Breast reconstruction is an operation to re-create back the shape and volume of the breast, after mastectomy (removal of a breast tissue and skin), or lumpectomy (removal of part of the breast tissue). The aim of breast reconstruction is to create a breast mound and nipple to match the remaining natural breast as closely as possible in staged surgical manor. This can either be done by creating a breast 'form' with a tissue expander and replacement with a implant, which is placed underneath the skin and muscle that covers your chest, or by using skin, fat and sometimes muscle from another part of your body.
Dr. Broujerdi will advise you on the type of reconstruction that is most suitable for you. It will depend on:
- the amount of breast tissue that will or has been removed
- the healthiness of the tissue at the planned operation site
- whether or not you will have or have had radiation therapy to the area of the breast or chest wall
- your general health and body build
- your wishes and lifestyle
- what the other breast looks like
Dr. Broujerdi will work very closely with your oncological surgeon and physician. He will plan out the reconstruction that will best suit your medical and physiological needs.
Procedure is usually preformed as an in-patient surgery at Cedars Sinai Medical Center or St. Johns Health Center in Santa Monica. Dr. Broujerdi prefers patients to spend at least one to four nights at the hospital depending on the type of reconstruction and multiple follow ups in the office after your surgery. You should expect a minimum of one to two weeks of down time after this procedure, some patient will require longer healing period. Dr. Broujerdi’s professional office staff will assist with post surgical care information.
Some patients might require a breast lift or reduction on the opposite breast to match the reconstructed breast. This is usually done after the reconstructed breast has settled into its finial shape.
It is possible to create a new nipple and areolia, this is usually done as a separate procedure once the reconstructed breast has settled into its final shape. However, this does not have to be done unless you wish.
Dr. Broujerdi will discuss the risk, benefits and alternatives with you on the day of consultation.