PROCEDURES / BREAST RECONSTRUCTION
Breast Reconstruction
Surgery
on Long Island
Breast reconstruction surgery can help women restore their self-image, regain their confidence, and feel more comfortable as they plan their breast cancer treatment. As you consider your options, a plastic surgeon-first consult can help you get the most from your reconstruction. You’ll want to work with a practice that offers an experienced surgical team and a knowledgeable patient coordination staff to help.
Harris Plastic Surgery is one of the best options for breast reconstruction surgery because we offer both the clinical and administrative support you need.
Breast Reconstruction Surgery – Overview
Breast reconstruction surgery is a personalized procedure designed to restore the shape, appearance, and symmetry of the breasts after a mastectomy or lumpectomy. An expert plastic surgeon will work with the goal to create results that align with your aesthetic preferences and comfort. The process will begin with a detailed consultation where you discuss your options, which can include implant-based reconstruction or using your own tissue for autologous reconstruction.
Depending on your health and treatment plan, the reconstruction can either be performed immediately after a mastectomy or delayed until a later date. Throughout the process, your surgical team will work closely with you to ensure you feel informed and supported every step of the way, tailoring your care plan to match your unique needs and goals.
Approaches to Breast Reconstruction
Your breast reconstruction needs will change depending on the type of cancer surgery you’ve had and whether radiation was involved. Radiation can affect the timing of your surgery as well as the type you can have. Very broadly, there are two types of breast reconstruction surgeries:
- Implant-based breast reconstruction: This surgery is just what it sounds like—an implant is placed to provide shape, volume, and symmetry to the breasts. This can be performed in stages with initial placement of a tissue expander, or as a direct-to-implant procedure.
- Tissue-based breast reconstruction: Tissue-based breast reconstruction involves using the patient’s tissue to create a new breast mound.
The choice between tissue-based and implant-based breast reconstruction depends on the patient’s individual needs, anatomy, desired outcome, and the surgeon’s expertise and recommendations.
There’s also another component of breast reconstruction to consider, and that’s timing. Breast implant surgery is often completed in stages; however, advances in implant technology and adjunctive techniques, like autologous fat grafting, have allowed us to offer direct-to-implant options as well when appropriate.
Direct-to-Implant
Direct-to-implant (DTI) reconstruction is a type of breast reconstruction surgery that involves placing a breast implant immediately after the mastectomy without the need for tissue expanders. During the procedure, the surgeon removes the breast tissue and adjusts the mastectomy space, creating the right pocket for the implant in the chest. Then, the implant is placed in the breast, and the incisions are closed. Often, an acellular dermal matrix is used for implant support and soft tissue interposition.
Staged Reconstruction
In this multi-stage process, the surgeon places an expander to create a pocket where the permanent implant will go. The expander is gradually increased with saline solution over the next few months to stretch the skin and soft tissue. Once sufficient room has been created, the permanent implant is inserted. The timing for the placement of the implant depends on the need for chemotherapy or radiation therapy for the breast cancer treatment.
Pros
- Fewer surgeries
- Faster recovery
- More immediate results
Cons
- Implant size limitations
- Not suitable for all cases
Pros
- More natural result
- Less scarring
- More implant size options
Cons
- Longer recovery
- Multiple surgeries
- Increases risk of complications
The type of surgery you will have will depend on the specific aspects of your case. A thorough consultation with our office can help you make the right decision.
Why Choose Harris Plastic Surgery for Breast Reconstruction Surgery?
Harris Plastic Surgery has been considered a top option for breast reconstruction surgery for decades. Our team is led by Dr. Stephen Harris, a board-certified plastic surgeon with extensive experience in breast reconstruction and revision reconstruction surgeries. He specializes in breast reconstruction after mastectomy, correction of post-lumpectomy breast deformities, and more, having treated thousands of patients throughout his highly respected career.
On the administrative side, our team is led by Joanne Parrinello. Joanne has worked with many patients to get them the coverage they are entitled to for their breast reconstruction surgeries under New York and federal law. The Women’s Health and Cancer Act of 1998 requires health insurance carriers to provide coverage for this type of surgery, though the steps aren’t always straightforward. New York also has regulations regarding breast reconstruction surgery coverage, but again, the legalese can be tricky to navigate. Having handled hundreds of these cases from an administrative side, Joanne understands the ins and outs of insurance coverage and can quickly guide you to the right decision for your care.
Frequently Asked Questions
It’s completely natural for you to have what feels like thousands of questions and concerns as you start planning your breast cancer treatment and reconstruction options. Here are a few of the questions we get asked most frequently and our answers to help you get started organizing your thoughts.
