Breast Reconstruction

Breast Reconstruction Overview

Breast reconstruction is a physically and emotionally rewarding procedure for a woman who has lost, or is in the process of losing a breast to cancer or another condition.

Following a mastectomy, the goal of breast reconstruction is to replace the chest wall acquired deformity with a three-dimensional soft tissue reconstruction that is natural looking to mimic the breast silhouette. This can in turn, dramatically improve a woman’s visual appearance, self-image, and outlook on life.

Breast reconstruction can either be performed at the same time or a later time following a mastectomy. Immediate reconstruction is performed at the same time after the mastectomy. The main advantage of this type of procedure is that the woman does not have to experience a flat chest wall since the first stage of the reconstruction has already been initiated. A delayed reconstruction is done at a later time to allow for adequate healing or other procedures that may need to be completed before the reconstruction. Such adjacent therapies might include chemotherapy or radiation.

It is important to be educated on the different techniques of breast reconstruction surgery. Such would include using the patient’s own tissue via various types of tissue flaps, and/or by the use of an expander/implant. This technique most recently is being used in combination with a biologic sling to facilitate early and pain free expansion.

A tissue flap is a section of skin, fat, and muscle, which is relocated from a donor area of the body such as: the abdomen with a TRAM flap or the back with a Latissimus muscle flap (both of these techniques are outlined in detail in separate sections). These flaps can be augmented with implants if necessary. Alternative flaps are offered on an occasional basis when donor sites for the more common flaps are not suitable.

The breast expander implant technique utilizes a fluid-filled device that is surgically implanted under the chest wall, muscles, and the biologic sling. The expander is periodically enlarged until the desired breast volume and location is achieved and a new breast silhouette is created. The expander is then replaced with a rubber-shelled implant filled with either saline or gel.

Breast reconstruction is a critical, decision-making process that encompasses the patient, her overall medical condition, her breast shape and size, her lifestyle, as well as her realistic goals and objective from the reconstruction.

Before & After Images

The ideal candidate for breast reconstruction would be:

  • Healthy, emotionally stable woman
  • Able to cope well with your diagnosis and treatment
  • Someone who has a positive outlook and realistic goals for restoring your breast and body image

Why Choose Dr. Chahin?

Dr. Chahin prides himself in providing his patients with an environment of safety, comfort and care along with a high level of skill and expertise in the field of plastic surgery. Over 20 years of surgical experience has allowed him to build his practice in such a way that you will feel at ease and confident throughout your entire journey. Dr. Chahin strives to achieve natural looking, attractive results with a minimal recovery time and high patient satisfaction. With utilizing the most advanced, safest and least invasive techniques available in today’s sophisticated world of plastic surgery, he is specialized in providing the ultimate refinement of his skills in body contouring, facial aesthetics and breast sculpturing surgical techniques. Dr. Chahin provides his patients with an individualized plan, highlighting his exquisite attention to detail and personal touch. Through kindness, sophistication and exceptional quality of work, Dr. Chahin and his experienced team of staff members will go above and beyond to ensure their patients’ profound confidence and satisfaction.

“Thank you for all of your patience and help, I appreciate you and all of the work you do for the office and your patience. Thank you for always being there whenever I had questions. Everything you do, you do with a welcoming spirit.”

“Dear Dr. Chahin,
We wanted to extend a heartfelt thank you for your fantastic care of my daughter. Your quality and integrity as a surgeon and more fundamentally as a human being.”

“Dearest Doc,
Every day is a special day for your patients to have you! How lucky and grateful we all are for all of your expertise and care you give to each person.”

– Thank You, Ann

Final Thoughts

It is essential to recognize that breast reconstruction is an elaborate, multi-staged surgical treatment with an artistic touch, and requires a long-term commitment. Dr. Chahin will discuss with you these procedures, and what is mutually felt to be the best method of treatment to aid in achieving optimal results for you.

FAQ – Breast Reconstruction

No, the goal of breast reconstruction is to restore one or both breasts to near normal shape, appearance, symmetry and size following mastectomy, lumpectomy or congenital deformity.

Yes, this choice is made with a mutual agreement from the patient and Dr. Chahin. Factors such as body size, desired breast size, and implant composition are all taken into consideration when choosing the most suitable type of implant for you.

Breast reconstruction often involves multiple procedures performed in a staged fashion. This either begins at the time of the mastectomy during the same surgery, or it can be done in separate stages following completion and healing of the mastectomy. One staged breast reconstruction with direct implant placement is an option in selective candidates as well.

Breast reconstruction generally falls into two categories: implant-based reconstruction or autologous tissue reconstruction. In some instances patients do have both types of reconstruction. Implant reconstructed relies on the breast implants to help form a new breast mound or shape. Flap (or autologous) reconstruction utilizes the patient’s own tissue from another body part (i.e. abdomen, back or buttocks) to form a new breast.

Yes, drains will be placed following surgery. You will be required to maintain the drains while they are in place. A drain record sheet is provided from out office for any patient anticipated to receive drains after surgery. The drains generally are removed by Dr. Chahin about 1 week after surgery.

Secondary stages are often times done as an outpatient procedure without drains. Patients are significantly more comfortable throughout recovery during this stage. Most often times drains are not used and patients require little to no pain medication.