Implant Based Reconstruction
There are various ways of performing mastectomies, with my preferred method being nipple/areola sparing.
We would then perform immediate breast reconstruction to give you both volume and contour after the mastectomy with tissue expanders. It is important to know that if you require radiation therapy, it is best to complete all radiation cycles prior to your final reconstruction.
Our method is a safe and minimally invasive procedure, where all of our patients are extremely satisfied. During the following weeks after your immediate reconstruction, I will expand your tissue expanders until we achieve the volume, shape, and form you are pleased with. Then, during your second stage, I will exchange the tissue expander for tissue grafts, and likely introduce a small implant. The reason being that we do not want to loose the skin envelop that is being maintained by the tissue expanders. This will require a one more operation, which is done 3 months down the line, to then remove the small implant, and again perform tissue grafting to provide you with the volume and contour that you want.
If you are okay with keeping a small implant, then after the second stage, you will be done with your reconstruction. Most patients do not look like they had a mastectomy.
Your second and third stage reconstruction is a minimally invasive way with NO new SCARS, to provide you with natural looking and feeling breasts. In addition since I will have to perform liposuction to obtain the tissue grafts, you will benefit from the secondary benefits of body sculpting, which are amazing.
If you had your nipple and or areola removed, they can be reconstructed during your last breast reconstruction surgery.