12 doctors weighed in:
How do surgeons reconstruct the breast after mastectomy?
12 doctors weighed in

Dr. Barry Rosen
Surgery
4 doctors agree
In brief: 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.

In brief: 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.
Dr. Barry Rosen
Dr. Barry Rosen
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1 comment
Dr. Mark Burke
Agree. Always look for a surgeon who at least described both options even if they do not perform both. Often autologous (using your own tissue to reconstruct the breast) is not offered to patients if the surgeons autologous re not comfortable doing it.
Dr. Khashayar Mohebali
Surgery - Plastics
2 doctors agree
In brief: Many options
There are a variety of options for breast reconstruction.
However, its best to think of them in 2 categories: either using tissue expanders and breast implants or using tissue from your own body. Examples including using the muscle of your lower abdomen or back muscle. Using implants are a more common method however. Its a very individualized decision between you and your surgeon.

In brief: Many options
There are a variety of options for breast reconstruction.
However, its best to think of them in 2 categories: either using tissue expanders and breast implants or using tissue from your own body. Examples including using the muscle of your lower abdomen or back muscle. Using implants are a more common method however. Its a very individualized decision between you and your surgeon.
Dr. Khashayar Mohebali
Dr. Khashayar Mohebali
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Dr. Azita Madjidi
Surgery - Plastics
2 doctors agree
In brief: 2 main ways
Either with a tissue expander followed by an implant reconstruction, or with your own body tissues such as abdomen or back.
Each method has its advantages and disadvantages. Not everyone can have the option of choosing between the two methods. There should be a thorough evaluation and a good amount of time spent with your plastic surgeon and oncologist to find the best option.

In brief: 2 main ways
Either with a tissue expander followed by an implant reconstruction, or with your own body tissues such as abdomen or back.
Each method has its advantages and disadvantages. Not everyone can have the option of choosing between the two methods. There should be a thorough evaluation and a good amount of time spent with your plastic surgeon and oncologist to find the best option.
Dr. Azita Madjidi
Dr. Azita Madjidi
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Dr. Dariush Vaziri
Breast Surgery
2 doctors agree
In brief: Different ways
Reconsruction can be done simultaneous with the mastectomy or as a delayed procedure.
Breast implants can be used as one method. Alternative methods include different types of muscle flaps such as tram flap, latismus dorsi flap, diep flap, etc... The choice of reconstruction should be discussed with the involved plastic surgeon to determine what option is the best choice for the patient.

In brief: Different ways
Reconsruction can be done simultaneous with the mastectomy or as a delayed procedure.
Breast implants can be used as one method. Alternative methods include different types of muscle flaps such as tram flap, latismus dorsi flap, diep flap, etc... The choice of reconstruction should be discussed with the involved plastic surgeon to determine what option is the best choice for the patient.
Dr. Dariush Vaziri
Dr. Dariush Vaziri
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Dr. Minas Chrysopoulo
Surgery - Plastics
1 doctor agrees
In brief: Several options
Breast reconstruction uses the patient's own tissue (from another part of the body) or a breast implant.
More than 1 surgery is usually needed to complete the reconstruction. The degree of scarring, recovery and risks vary depending on the technique used. The nipple and areola can also be reconstructed. Some patients also have surgery on the other breast for best symmetry.

In brief: Several options
Breast reconstruction uses the patient's own tissue (from another part of the body) or a breast implant.
More than 1 surgery is usually needed to complete the reconstruction. The degree of scarring, recovery and risks vary depending on the technique used. The nipple and areola can also be reconstructed. Some patients also have surgery on the other breast for best symmetry.
Dr. Minas Chrysopoulo
Dr. Minas Chrysopoulo
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