Breast Reconstruction

At Grossman Capraro Plastic Surgery, we offer various breast reconstruction techniques to cater to the unique needs of each patient:

Implant-Based Reconstruction

This approach uses saline or silicone implants to restore the breast’s shape and size. It is often chosen for its relatively shorter surgery time and recovery period. The process typically involves:

• Tissue expansion: A balloon-like expander is placed under the chest muscle, gradually stretched to make room for the implant.
• Implant placement: Once the skin has stretched sufficiently, the permanent implant is placed, completing the reconstruction.

Autologous or Flap Reconstruction

By using tissue from other parts of the patient’s body, such as the abdomen, thighs, or back, to reconstruct the breast. Standard flap procedures include:

• DIEP flap (Deep Inferior Epigastric Perforator): It preserves muscle integrity by using skin and fat from the lower abdomen.
• TRAM flap (Transverse Rectus Abdominis Muscle): Involves the transfer of muscle, skin, and fat from the abdomen.
• Latissimus dorsi flap: Takes tissue from the upper back to reconstruct the breast, often used in combination with an implant.

Combination Procedures

Depending on the patient’s needs, hybrid approaches may be effective by combining implant-based and autologous tissue methods.

Breast reconstruction is a highly individualized process. Ideal candidates include:

• Women who have undergone mastectomy or lumpectomy.
• Patients are looking to restore breast symmetry and shape.
• Those in good general health do not have conditions that could impair healing.
• Individuals who have realistic expectations about the outcomes of the surgery.

Breast reconstruction typically takes place in stages, with multiple procedures spread out over time:

1. Initial surgery: Whether it involves tissue expansion, implant placement, or flap surgery, the first procedure sets the foundation for reconstruction.
2. Follow-up surgeries: These may include revisions to enhance symmetry, nipple reconstruction, or additional cosmetic adjustments to refine the results.

Before Surgery:

• Medical evaluation: A thorough medical assessment is necessary to determine the best approach for your reconstruction.
• Preparation: Stop smoking if applicable, avoid certain medications, and follow the surgical team’s preoperative instructions.

After Surgery:

• Recovery timeline: Depending on the type of reconstruction, recovery may take several weeks. Follow-up visits are essential to monitor healing.
• Pain management: Your surgeon will provide pain relief options, and patients are typically advised to avoid strenuous activity during the healing phase.
• Long-term results: Final results will gradually shape as swelling subsides and scars fade.