Breast Reconstruction Surgery (Post-Mastectomy Surgery) – Phoenix and Scottsdale, AZ
PATHWAYS OF BREAST RECONSTRUCTION
Tissue expanders
Tissue expander is a specialized type of implant that has a port located inside of it that allows fluid to be injected (Tissue Expander Expansion Completed In Office) so that the size of the expander can slowly increase over time which will stretch the skin to create a “pocket” for the implant or the reconstructed breast under the skin. This creates space so that eventually in a second stage at a later date, it is possible to put a larger Implant into the breast or to perform Autologous Based Reconstruction to complete the reconstruction.
Immediate tissue expander placement
To IMPLANT based reconstruction
To AUTOLOGOUS based reconstruction
Implants
Direct to implant
A breast implant is a round, flexible silicone shell filled with either saline (salt water) or silicone gel. Breast implants can either be placed over the chest muscle (pectoralis) or underneath part or all of the chest muscle. The implant replaces the breast tissue that is removed during the mastectomy, restoring the shape and volume of the breast.
Pedicled flaps
Majority of pedicled flaps classically utilized in breast reconstruction are the latissimus dorsi (from back) or rectus abdominus (from abdomen). A flap is tissue preserved on its blood supply. In pedicled flaps, the blood supply is not disrupted and reestablished. The disadvantage of the commonly used pedicled flaps are related to donor site when rectus abdominus is used and partial flap loss. Disadvantages of latissimus dorsi flap is mild weakness in arm flexion (or downward force) and this flap generally does not have ample tissue to recreate an adequate breast mound by itself.
Muscle
Latissimus Dorsi Flap
TRAM Flap
Muscle sparing
Muscle Sparing TRAM Flap
Perforator free flaps
Botched Breast Reconstruction Repair
Oncoplastic Reduction
Larger breasts that do not require a mastectomy and only a portion of the breast needs to be removed, a reduction can be performed. Generally reduction techniques are used to lift the nipple position and to remove excess breast tissue and overlying skin.
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