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
"I love my results!! Wow!! I finally have a smooth forehead and upper lip thanks to Dr.Lee for being so patient and kind with me!!! I will definitely be going back for retouch! Staff is awesome and welcomes you and greet you with great smiles!!"- S.C. / Yelp / Dec 27, 2018
"I went to Dr. Lee for Asian eyelid surgery back in May and I am very pleased with my results! During the consultation, he answered all my questions and helped with relieving any concerns I had. The process was super smooth and Dr. Lee was very gentle and kind the entire time. Post procedure, he and his assistant Eva have always been quick to answer questions or help with scheduling follow up appointments. Highly recommend!"- S.T. / Yelp / Dec 27, 2018
"I had Breast Reduction, Liposuction and Navel Hernia Surgery and I'm very satisfied with the results. The procedure went well and I feel better about myself both physically and mentally. I am satisfied with every thing that was done to form this result. Dr. Edward Lee answered all questions that I had, any time I asked he would make sure I understood the situation. Eva Austin Patient Coordinator was also very helpful answering questions and coordinating with Dr. Lee. Thank you, Dr. Edward I. Lee/ Plastic Surgeon and Eva Austin/Patient Coordinator. Thanks, Sandra L. Sowell"- S.S. / Yelp / Dec 27, 2018
"Had an amazing experience at Nuveau Plastic Surgery with Dr. Lee and his amazing staff—particularly with his NP, Joanna. She’s an amazing injector and I’m so pleased with my subtle results! Thank you all for making me feel welcomed and comfortable!"- K.S. / Google / Oct 18, 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.