Breast reconstruction surgery is commonly performed at our Manhattan and Long Island locations on patients following mastectomy due to cancer. Breast reconstruction surgery after a mastectomy can help restore a woman’s sense of femininity and self-confidence. Breast reconstruction can be performed using implants, or with the patient’s own tissue, either at the time of the mastectomy or at a later date.
For implant reconstruction, a tissue expander balloon is first placed in order to stretch the tissues to allow for later placement of an implant. After adequate filling of the balloon during subsequent office visits, a second outpatient surgery is performed, where the tissue expander balloon is removed, and replaced with a permanent implant. Implants can be either saline or silicone.
For reconstruction using a patient’s own tissue, the tissue usually comes from the abdominal region. This procedure, known as the TRAM flap, involves moving tissue from the abdomen to the chest, where it is sculpted to create a new breast. Dr. Breitbart can discuss with you which breast reconstruction option is most appropriate. Nipple and areola reconstruction are performed at a later date to complete the breast reconstruction.
Depending on the type of reconstruction, patients may remain in the hospital for one to four days following breast reconstruction surgery and may have discomfort for a few weeks. Patients should plan to spend about two to four weeks recovering from surgery before returning to work.
The TRAM flap is the procedure of breast reconstruction surgery where tissue comes from the patient’s own abdominal region. Tissue is moved from the abdomen to the chest and sculpted to create a new breast.
When implants are used, they are either made of saline or silicone. Saline implants are filled with sterile salt water while silicone implants are filled with silicone gel. Dr. Breitbart can help you decide which implant type is best for you.