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Doctor insights on: Microvascular Breast Reconstruction

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What are the current breast reconstruction techniques after breast cancer surgery?

What are the current breast reconstruction techniques after breast cancer surgery?

Flap or implant: Basically - you can use your own tissue or reconstruct with a breast implant. There are several options when your own tissue is used including tram (uses the rectus muscle in the abdomen with attached skin and fat), latissimus (the muscle going from shoulder to back - usually for relatively small defects), diep (uses skin and fat on abdomen, but preserves the muscle). ...Read more

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Dr. Minas Chrysopoulo
248 doctors shared insights

Breast Reconstruction (Definition)

Breasts can be reconstructed using implants or a patients own tissue. If you use your own tissue either a flap (attached to the body) or free fat can be transfered to the breast. Using your own tissue requires a donor site on your body. Implants can be used to replace the lost breast tissue. The implant is placed under the breast muscle. Nipples and areola ...Read more


Dr. Henry Jacobs Dr. Jacobs
<b>2</b> doctors agreed:
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Diagnosing Breast Lumps (Checklist)

Do a breast self exam after your period ends
monthly
Check daily in shower after soaping up
daily
Learn the architecture of your breasts by repetition
once
Observe skin around nipples
once
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Fat transfer breast augmentation surgery vs. Breast implants, which to do?

Fat transfer breast augmentation surgery vs. Breast implants, which to do?

Depends: For smaller volume increases, fat transfer works as well as implants. However for larger volumes, it may take several stages and is more difficult to get the same result as an implant. It also depends on the amount of breast tissue you start with, because fat transfer needs some tissue to survive. Generally speaking, it is more economical to get implants. ...Read more

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What is involved with post mastectomy breast reconstruction?

What is involved with post mastectomy breast reconstruction?

Multiple steps: There are several reconstructive options which can be performed at the same time as mastectomy or any time later. Not everyone is a candidate for immediate reconstruction. Options range from breast implants to "flap" surgery which use the patient's own tissue to recreate a "natural", warm, soft breast. The nipple and areola can also be reconstructed. Typically more than one surgery is required. ...Read more

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What are possible complications from removing capsular contractures (hardening of breast tissue after breast augmentation)?

What are possible complications from removing capsular contractures (hardening of breast tissue after breast augmentation)?

Recurrence: Since you have problematic capsules to begin with you have an increased chance to experience recurrence of capsules, infection and even breast deformity. ...Read more

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Is breast augmentation or reconstruction risky?

Is breast augmentation or reconstruction risky?

Benefits > risks: Every surgery has risks and benefits, so it comes down to what we call the risk/benefit ratio. Silicone breast implants have been studied more than any other medical device and the fda has confirmed that they are safe and effective. Thre are a lot of things to consider however so you should discuss your concerns with your plastic surgeon in detail. ...Read more

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Are there scars left post breast augmentation procedures?

Are there scars left post breast augmentation procedures?

Yes: There is always going to be a scar after a surgical procedure. How a scar heals and fades is unique to each person, and can take up to a year. Scars for a breast augmentation can be hidden in the breast fold (underneath the breast), around the areola (dark skin around the nipple), or in the armpit. ...Read more

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Is breast augmentation surgery painful?

Is breast augmentation surgery painful?

Moderately: Discomfort after breast augmentation surgery varies but most patients will need prescription strength pain medication for about 3 days. ...Read more

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Male breast enlargement--what surgery?

Gynecomastia?: The first place to start would be in person consultation with a board-certified plastic surgeon; making the a correct diagnosis is important. If gynecomastia is the issue, usually partial resection of glandular tissue plus/minus liposuction surgery is helpful. Best wishes. ...Read more

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Are there any risks to breast re-construction surgery after mastectomy?

Are there any risks to breast re-construction surgery after mastectomy?

If you are in: Reasonably good health , no other systemic problem , it is reasonably low risk procedure (s) , will give you psychological boost to you , will elevate your self esteem , please consult a plastic surgeon for more information , the benefits you already know and the risks ...Read more

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How is breast reconstruction done after mastectomy?

How is breast reconstruction done after mastectomy?

Lots of ways: There are many options these days for reconstruction; some simple and some complex depending on each patients needs and desires. Talk with a plastic surgeon or try www.Plasticsurgery.Org. Good luck. ...Read more

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Silicone breast implants can couse breast cancer?

Silicone breast implants can couse breast cancer?

No but.....: There is no direct link but there are concerns with the potential for implants to interfere with the detection of cancer. Particularly using mammograms. Special views (eklund) must be obtained. Alhtough there may be a delay in diagnosis, there has not been shown to be any effect on survival. With mri, surveillance is improved and may supplant mammography. As stated, alcl may be increased but rare. ...Read more

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Uplift sagging breast without surgery?

