Breast Reconstruction Surgery in Atlanta, Georgia offered by a board certified plastic surgeon. Information about Breast Reconstruction Surgery, Breast Cancer treatment and more.
The decision to have breast reconstruction surgery is a very personal one. Breast reconstruction surgery, while a complex undertaking, is a procedure that can yield significant physical and emotional rewards.
The goal of breast reconstruction surgery is to rebuild a breast that was lost to disease or cancer. Depending on the extent of the breast reconstruction procedure, the surgery may involve one or several surgical procedures.
There are many methods for performing breast reconstruction. The two most common are:
1. Tissue expander-breast implants: this is the most common techniques used worldwide. The surgeon inserts a tissue expander a temporary silastic implant, beneath the pectoralis major muscle of the chest wall and over weeks or months, inject a saline solution to slowly expand the over laying tissue. Once the expander has reached an acceptable size it may be removed and replaced with a more permanent implant. Reconstruction of the areola and nipple are performed in a separate operation after the skin has stretched to its final size.
2. Flap reconstruction: the second most common breast reconstruction Atlanta procedure is using tissue from other parts of patient's body, such as back, buttocks, thigh or abdomen.
The latissimus dor muscle flap: it is the donor tissue on the back. It is large flat muscle which can be used without loss of function. It can be moved into the breast defect, still attached to its blood supply under the armpit. This flap is usually used to recruit soft-tissue coverage over an underlying implant.
Abdominal flaps: the abdominal flap for breast reconstruction surgery is the TRAM flap. The abdominal tissue between the umbilicus and the pubis is used. It requires advanced microsurgical technique and less common. It provides enough tissue to reconstruct large breasts. The contour of the lower abdomen is improved by this procedure. TRAM flap procedure may weaken the abdominal muscles, but are tolerated well in most patients to prevent muscle weakness and hernias; a piece of surgical mesh is placed over the defect and sutured in place.
Nipple and areola reconstruction:
Nipple areola graft: if the contralateral breast has not been constructed and the nipple and areolar are sufficiently large, tissue may be harvested and used to recreate the nipple-areolar complex on the reconstruction sensation in the nipple and an unpleasant cosmetic result at the donor site. Cosmetic result can be achieved using tattoos.
Local tissue flaps: a nipple may be created by raising a small flap in the target area and producing a raised mound of skin. To create an areola, a circular incision may be made around the new nipple and sutured back again the nipple and areolar region may then be tattooed to produce a realistic color match with the contralateral breast.
Recovery from implant based breast reconstruction is faster than with lap-based breast reconstruction procedures, but both take at least three to six weeks to recover and both require follow up surgeries in order to construct a new areola and nipple. The patients should avoid active sports, over head lifting and sexual activity during recovery period. TRAM flap patients can show abdominal muscle weakness but most patients resume normal activities after recovery.
Contact our office and allow cosmetic surgeon Dr. R. Morgan Davoudi and his expert Gwinnett County staff to assist you with any questions you have about breast reconstruction .