Breast Reconstrucaion
Mastectomy (removal of the breast) for cancer is
the most common reason that women come seeking
breast reconstruction, but other problems such as
severe post radiation changes or congenital
(inherited defects) deformities can also lead the
patient to seek reconstruction.
Recent advances in reconstructive techniques have
opened a whole host of options to the patient
seeking breast reconstruction. Board Certified
Plastic Surgeon, Douglas M, Senderoff, MD, FACS, can
often create a breast that closely approximates the
form, feel, and appearance of a normal breast.
The use of artificial materials such as implantable
breast prostheses, breast implants, tissue expansion
techniques, and the transplantation of the patient's
own tissue either by pedicled flaps or by the free
flap technique all serve as part of the plastic
surgeon's tools. Even tissue from such distant areas
as the abdomen or buttock region can be used. Board
Certified Plastic Surgeon, Douglas Senderoff, MD,
FACS, must examine the patient and discuss the
various options to choose the technique which will
best serve each patient. Often a combination of
techniques may be chosen to produce the best result.
If you're considering breast reconstruction...
Reconstruction of a breast that has been removed
due to cancer or other disease is one of the most
rewarding surgical procedures available today. New
medical techniques and devices have made it possible
for Board Certified Plastic Surgeon, Douglas M.
Senderoff, MD, FACS, to create a breast that can
come close in form and appearance to matching a
natural breast. Frequently, reconstruction is
possible immediately following breast removal
(mastectomy), so the patient wakes up with a breast
mound already in place, having been spared the
experience of seeing herself with no breast at all.
But bear in mind, post-mastectomy breast
reconstruction is not a simple procedure. There are
often many options to consider as you and your
doctor explore what's best for you.
This information will give you a basic understanding
of the procedure -- when it's appropriate, how it's
done, and what results you can expect. It can't
answer all of your questions, since a lot depends on
your individual circumstances. Feel free to schedule
a complimentary consultation with Board Certified
Plastic Surgeon, Douglas M. Senderoff, MD, FACS, so
that he can answer any questions which you may have.
The Best Candidate for Breast Reconstruction
Most mastectomy patients are medically appropriate
for reconstruction, many at the same time that the
breast is removed. The best candidates, however, are
women whose cancer, as far as can be determined,
seems to have been eliminated by mastectomy.
In any case, being informed of your reconstruction
options before surgery can help you prepare for a
mastectomy with a more positive outlook for the
future.
Breast Reconstruction Frequently Asked Questions & Answers
What is the importance of Federal Legislation in
1998 for women's health?
All insurance companies have to cover breast
reconstruction after mastectomy. They also have to
cover procedures on the opposite breast to obtain
symmetry, including reduction, augmentation and
mastopexy. Recently, situations have risen where
coverage for opposite-breast surgery after
lumpectomy may be denied by insurance companies.
Is immediate or delayed breast
reconstruction surgery best for me?
Most women are candidates for some type of immediate
breast reconstruction. Since reconstruction is an
additional major surgery, women should be carefully
evaluated to understand all the risks and benefits.
Multiple studies have shown tremendous psychological
benefits to women who have immediate breast
reconstruction.
What surgical options are available for
breast reconstruction?
Women who desire to use their own tissue generally
prefer the tram flap (abdomen) or a lateral dorsi
flap (back) as a secondary choice. Using
tissue expanders to stretch the skin for implant use
is a simple option; however, implants do get firmer
and harder with time. The plastic surgeon will
discuss all your options with you.
What is a tram flap?
A Transverse Rectus Abdominus Myocutaneous (TRAM)
flap involves using skin and fat from the lower
abdomen to rebuild the breast. The muscle is used to
carry blood supply to skin and fatty tissue so
volume can be replaced to match what is removed. The
abdominal closure tightens the abdominal wall
similar to a tummy tuck.
Are silicone breast implants safe?
Yes, silicone breast implants are safe and Douglas
Senderoff, MD, FACS, who is a Board Certified
Plastic Surgeon, is a clinical investigator involved
with the Inamed trials - he is one of a select few
plastic surgeons in Manhattan who can offer you the
option of silicon breast implants or saline breast
implants . Saline implants are extremely safe with
very low infection or leakage rates. Soft tissue
coverage over the implant is very important, so the
implant is placed behind the chest muscle.
Does immediate breast reconstruction delay
additional treatment for breast cancer?
No. The vast majority of patients who have immediate
breast reconstruction can start chemotherapy within
a month of the surgery. This time frame is not
significantly different to women who only have a
mastectomy. There is tremendous amount of plastic
surgery literature that documents their benefits as
well as the feeling of "wholeness" and improved
psychological benefits.
If you have any questions about breast
reconstruction, breast implants (silicone breast
implants or saline breast implants), breast
augmentation, breast lift, or any other plastic
surgery procedures please feel free to contact Board
Certified Plastic Surgeon, Douglas M Senderoff, MD,
FACS, at his Manhattan or Westchester, New York
offices.
FREE CONSULTATION
Call (212) 481-3939 or fill out the form below for a free consultation.
PROCEDURES
CONTACT DETAILS
Manhattan
461 Park Avenue South
@31st Street
New York, New York 10016
(212) 481-3939
Westchester
90 South Ridge Street
Rye Brook, New York 10573
(914) 934-5000