor site you and your doctor choose for the flap.

Risks And Precautions

Risks of the surgery include:

  • Fluid buildup
  • Bleeding
  • Blood clots
  • infection
  • Capsular contracture
  • Implant leaking or rupturing
  • Necrosis

Other things to know:

  • Implant surgery may require a healthy breast to be surgically altered for symmetry
  • Some flap procedures make pregnancy afterward inadvisable
  • Implants often do not last a lifetime and need to be replaced
  • Breasts may be uneven

Recovery

Recovery from reconstruction can take 6-8 weeks. Things to know about recovery:

  • You may have drains and compression garments
  • You will have lifting restrictions
  • Full healing may take 1+ years
  • Avoid strenuous activity for 4-6 weeks after

Your doctor will give you aftercare instructions as well.

If you wish to discuss reconstruction options, call  Lorraine Golosow, MD  and her team today to book a consultation.