A 41-year-old member asked:
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are there different types of breast reconstruction surgery?

12 doctor answers
Dr. Michael Zadeh
17 years experience General Surgery
Yes: Most commonly after a mastectomy the breast is reconstructed using an implant. There are however other options such as muscle flaps using the rectus or lattismus muscles. The type of reconstruction varies depending on each patient.
Answered on Dec 13, 2014
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Dr. David Yan
Dr. David Yan answered
20 years experience Plastic Surgery
Yes: Reconstructive surgery may be needed following mastectomy, lumpectomy, and sometimes for congenital defects. Tissue expanders and implants are commonly chosen, but other options exist such as free flaps, pedicled flaps, and fat grafting. Not all are appropriate for every person, so speak with a board certified plastic surgeon to help decide what the best choice is for you.
Answered on Jul 23, 2017
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Dr. Sean Canale
30 years experience Breast Surgery
2 basic types: There are implant reconstructions (behind the chest wall muscle) and tissue reconstructions. The latter include skin and fat from other areas (i.e. The lower abdoment /tummy tuck) and usually the muscular blood supply. Fee flap options often use microvascular techniques to spare muscle. Combos of the two types can be done too. See an experienced plastic surgeon for your best indiv option.
Answered on Oct 1, 2015
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Dr. Rimma Finkel
20 years experience Plastic Surgery
Yes: Though there are various types of reconstructions, expanders, implants, pedicled flaps, free flaps, and combinations of these, not every reconstruction is right for every patient. The type of reconstruction depends on the patient, there confounding medical problems and what other treatment they will need. The best idea is to speak with a board certified plastic surgeon to have questions answered.
Answered on Sep 28, 2016
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Dr. Todd Sisto
37 years experience Breast Surgery
Implant & flap: Flaps less and less popular due to donor site morbidity, more time in hosp and more scar of reconstructed mound. Most female plastic surgeons would choose implants regardless of how they reconstruct thier own pts. New techniques have almost eliminated capsular contracture. Newest method= fat transfer can be done in the office but little nationwide experience.
Answered on Apr 25, 2015
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Dr. Marci Dietrich
41 years experience Bariatrics
Breast Recon truth: Studies now show that women with reconstruction favor flap types. The reconstruction under the muscle leaves the patient with a firm-ie somewhat hard breast.More like two large gum drops stuck on chest that have little or no movement.Microvascular reconstruction can leave a patient with better satisfaction and self-image, but it is more difficult to find surgeons and more involved-can have complic.
Answered on Jun 11, 2015
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Dr. Robert Whitfield
Specializes in Plastic Surgery
Reconstruction: If you are entertaining flap reconstruction then research the plastic surgeons in your area who focus on techniques like the diep flap, tug/tmg flap, sgap and pap flap. Type these in a search along with your city or state. Alternatively look at the asrm and asps websites.
Answered on May 16, 2014
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Dr. Richard Zienowicz
38 years experience Plastic Surgery
Many: Implant reconstruction is far and away the most common choice by patient and surgeon. Not everyone is a candidate for this however and more elaborate surgeries including pedicled (still attached to the body) and many types of free flaps (microsurgically reattached after harvesting from another part of the body) are available.
Answered on Sep 11, 2013
Dr. Barry Cohen
34 years experience Plastic Surgery
There: Are numerous and far ranging choices. A good plastic surgeon can review them based on your anatomy.
Answered on Dec 18, 2014
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Dr. Hoang Nguyen
17 years experience Cosmetic Surgery
Implants or Tissue: Options for breast reconstruction following mastectomy are: 1) Tissue expanders followed by implants, 2) Tissue flap reconstruction, including TRAM, DIEP flap, and other flaps, 3) Combination of flap and implant (latissimus + implant), and 4) Prosthesis -- meaning no reconstruction and wearing a prosthesis. There are advantages and disadvantages to each type. Have a discussion with your surgeon.
Answered on Oct 12, 2015
Dr. Ergun Kocak
21 years experience Plastic Surgery
Yes, there are sever: Yes, there are several different types of breast reconstruction. The main point to understand when comparing these options is that every one of them has potential advantages and disadvantages. When I discuss these options with my patients, I encourage them to make a list of the “pros” and “cons” for each type of reconstruction. But I don’t think my opinion should be their only source. I encourage
Answered on Jun 30, 2017
Dr. Pankaj Tiwari
21 years experience Plastic Surgery
Breastreconstruction: Two primary forms of Breast Reconstruction: 1. Implant-based Reconstruction, it involves the use of either a saline or silicon implant to enhance the shape or features of the breast. 2. Flap Reconstruction, it uses transferred fat and tissue to reconstruct the breast. Learn more here http://bit.ly/2zGdsU9
Answered on May 6, 2018

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