Breast reconstruction surgery is a highly personal, transformative procedure that rebuilds the shape and look of a breast after a mastectomy or lumpectomy. Surgeons utilize advanced surgical techniques and personalized care for breast reconstructions and aim to restore a woman’s confidence and body image. Breast reconstruction surgery uses implants or autologous tissues to reform the breast mound and not only enhances physical appearance but also improves emotional healing, helping women feel whole again and empowered after their breast cancer treatment.
Good candidates for breast reconstruction surgery include any woman who has undergone a mastectomy (either prophylactic or after cancer diagnosis) or lumpectomy who wants to restore her breast’s appearance. Regardless of whether you’re planning an immediate reconstruction post-breast surgery or considering reconstruction years later, there are options like implants or autologous tissue transfers to give you the new breasts you want. Ideal candidates are women in good overall health (cancer diagnosis notwithstanding) who don’t smoke and have realistic expectations about the outcomes of surgery.
With breast reconstruction surgery, you can regain your confidence and self-image while restoring your breast’s shape and symmetry. The procedure can be done immediately after a mastectomy as one back-to-back surgery or delayed until a later date when your other treatments are complete. Recovery involves some downtime, with initial swelling and discomfort that can be managed through medication. You will have follow-up appointments to monitor your progress and ensure optimal results and healing, but most patients return to normal activities within a few weeks, feeling more confident and whole. Breast reconstruction surgery not only enhances your physical appearance but also significantly boosts your emotional well-being after the whirlwind that follows a cancer diagnosis or positive genetic screening.
Dr. Stephen Harris is the best choice for your breast reconstruction surgery because of his unparalleled expertise and compassionate approach. He has years of experience and is dedicated to mastering cutting-edge techniques to deliver exceptional, natural-looking results tailored to each of his patient’s unique needs. He is committed to patient care and ensures a supportive and comfortable experience from consultation through recovery, so you never feel alone during this process. Choose Dr. Harris for an experience that restores not just your breasts but your self-confidence and empowerment.
Like all surgeries, breast reconstruction surgery, while generally safe, carries some risks and potential complications, including infection, bleeding, and issues with wound healing. There is also the possibility of implant-related problems, such as rupture or capsular contracture, which would require a secondary revision surgery. For women who choose autologous tissue reconstructions, risks include tissue necrosis and complications at the donor site. Additionally, asymmetry or dissatisfaction with the aesthetic outcome can occur, sometimes necessitating revision surgeries. Discussing these risks with your surgeon from the outset of treatment is crucial to making informed decisions and ensuring the best possible outcome for your appearance and health.
Breast Reconstruction surgery is performed by plastic surgeons trained in the latest implant technology and in microsurgical techniques. The two main options for rebuilding the breast mound are implants or autologous tissue transfers. For implant-based reconstructions, a tissue expander or silicone implant is placed in the mastectomy space, often in front of the pectoralis muscle, or prepectoral. Autologous tissue reconstructions involve transferring tissue from another part of the body, like the abdomen (DIEP flap) or back (latissimus dorsi flap), to create a new breast mound. Breast reconstruction surgery can be done immediately following a mastectomy (including prophylactic mastectomies) or delayed until after other treatments are complete. Surgeons meticulously shape the skin and transfer tissue or implants to achieve symmetry between breasts and your body and create a natural appearance. Breast reconstruction is often followed by nipple reconstruction and areola tattooing for the final aesthetic touches.
Your recovery from reconstruction surgery will depend on several variables, like your health prior to surgery and your support network while you are healing. While the recovery process for breast reconstruction surgery varies, it typically involves a few weeks of rest and limited activity. Initially, you can expect some swelling, bruising, and discomfort, which can be managed with prescribed pain medication. You will likely have drains placed in your new breasts to remove excess fluid, which are typically removed within a week or two. Many women can resume light activities after a few weeks, but you will need to avoid strenuous exercise and heavy lifting for about six weeks. You will also need to make sure you go to all follow-up appointments with your surgeon to monitor your healing and address any concerns quickly. That way, you can have a smooth recovery with optimal results for your health and appearance.
Interested in Learning More About Breast Reconstruction?
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Harris Plastic Surgery - Your Breast Reconstruction in New York Experts
Our team at Harris Plastic Surgery is the best option for breast reconstruction in New York because it’s not just about the procedure with us—we focus on your total well-being and ensure that you have a stress-free experience.
You can contact us online or by phone/text if you have questions or are ready to schedule your consultation today.