Breast Reconstruction in Orange County, CA
Breast reconstruction is performed in conjunction with or following a mastectomy, with the goal of restoring the appearance of breast tissue that has been removed. Several options are available to recreate the appearance of your altered bustline. This will all be discussed during your consultation.
Before & After
Explore before-and-after photos showcasing natural, balanced results across facial, breast, and body procedures.
4. Post mastectomy of left breast with nipple and areola reconstruction and right breast mastopexy
Your Breast Reconstruction Options
Skin Expander With Implants
This reconstruction technique is considered the simplest and has the shortest recovery period. A tissue expander is first placed, which creates a breast pocket that is able to hold your implants. Over the next several weeks to months, the expander is slowly filled, stretching out the breast tissue. Once the proper pocket has been created, the expander is replaced with permanent implants.
Latissimus Dorsi Flap
This technique uses your own muscle and skin to create a new breast mound. Incisions are created along the bra line to hide any additional scarring. The donor tissue is taken from the patient’s back, which may result in some weakness. Implants may be placed under the flap if the crafted breast mound doesn’t provide you with the bust size you want.
Tram Flap
The tram flap is the most complex reconstruction technique; the donor tissue is kept and attached to its original blood supply. Abdominal muscle and skin are tunneled up the body to create the breast mound. A synthetic mesh is then placed over the abdominal area to help strengthen the donor area and prevent complications. In most cases, implants are not needed to achieve the desired breast size.
Nipple Reconstruction
Nipple reconstruction is the final touch to your procedure and is performed once your breast(s) have healed. Tissue is removed from discreet locations, such as the thigh or behind the ear, and shaped to create the nipple(s). These sources of skin are typically darker than others and provide a more natural-looking nipple contrast. Once healed, the nipple-areola complex may be tattooed to achieve a more realistic look.
Additional Breast Reconstruction Information
- The outline of implants may be visible as a capsule forms. If this is a concern, you may want to consider tram flap reconstruction.
- Expanders with implants and the latissimus dorsi flap don’t require blood transfusions.
- The tram flap does have the added benefit of a tummy tuck, but it can also leave you with some weakness in the abdominal wall.
- Unfortunately, nipple reconstruction only restores the aesthetic of the nipple, not their sensitivity.
Additional Concerns You May Have
Delayed or Immediate Reconstruction
The decision to either delay your breast reconstruction or undergo surgery immediately after a mastectomy should be made between you and your doctors. Health or personal factors may disqualify you as a candidate for immediate reconstruction. Dr. Wald works with your oncologist to determine your treatment plan.
Recovery Period
The length of your recovery period will vary depending on the type of reconstruction you undergo. Unlike other breast enhancement procedures, reconstruction is an involved, multi-step process. The recovery time for most patients can take months.
Post-Operative Pain
Unfortunately, some breast reconstruction techniques can cause severe discomfort. However, pain medication is prescribed throughout your recovery. It is important to take the medication on a scheduled basis to ensure the most comfortable recovery possible.
Possible Complications
Each reconstruction technique poses its own set of potential complications. The benefits and disadvantages of each technique will be discussed during your consultation. Some possible complications include seromas, muscle weakness, implant visibility, or poor circulation that results in tissue loss. Steps are taken during your surgery to minimize the risk of these complications.
Frequently Asked Questions About Breast Reconstruction
How do I properly prepare for my breast reconstruction surgery?
Before your breast reconstruction surgery, Dr. Wald will give you instructions about what you need to know before and after your procedure. Before your procedure, you may need to have blood drawn or other medical tests to help reduce the risk of complications during surgery or recovery. Your pre-operative guidelines may include stopping certain blood-thinning medications and supplements, stopping nicotine use, eating a healthy diet, and avoiding alcohol.
You'll want to set up a comfortable recovery space in your home, complete with items you may need as you rest and heal, including:
- Pillows and blankets
- Pain medications
- Water and snacks
- Books, TV remotes, electronics, and chargers
- Necessary medical supplies
You should also plan for meal or grocery delivery, as well as arrange for help with transportation and other daily tasks.
Finally, preparing for your breast reconstruction surgery is another step in what has likely already been a very emotional process. To mentally prepare for your breast reconstruction, you may find it helpful to see a therapist (if you aren't already) or join a support group for women who have had breast reconstruction or are currently in the process. Ensure that you have a strong network of supportive family and friends as well so they can help you as you recover.
Breast Reconstruction FAQs
How do I know which option for breast reconstruction is best for me?
Quisque accumsan gravida ornare. Phasellus molestie, nisl in tempus molestie, lectus purus semper dolor, ut rutrum orci mi vitae ante. Cras libero leo, venenatis nec facilisis et, vestibulum et diam. Donec auctor lobortis lacus. Duis ultricies lectus enim, vitae iaculis urna egestas nec. Etiam porttitor, neque eget pulvinar eleifend, lectus neque accumsan arcu, nec dapibus enim nunc finibus libero. Proin consequat augue vel arcu maximus pellentesque. Sed quis ipsum nibh. Sed non ligula porttitor libero pretium auctor. Pellentesque at urna at massa tincidunt dignissim. Donec et sapien at libero egestas tincidunt. Mauris tristique et nisl nec pretium. Etiam nec fermentum ex. Suspendisse sagittis neque in arcu facilisis pellentesque.
How much does breast reconstruction cost, and is it covered by insurance?
The cost of your breast reconstruction depends on various factors, including what type of reconstruction you're undergoing, your surgeon's experience, hospital costs, and other related medical fees.
The majority of health insurance plans do cover breast reconstruction, but as with any insurance claim, the question is how much they cover. If you are concerned about your out-of-pocket cost for breast reconstruction, contact your insurance company to find out what they cover and what restrictions you may need to be aware of so that you can avoid unpleasant (and expensive) surprises when your bill arrives. Dr. Wald is on several different insurance plans, including CareCredit and Alphaeon.
How long will the breast implants last?
Both silicone and saline breast implants are durable and designed to last for at least 10 years and, in some cases, up to 15 or 20 years.
Will breast reconstruction affect my breast cancer treatment?
No, your breast reconstruction will not affect your breast cancer treatment. Dr. Wald works closely with your oncologist to ensure that you can undergo breast reconstruction without impacting your cancer treatment. While reconstruction is important, your cancer treatment always takes precedence, so you can rest easy knowing you're in caring and capable hands.
Will my breast(s) look natural after breast reconstruction surgery?
While the goal of breast reconstruction surgery is always to give you breasts that look and feel natural, certain factors affect the end result, including:
- Whether you choose implants or natural tissue reconstruction
- Skin changes due to radiation therapy, including skin thickening and tissue atrophy
- Fat necrosis (when small lumps of damaged fat cells form under your skin)
- Whether you were able to save your nipples or not
If you are concerned about how your breasts will appear after your reconstruction, make sure you talk to your surgeon.
Do You Have More Questions?
We are available to answer your questions and help you with any concerns you may have about restoring your breast appearance through reconstruction surgery. Schedule your consultation now to start your journey toward healing and comfort!
Call The Aesthetic Institute today at 714-312-3549 to learn more or schedule your consultation.