Uplift sagging breast without surgery?

A bra or support: The only way to truly lift the breast without surgery is by using a bra or some form of external support such as adhesive tape or supports. There is no magic wand. ...Read more

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How do surgeons reconstruct the breast after mastectomy?

How do surgeons reconstruct the breast after mastectomy?

Implants v. "Flaps": In general, there are two different techniques for reconstruction following a mastectomy. In one, tissue expanders are placed under the chest wall muscles and then are slowly expanded over months until "new" skin forms; they are then removed and replaced by implants. The other technique involves transferring tissue from one part of the body such as the abdominal wall or back to the chest wall. ...Read more

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Is breast reduction surgery safer than breast augmentation?

Is breast reduction surgery safer than breast augmentation?

Both are safe: Both operations are extremely safe, but breast reduction takes longer in the operating room and involves more incisions and scars. Augmentation involves use of implants, which are also safe but have their own particular issues. Obviously, one woman cannot need both operations, so individual medical details are much more relevant, and both operations (in different patients) are quite low-risk! ...Read more

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Breast implant removal --is it major surgery?

Breast implant removal --is it major surgery?

Ruptured or not.: Removal of an uncomplicated saline or silicone implant can be simple and performed under a straight local anesthetic if a capsulectomy is not required. Severe capsular contractures, pocket transitions, delayed silicone ruptures, textured implants, etc can present with various clinical pictures that may be significantly more complicated and may require more extensive surgical procedures. ...Read more

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What would doctors recommend, breast reconstruction with mastectomy or lumpectomy?

What would doctors recommend, breast reconstruction with mastectomy or lumpectomy?

Patient-Preference: Most breast cancers can be surgically treated with equal success by mastectomy or lumpectomy (+radiation). Therefore, given the option, most women choose the much less invasive rx of a lumpectomy. Many other issues may factor into this decision--age, family hx, mammogram findings, pathology, etc--therefore, a critical part of one's preoperative evaluation is to fine-tune this recommendation. ...Read more

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Areola reduction without surgery?

No: The only way to reduce the size of an areola is with surgery. ...Read more

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What is the recovery time for breast reconstruction?

What is the recovery time for breast reconstruction?

2-6 weeks depending: There are many different types of breast reconstruction procedure (implants vs various techniques that use our own tissue), each with varied recovery times. The most complex procedures (eg microsurgical breast reconstruction) usually require 4-6 weeks of recovery time. ...Read more

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What are reasons why a person can't get breast reconstruction?

What are reasons why a person can't get breast reconstruction?

Judgement important: Inflammatory breast ca, known distant mets, o2-dep, psychiatrically too unstable, sepsis, uncontrolled diabetes, tobacco use, renal dialysis, kwashiorkor, lack of patient motivation or tolerance of multiple dr visits, doing it for other than oneself, collagen vascular disease, any other severe, uncontrolled wound healing-impairment, can't tolerate anesthesia. Contraindications are mostly relative. ...Read more

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What is the definition or description of: breast reconstruction?

What is the definition or description of: breast reconstruction?

Breast reconstructio: Breasts can be reconstructed using implants or a patients own tissue. If you use your own tissue either a flap (attached to the body) or free fat can be transfered to the breast. Using your own tissue requires a donor site on your body. Implants can be used to replace the lost breast tissue. The implant is placed under the breast muscle. Nipples and areola can also be fashioned. ...Read more

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What are the side effects of breast reconstruction?

What are the side effects of breast reconstruction?

Can be complicated: There are many different techniques of breast reconstruction. Simply put, reconstruction following mastectomy for breast cancer can be a very positive procedure for women facing breast cancer treatment. Reconstruction involves stages, can begin immediately or later after mastectomy and involves the use of implants or of body tissue or both. Side effects are similar to most surgeries. ...Read more

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Could you have radiation after breast reconstruction?

Could you have radiation after breast reconstruction?

Breast cancer: I currently recommend that my patients have immediate breast reconstruction regardless of the need for post mastectomy radiation therapy. The simple reasoning is that it is the best opportunity to utilize the breast skin. I prefer to do a diep flap or another flap reconstruction when i know a patient is going to have radiation. I then manage any decrease in size or change in shape with fat graft. ...Read more

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In what cases would a person get breast reconstruction surgery?

In what cases would a person get breast reconstruction surgery?

Breast reconstructio: Breast reconstruction is most commonly done after mastectomy or lumpectomy and radiation for breast cancer. Breast reconstruction may also be required after trauma, burns, severe infection, and congenital disorders, such as poland's syndrome. ...Read more

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Can there be such a thing as a breast reconstruction specialist?

