Modern surgical technology makes it possible to construct a natural-looking breast after mastectomy (breast removal) for cancer or other diseases. The procedure is commonly begun and sometimes completed immediately following mastectomy, so that the patient wakes with a new breast mound instead of no breast at all. Alternatively, reconstruction may begin years after mastectomy. Many insurance companies cover reconstruction following breast cancer surgery, and legislation is currently before Congress to make coverage mandatory.
Women whose cancer seems to have been eradicated with mastectomy are the best candidates for breast reconstruction. Those with health problems such as obesity and high blood pressure and those who smoke are advised to wait. Others prefer to postpone surgery as they come to terms with having cancer, consider the extent of the procedure, or explore alternatives.
The reconstruction itself consists of multiple operations, the first of which involves creation of the breast mound and is performed during or after mastectomy in a hospital under general anesthesia. Later surgeries, if necessary, may be done in the hospital or an outpatient facility, with either general or local anesthesia.
There are several ways to reconstruct the breast, both with and without breast implants; your breast surgeon and plastic surgeon should work together with you in deciding which is the best for you.
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Breast Implant Evaluation and Revision
We specialize in revision breast augmentation for patients who are not satisfied with their results after undergoing breast augmentation at other practices. These patients' unhappiness may arise from the implant shape, size, or placement or because of a post-surgical complication such as wrinkling, implant displacement, capsular contracture (hardening around the implant) or synmastia (implants drift together). We can correct these errors and help patients enjoy the fuller breasts they envisioned before their original surgery.
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