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Your breast surgeon and the breast plastic and reconstructive surgeon will help you decide which option is best for you:Autologous Microvascular Free Flap Options (using your own tissue)Reconstruction of the breasts done at the same time as surgery to remove the cancer. The patient wakes up with a breast mound already in place, having been spared the experience of seeing herself with no breast at all.


If there is a recurrence of the cancer, the reconstruction may need to be modified. If there are complications, post-surgery, women may need to have more surgeries. Small revision surgeries or matching procedures on the opposing breast may be required. Rarely, it is determined that a patient will need radiation, which can compromise reconstructed breast tissue.Ours is one of the few breast centers in the region to offer this number of reconstructive surgery options to women.

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Though revisions to your original procedure may need to be done over time, the end result is improved.This reconstruction involves placing a temporary tissue expander either under or over the muscle at the time of your mastectomy. The expander gradually stretches the muscle and skin in preparation for either an implant or flap reconstruction.


The overall result is more symmetric, natural and aesthetically pleasing. It allows a woman to complete radiation treatment while having a “placeholder” implanted. It allows enough time to make sure all of the cancer has been treated. It takes longer to complete the breast cancer treatment process (breast reconstruction). During the time of temporary tissue expansion, the breasts do not look natural.

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Our specialists are experienced in state- of- the- art techniques, such as prepectoral breast reconstruction, which places the expander and implant over the muscle, allowing for a quicker healing time and improved range of motion. breast lift. This reconstruction happens after all of the recommended treatment to treat the cancer is completed.


Some women need time to come to terms with losing their breast(s). Some women who are overweight, smokers or have high blood pressure may be advised to wait. It allows enough time to make sure all of the cancer has been treated. Longer time to “complete” the breast cancer treatment process.

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We specialize in complex breast reconstruction, including revisions to other surgeries where complications have developed.Our specialists are experienced in creative techniques, such as fat grafting, that can use fat from your body as a way to naturally shape the breast. Though revisions to your original procedure may need to be done over time, the end result is improved.A breast implant is a silicone shell filled with either silicone gel or a salt water solution known as saline (plastic surgery Wisconsin).


It may be easier to control the final size of the reconstructed breast with implant reconstruction. There are no additional scars on the patient’s body other than those on the breasts. For patients without excess fatty tissue and who do not require radiation treatment, implants are a good choice and yield good final results.

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This type of reconstruction almost always requires at least two surgical stages and multiple visits to the plastic surgeon’s office between these stages for tissue expansion - plastic surgery near me. it is important to realize that for patients who are having a unilateral (one-sided) mastectomy, matching the other natural breast with an implant can be difficult.


In the longer term, implants can develop capsular contracture (tightening of the soft tissues around the implant), implant mal-position, and implant rupture. If there are complications, other secondary procedures may be required. As with any reconstructive breast procedure, patients having implant surgery at Johns Hopkins have the advantage of a highly trained breast reconstructive surgeon performing the procedure.The DIEP flap is the technique where skin and tissue (no muscle) is taken from the abdomen in order to recreate the breast.

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Since the reconstruction involves using the patient’s own tissues, the risks of implant reconstruction are avoided, particularly in the case of radiation. Most patients have less postoperative pain than after a TRAM flap and are therefore able to leave the hospital sooner, and return to normal activities quicker than after a TRAM flap.


This advantage is much greater in bilateral (both sides) reconstruction. It is typically easier to match the contralateral natural breast with the patient’s own tissue when compared to implant reconstruction. Patients essentially end up with a “tummy tuck,” “bottom lift” or other cosmetic benefits at the same time as the breast reconstruction.DIEP/SIEA/SGAP flap reconstruction generally requires a longer and more challenging surgery at the first stage when compared with implants or TRAM flaps.