About Breast Reconstruction
Breast reconstruction surgery is a procedure performed to restore one or both of the breasts to a normal size, shape, and appearance after a mastectomy or lumpectomy. It is also used to repair a breast damaged by trauma or a birth defect. Advances in breast reconstruction surgery make it possible for women to feel whole again and attain a natural looking breast even after they have been removed. This surgery generally involves several procedures and various stages that can either start at the beginning of cancer treatment or delayed until a later date. Houston, TX board-certified plastic surgeon, Dr. Edward Lee, creates a personalized treatment plan and uses a compassionate approach as he works with patients to restore their physical appearance and confidence.
Breast reconstruction is a very individualized procedure. If you have been diagnosed with breast cancer and are considering reconstruction, it is important that you are able to emotionally cope with treatment and have realistic expectations. While your newly reconstructed breast will take on a natural appearance, it will not have the same look, feel, or sensation as your original breast. However, they will still look beautiful. Having a positive outlook is something we discuss during your consultation. Your cancer treatment is the most important aspect of this process. In addition, you should be physically healthy and not have any other medical conditions that could impair healing.
"Dr. Lee is very personable! He is always very thoughtful and kind. If you are looking to get a procedure done, he will be able to kindly guide you through the process. Very seldom do you meet a doctor who is as considerate and relational as Dr. Lee!"- J.B. / Facebook / Mar 12, 2017
"The good folks at Nuveau gave me 5 star treatment. I had some filler put in my face. Painless, easy, and took years of fine lines off my face. I highly recommend their services."- G.S. / Yelp / Sep 04, 2018
"Five Stars - EXCELLENT -Super very good bedside manner treats you like person not a number am very happy with my surgery I highly recommend Dr. Lee if he was able to work with me he can work with you . Thank You Dr. Lee Kris Thomas"- Anonymous / Vitals / Aug 31, 2018
"I had such a wonderful experience at Nouveau Plastic Surgery and Med Spa!! The staff is beyond spectacular. From the hands on (and handsome ladies/ gentlemen) owners Randy Rakes and Dr. Edward Lee to the nurse, injectors and Esthetician's (Alonah rocks!!).... Everyone is very informative, well trained, kind, knowledgeable, and on point. I've never felt in more capable and experienced hands. They have all the newest and greatest technology to aid in skin rejuvenation. And if you need a little help beyond that (which I did), Dr. Lee is one of the absolute best plastic surgeons in town. He is meticulous in his art. I would trust him with any procedure I decide to have done in the future and I feel completely confident in recommending him to any of my friends, family, or acquaintances. If you're looking for a wonderful med spa, Nouveau Plastic Surgery and Medspa is hands-down one of the best I've ever been to. Trust me! You'll love it there! It's amazing!!"- P.G. / Yelp / Aug 01, 2018
"Marty does brilliant work with injectables. She makes a plan, takes her time. She is very experienced and knowledgeable. I was comfortable with her and very impressed with the results. I had natural, but noticeable changes and Marty made suggestions no one else had. :)"- C.G. / Yelp / May 03, 2018
Plan Your Procedure
There are many techniques available today for breast reconstruction. In addition, there are many factors to consider when making the decision as to which approach is best. Some of these factors include cancer diagnosis, reconstruction timing, whether the patient will use natural tissue or implants, and if nipple-sparing and nipple reconstruction is a part of the process. In order to rebuild the breast there must be enough tissue to adequately create the breast mound. Flap techniques accomplish this by using your own skin, muscle, and fat to create, cover, and build the mound. The most common flap techniques include:
This method uses muscle, skin, and fat from your abdomen to rebuild the breast. The tissue used to create the new breast can be detached from the abdomen, or it may remain attached to the donor location keeping the original blood supply.
Latissimus Dorsi Flap
This method uses muscle, skin, and fat from your back. During this procedure, tissue is moved from the back to the mastectomy site through a surgically created tunnel and remains attached to the donor location, which leaves the original blood supply intact.
Another flap alternative is the PAP flap (profunda artery perforator). This technique takes tissue taken from your inner thigh to reconstruct your breast.
While the TRAM flap tends to be one of the more common methods used during reconstruction, sometimes there is simply not enough tissue that can be taken from the abdomen. In these situations, the LTP flap can be used which takes tissue from the lateral thigh area.
Also known as composite stacked flap, this method combines flaps from various areas on your body to reconstruct the breast.
Flap procedures are very successful and common methods used today in breast reconstruction. Some women may not need to have a flap surgery and instead are conditions for reconstruction with tissue expansion. This involves placing a tissue expander under the breast wall and then slowly filling it with saline over the course of 4-6 months until the skin is properly stretched. Whether a flap has been created, or the skin stretched through an expander, you can then decide whether you want to use a natural fat transfer for breast volume, or use breast implants. The final stage of breast reconstruction is completed nipple and areola reconstruction. There are numerous methods to restore the nipple and areola so that it looks natural in appearance.
What to Expect
Breast reconstruction surgery is performed in various stages. During certain phases, such as creating a flap, inserting an expander or implants, general anesthesia is generally used. Some patients will require overnight stays, depending on the actual phase of treatment. One the final step has been completed in the breast reconstruction process, patients will wear a medical support bra and will be given medication to help control swelling, bleeding, and discomfort. Over time, some sensation will return, but overall, the breasts will look as normal as possible and allow you to feel whole again. Ongoing monitoring with mammograms and breast checks are essential and recommended for your ongoing health.
Reclaim your self-confidence
While the breast reconstruction process can be lengthy, it is one of the most worthwhile surgeries for our patients. It helps decrease the emotional and physical impact of mastectomy and allows you to reclaim your self-confidence and figure. If you have been diagnosed with breast cancer, or have one or both breasts that have been impacted by trauma, we invite you to call our office and schedule your consultation today.