Can there be such a thing as a breast reconstruction specialist?

Yes: In any field in medicine, there is a wide range of physician experience and expertise. A specialist is a physician that develops expertise in a certain area through proper training and continuing education. Anyone can call themselves a specialist, but is is best for this designation to come from referring colleagues. Continual process improvement can lead to optimal outcomes for patients. ...Read more

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How is breast reconstruction done after mastectomy?

Lots of ways: There are many options these days for reconstruction; some simple and some complex depending on each patients needs and desires. Talk with a plastic surgeon or try www.Plasticsurgery.Org. Good luck. ...Read more

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How well does breast reconstruction work after cancer?

Very nice option: For those who desire breast reconstruction, there are many option which may use a combination of implants, flaps and more recently fat grafting. This generally takes a few procedures for ideal results. See a plastic surgeon to discuss the many choices available to you. ...Read more

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Is there such a thing as a breast reconstruction surgeon?

Not really, because: Almost all plastic surgeons perform some type of breast reconstruction. There are some who specialize in this area who may perform more complex types of reconstruction. Your surgeon should be certified by the american board of plastic surgery and have an interest and experience in breast reconstruction. ...Read more

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Is a breast reconstruction recommended after a mastectomy?

Up to the patient: This is a complex question, but in almost all cases the choice is up to the patient. Reconstruction can be done at the time of mastectomy or later on; both have advantages and disadvantages. I would recommend consultation with one or more plastic surgeons experienced in breast reconstruction to explore the options in your particular case. ...Read more

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What is involved with post mastectomy breast reconstruction?

Multiple steps: There are several reconstructive options which can be performed at the same time as mastectomy or any time later. Not everyone is a candidate for immediate reconstruction. Options range from breast implants to "flap" surgery which use the patient's own tissue to recreate a "natural", warm, soft breast. The nipple and areola can also be reconstructed. Typically more than one surgery is required. ...Read more

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Is there a chance of getting cancer in the tissue of the breast reconstruction?

Is there a chance of getting cancer in the tissue of the breast reconstruction?

Usually in skin: Yes there is a chance of cancer in the skin or surrounding areas following breast reconstruction. This can occur regardless of the method of reconstruction and is more reflective of the type of cancer and the treatment. However this should not stop you from considering reconstruction. ...Read more

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Can you tell me about breast reconstruction after mastectomy and complications?

Can you tell me about breast reconstruction after mastectomy and complications?

Breast Cancer: This is a great question. The issue is how safe is it to be under anesthesia for longer periods of time. The short answer is it is very safe. I perform the diep flap breast reconstruction surgery and it takes longer because of all of the steps. These patients do extremely well after surgery and have had the benefit of removal of the lower abdominal tissue just like I do for a tummy tuck. ...Read more

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Will breast reconstruction leave scars on other areas of my body from borrowed tissue?

Will breast reconstruction leave scars on other areas of my body from borrowed tissue?

Scarring: Thank you for your question. While breast reconstruction procedures can help to restore the appearance of breasts after mastectomy, most procedures will require the use of surgical techniques that require some scarring. Some procedures, such as implant or tissue expander breast reconstruction, limit the amount of scarring by using the same scar as the mastectomy. ...Read more

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What are the risks and benefits of immediate breast reconstruction if I have a masectomy?

What are the risks and benefits of immediate breast reconstruction if I have a masectomy?

Depends: Risks are specific to the type of reconstruction performed. However, there is always a risk of partial loss of breast skin if the breast surgeon creates flaps of skin that are too thin. This is a serious risk if tissue expansion is to be performed, as the expander could be exposed and become infected if the skin partially becomes necrotic. ...Read more

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I am 19 years old and i would like to have a breast reconstruction. When will be the best age to have this kind of surgery?

Breast surgery: The majority if the issues i see with patient who are your age is a difference in size and shape comparing side to side. These issues should be evaluated by a board certified plastic surgeon to rule out polands syndrome. If this doesn't exist then majority if these asymmetries can be treated either though the use of implants or your own tissue such as fat grafting depending on the size difference. ...Read more

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Is it normal to leave a breast expander in for 11 months for a breast reconstruction for a 34 b size without complications, no chemo no tissue probs?

In some cases: There are indications to leave an expander in for a longer time than usual. Especially if you are undergoing chemo or radio therapy treatments . Unless there are infections or soft tissue problems it should not cause any long term issues. This is something you need to discuss with your plastic surgeon, so as to plan your subsequent procedures. ...Read more

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