Breast Reconstruction After Cancer
Women who are faced with breast cancer have many difficult decisions to make, not the least of which is whether breast reconstruction is an option that is right for them. Our plastic surgeons have decades of experience in breast reconstruction procedures and understand the overwhelming amount of information that breast cancer patients have been presented by other physicians, family members, and friends. As a Center of Excellence, The Aesthetic and Reconstructive Breast Surgery Center at New York Plastic Surgical Group, a Division of Long Island Plastic Surgical Group, has an unparalleled commitment to helping New York breast reconstruction patients achieve the contoured breast shape and appearance they desire, with results that both look and feel natural.
Our doctors are specialty-trained in breast surgery procedures, and some have attended world-class institutions such as the Gloucester Royal Hospital in Gloucester, England, McGill University in Montreal, University of Toronto, and Memorial Sloan-Kettering Cancer Center in New York. Our team of reconstructive surgeons offers a comprehensive variety of techniques to rebuild the breasts, including Tissue Expansion, TRAM Flap, and DIEP Flap approaches.
Breast Reconstruction
In breast cancer patients, breast reconstruction can be a very exciting time; this is because reconstructive plastic surgery procedures are generally performed once the patient is cancer-free! Because techniques have become so advanced, virtually anyone who has undergone a mastectomy is a candidate for breast reconstruction. During your initial consultation at our practice, you will be physically examined by your chosen NYPS Group breast surgeon to determine the specific technique best suited for your body type. He or she will also use this time to review all aspects of the procedure and address your concerns.
Breast Reconstruction Candidates
In breast cancer patients, breast reconstruction can be a very exciting time; this is because surgical reconstructive procedures are generally performed once the patient is cancer-free! Because techniques have become so advanced, virtually anyone who has undergone a mastectomy is a candidate for breast reconstruction. During your initial consultation at our practice, you will be physically examined by your chosen NYPS Group breast surgeon to determine the specific technique best suited for your body type. He or she will also use this time to go over all aspects of the procedure and address your concerns.
Breast Reconstruction Insurance
Breast reconstruction procedures are often partially covered under many insurance plans. New York Plastic Surgical Group has experienced and knowledgeable staff members who can assist you in filing claims with your insurance representative. Because insurance plans vary among patients and providers, detailed information about your specific plan will be discussed during your initial consultation.
To schedule your consultation for breast reconstruction surgery, please contact New York Plastic Surgical Group.
Breast Reconstruction Procedures
There are a number of breast reconstruction procedures that can help rebuild the breasts. Procedures are tailored to the individual patient, and the type of procedure you have will depend on candidacy requirements, your ultimate goals, and your unique body type. Breast reconstruction techniques include:
AESTHETIC FLAT CLOSURE
Aesthetic flat closure is a surgical procedure that flattens the chest wall after a mastectomy. During surgery, the surgeon removes excess skin, fat, and tissue from the breast area, then tightens and smooths the remaining tissue. The result is a flat chest wall contour that preserves the breast’s natural shape.
NIPPLE TATTOOING
Nipple tattooing is a technique to recreate the appearance of a natural areola and nipple after breast reconstruction. Using specialized pigments, our skilled artists design a realistic look that complements your new breast shape. This procedure enhances symmetry and provides a final touch to complete the reconstructed breast, boosting confidence and helping patients feel whole again.
Breast Reconstruction Recovery
Depending on the breast reconstruction technique performed, patients should generally expect surgery to be a multi-stage process and several follow-up appointments to monitor healing and results. These visits ensure the reconstructed breast is healing well and allow for any necessary adjustments. Any pain and discomfort after the procedure can be managed with medication. After surgery, at least two weeks of rest should be planned, and normal daily routines can generally be resumed after four to six weeks. There will be some residual scarring after breast reconstruction surgery that will generally fade with time.
As the oldest and longest-running facility in North America, having treated thousands of breast cancer patients, our team understands that breast reconstruction often takes some emotional adjustment. We can help you network with other patients who can offer insight and encouragement and connect you with local support groups to help you through the recovery process.
Breast Reconstruction Risks
Reconstructive surgeons at New York Plastic Surgical Group are some of the most respected in the area and are known for meticulous attention to detail and rigorous safety standards to minimize risks. Complications that can arise from breast reconstruction surgery will depend on the type of breast reconstruction performed. You will be made aware of any possible risks associated with your specific procedure before undergoing surgery.
Schedule A Consultation for Breast Reconstruction
If you are interested in finding out if breast reconstruction is the right option for you, we invite you to contact our practice to arrange your private consultation. Many of our NYPS Group plastic surgeons hold privileges at major hospitals throughout NYC and Long Island, New York. With a range of breast reconstruction techniques, our doctors can help you restore what you have lost with results that look natural and beautiful.
