Types of Breast Reconstruction

One-stage immediate breast reconstruction is done, or at least started, immediately after the general surgeon removes the breast tissue. The advantages to this are the chest tissues are not damaged by radiation therapy or scarring, often with a final result that looks better, and of course, there is less surgery. Following the first surgery, there may still be a number of steps needed to complete the immediate reconstruction process. Dr. Peter Koltz or Dr. Frank Barone will discuss with each patient the entire process of immediate breast reconstruction.

Two-stage delayed breast reconstruction means the reconstructive surgery is started later and is usually performed if using breast implants rather than a patient’s own tissue for reconstruction. This may be a better choice for some women who require radiation to the breast area following mastectomy.

Procedure Steps

Breast reconstruction surgery will be performed under anesthesia or sedation. The appropriate technique will then be used to reconstruct the breast. This might include:

• TRAM flap technique: muscle, fat, and skin are taken from a donor site such as the abdomen and is then used to reconstruct the breast mound.
• DIEP flap technique: uses only skin and fat from the donor site to reconstruct the breast mound.
• Tissue expansion: over the course of several months, an expander is gradually filled with saline beneath the breast skin to create space for an implant. The implant can then be placed to reconstruct the breast.

After the breast mound has been reconstructed using the right technique for the patient, the nipple and areola can also be recreated. For those who were not candidates for nipple-sparing surgery during their mastectomy, the nipple can be recreated with three-dimensional tattooing. The natural-looking results complete the breast reconstruction process.

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Recovery from a breast reconstruction will vary from patient to patient depending on the technique used. Patients will be provided with the necessary post-op instruction to ensure proper healing for successful results.

Once the healing process incomplete, patients can enjoy the results of their breast reconstruction. A breast reconstruction often relieves some of the emotional distress of a mastectomy and creates a feeling of wholeness in the patient. The reconstructed breast will look virtually identical to the real breast, giving natural-looking results that are long-lasting.

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The cost of a breast reconstruction procedure can vary depending on the technique being used, the implants (if used) and what type of reconstruction was decided. Patients will be given a quote of how much their breast reconstruction will be after an evaluation. Because the procedure is reconstructive, it is often covered by insurance.

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