23 doctors weighed in:

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

23 doctors weighed in
Dr. Richard Orr
Surgery - Oncology
7 doctors agree

In brief: 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).

In brief: 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).
Dr. Richard Orr
Dr. Richard Orr
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3 doctors agree

In brief: Breast reconstructio

Implants either silicone or saline; tissue such as abdominal fat moved to breast area [diep flap], abdominal flap with a little muscle [tram] ; back muscle and tissue [lat dorsi flap] with or without an implant also; and other areas that can be moved such as fat from buttocks [free gluteal flap].
Find a plastic surgeon to discuss your personal options which can vary pt to pt.

In brief: Breast reconstructio

Implants either silicone or saline; tissue such as abdominal fat moved to breast area [diep flap], abdominal flap with a little muscle [tram] ; back muscle and tissue [lat dorsi flap] with or without an implant also; and other areas that can be moved such as fat from buttocks [free gluteal flap].
Find a plastic surgeon to discuss your personal options which can vary pt to pt.
Dr. Kathryn Wagner
Dr. Kathryn Wagner
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Dr. Marci Dietrich
Bariatrics
2 doctors agree

In brief: Studies show--

Current research suggests that women are happier with the results of reconstruction when they use their own body tissue for reconstruction.
Women who choose implants must realize that in about 10-12 years they may need to be redone.Also the fda has provisionally appoved implants. They are neither proven safe or unsafe at this time.Post approval studies are ordered by the fda- compliance is lacking.

In brief: Studies show--

Current research suggests that women are happier with the results of reconstruction when they use their own body tissue for reconstruction.
Women who choose implants must realize that in about 10-12 years they may need to be redone.Also the fda has provisionally appoved implants. They are neither proven safe or unsafe at this time.Post approval studies are ordered by the fda- compliance is lacking.
Dr. Marci Dietrich
Dr. Marci Dietrich
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2 comments
Dr. Kenneth Lee
To clarify- most plastic surgeons agree that the old rule of needing to re-do implants at 10 years is no longer applicable. Implants are safe and MRIs are mandated for follow
Dr. Kenneth Lee
Compliance has improved with the need to undergo MRI analysis with silicone implants initially at 3 years and every two years after. Long term studies show that over an extended amount of time- flaps may be better
Dr. Clark Schierle
Surgery - Plastics
2 doctors agree

In brief: Breast Options

The good news is you have more and better options now than ever before.
The most common procedures involve some use of implants, your own tissue (from the back or the abdomen), or a combination of both. A long and thorough discussion of your goals, desires, and fears with your surgeon along with analysis of your specific anatomy will help you arrive at the best choice for you.

In brief: Breast Options

The good news is you have more and better options now than ever before.
The most common procedures involve some use of implants, your own tissue (from the back or the abdomen), or a combination of both. A long and thorough discussion of your goals, desires, and fears with your surgeon along with analysis of your specific anatomy will help you arrive at the best choice for you.
Dr. Clark Schierle
Dr. Clark Schierle
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1 comment
Dr. Alex Lechtman
Completely agree
Dr. Otto Placik
Surgery - Plastics
2 doctors agree

In brief: BreastReconstruction

This is a complex matter and can be achieved without any surgery, minimal reconstruction with rearrangement of locat tissues, back fat and muscle with or without implants, your abdominal/buttock/thigh skin and fat, and most recently the use of injected fat.

In brief: BreastReconstruction

This is a complex matter and can be achieved without any surgery, minimal reconstruction with rearrangement of locat tissues, back fat and muscle with or without implants, your abdominal/buttock/thigh skin and fat, and most recently the use of injected fat.
Dr. Otto Placik
Dr. Otto Placik
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Dr. Hoang Nguyen
Cosmetic Surgery
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Hoang Nguyen
Dr. Hoang Nguyen
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Dr. Marci Dietrich
Bariatrics
1 doctor agrees

In brief: Breast Redo

This question has alot of factors.
Your general health, the extent of your breast cancer if you are receiving radiation, chemotherapy etc.Studies show that women seem to prefer reconstruction that is done with their own bodyfat and skin transferred; but fewer plastic surgeons are avail. Some women have a saline expander placed at the time of mastectomy under their chest muscle; swapped out later.

In brief: Breast Redo

This question has alot of factors.
Your general health, the extent of your breast cancer if you are receiving radiation, chemotherapy etc.Studies show that women seem to prefer reconstruction that is done with their own bodyfat and skin transferred; but fewer plastic surgeons are avail. Some women have a saline expander placed at the time of mastectomy under their chest muscle; swapped out later.
Dr. Marci Dietrich
Dr. Marci Dietrich
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1 comment
Dr. Marci Dietrich
Unfortunately, many options for breast reconstruction are not even offered to patients because those are not offered by their reconstructive plastic surgeons. Usually, keeping all the care within their "system" makes "sense" to the health care system. This can be very self-serving to the system. Unfortunately, it is not always in the best interest of the patient needing breast reconstruction.
Dr. Minas Chrysopoulo
Surgery - Plastics

In brief: Several options

2 main categories: breast implants or tissue.
Reconstruction with implants is typically performed in stages. The first stage uses a spacer (tissue expander) to create/modify the overall breast shape. This is replaced by the final implant later. Tissue techniques involve moving tissue from another part of the body. There are several options. Many of these procedures involve microsurgery.

In brief: Several options

2 main categories: breast implants or tissue.
Reconstruction with implants is typically performed in stages. The first stage uses a spacer (tissue expander) to create/modify the overall breast shape. This is replaced by the final implant later. Tissue techniques involve moving tissue from another part of the body. There are several options. Many of these procedures involve microsurgery.
Dr. Minas Chrysopoulo
Dr. Minas Chrysopoulo
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Dr. Tito Vasquez
Surgery - Plastics

In brief: Several

Currently there are two major categories for breast reconstruction: implants (saline or silicone) and autologous (your own) tissue.
Traditionally implant reconstruction begins with a tissue expander that gets replaced. Autologous techniques include pedicled transfers (i.e. Tram or ld) vs free (free tram, diep, etc.). Inquire which technique is suited for you.

In brief: Several

Currently there are two major categories for breast reconstruction: implants (saline or silicone) and autologous (your own) tissue.
Traditionally implant reconstruction begins with a tissue expander that gets replaced. Autologous techniques include pedicled transfers (i.e. Tram or ld) vs free (free tram, diep, etc.). Inquire which technique is suited for you.
Dr. Tito Vasquez
Dr. Tito Vasquez
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Dr. Bryan McIntosh
Surgery - Plastics

In brief: Several Options

Breast reconstruction can be performed with various skin and/or muscle flaps from the back, abdomen or buttock.
Alternatively, a temporary implant can be placed beneath the muscle of the breast and used to stretch the skin. After there is enough skin, a permanent breast implant can be placed. A plastic surgeon who is well versed in these techniques is your best resource.

In brief: Several Options

Breast reconstruction can be performed with various skin and/or muscle flaps from the back, abdomen or buttock.
Alternatively, a temporary implant can be placed beneath the muscle of the breast and used to stretch the skin. After there is enough skin, a permanent breast implant can be placed. A plastic surgeon who is well versed in these techniques is your best resource.
Dr. Bryan McIntosh
Dr. Bryan McIntosh
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