If you are interested in finding out if breast reconstruction is the right option for you, we invite you to contact our practice to arrange your private consultation. Many of our NYPS Group plastic surgeons hold privileges at major hospitals throughout NYC and Long Island, New York. With a range of breast reconstruction techniques, our doctors can help you restore what you have lost with results that look natural and beautiful. Contact us to learn more about breast reconstruction.
FAQs About Breast Reconstruction
What is breast reconstruction surgery?
Breast reconstruction surgery is a procedure to restore the shape, appearance, and size of a breast following a mastectomy, lumpectomy, or other breast cancer treatments.
What are the main types of breast reconstruction procedures?
The primary reconstruction options include implant-based reconstruction using silicone or saline breast implants and flap procedures, such as the DIEP or TRAM flap, which use the patient’s own tissue, often from areas like the abdomen. Fat grafting using liposuction is sometimes used to enhance fullness or shape.
Who is a candidate for breast reconstruction surgery?
Candidates for breast reconstruction include those who have undergone breast cancer surgery (mastectomy or lumpectomy) and are in good overall health. A board-certified plastic surgeon can assess whether implant-based reconstruction or flap reconstruction is most suitable, considering factors such as overall well-being, body type, and desired outcome.
Can reconstruction achieve a natural-looking result?
Yes, many reconstruction techniques are designed to achieve natural-looking results. Surgeons may use silicone implants or the patient’s own tissue for a natural breast appearance. Additionally, fat grafting can smooth out contour irregularities, and tattooing can recreate the areola’s appearance.
How long does the breast reconstruction process take?
The reconstruction process can vary based on the chosen technique. Implant-based reconstruction may involve multiple stages, especially if a tissue expander is used. Recovery time varies, with most patients needing at least several weeks to resume normal activities. The entire process may span several months, from initial surgery to final refinements.
What is a tissue expander, and why is it used?
A tissue expander is a temporary device placed beneath the skin and chest muscle, gradually expanding over time to create space for a breast implant. This approach is common in implant-based reconstruction and allows the surgeon to shape a new breast mound that closely matches the natural breast.
What are the options for reconstructing the areola and nipple?
Reconstruction of the areola and nipple can be achieved through surgical techniques or tattooing, often performed in a follow-up procedure. Options include local flap reconstruction, which uses nearby skin to create the nipple; skin grafting, where the skin is transplanted to rebuild the areola, often during nipple reconstruction; and nipple autograft, which uses the patient’s tissue to form the nipple and areola. Additionally, tattooing can enhance or simulate the appearance of the areola for a more natural look. These options provide personalized solutions to restore symmetry and aesthetic balance to the reconstructed breast.
How soon after breast cancer surgery can I undergo reconstruction?
Reconstruction can be done immediately during breast cancer surgery or delayed until after other treatments. The decision depends on factors like overall health, the type of cancer treatment, and personal preference.
Does insurance cover breast reconstruction?
Yes, breast reconstruction is typically covered by insurance, thanks to The Women’s Health and Cancer Rights Act (WHCRA) of 1998. This federal law mandates that insurance providers covering mastectomy must also cover all stages of breast reconstruction, including the creation of a new breast mound, surgery on the other breast for symmetry, prosthetics, and treatment for complications such as lymphedema. Coverage may vary slightly by plan, so we encourage patients to check with their insurance provider to confirm specific details.
Where can I find a breast reconstruction surgeon near me?
Patients seeking breast reconstruction in Long Island and New York City can find specialized care at New York Plastic Surgical Group. Our experienced board-certified plastic surgeon can guide you through the options.
1 ASPS. Breast Reconstruction. https://www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction. Accessed November 5, 2024.
2 ASPS. Breast Reconstruction Candidates. https://www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction/candidates. Accessed November 5, 2024.
3 StatPearls. Breast Reconstruction Expander Implant. https://www.ncbi.nlm.nih.gov/books/NBK431062/. Accessed November 5, 2024.
4 Cleveland Clinic. Nipple Reconstruction. https://my.clevelandclinic.org/health/treatments/nipple-reconstruction. Accessed November 5, 2024.
5 Journal of Clinical Medicine. Breast Reconstruction: The Oncoplastic Approach. https://pmc.ncbi.nlm.nih.gov/articles/PMC11355501/. Accessed November 5, 2024.
6 Centers for Medicare & Medicaid Services. Women’s Health and Cancer Rights Act (WHCRA). https://www.cms.gov/cciio/programs-and-initiatives/other-insurance-protections/whcra_factsheet. Accessed November 19, 2024.
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