Ask Dr. Man- Breast Reconstruction

Dear Dr. Man, I’m having my breast removed in 3 weeks because of cancer. My doctor gave me the option of putting in an implant in during surgery, which I will be doing. Can you describe the differences between having an implant inserted versus not? Can you please tell me more about these surgeries? Signed, Surviving in Boca

Dear Surviving, Reconstruction of a breast that has been removed due to cancer or other disease is one of the most rewarding surgical procedures available and an important part of recovery for women after a mastectomy. Today, new medical techniques and devices have made it possible for surgeons to create a natural-looking breast that can come close in form and appearance to matching a natural breast. Frequently, reconstruction is possible at the same time immediately following breast removal.

The most common reconstruction technique uses breast implants. This process involves several stages; first, a temporary tissue expander is inserted and gradually filled in order to increase the skin in the area. This prepares the breast for the final stage, insertion of a permanent implant.

Many women desiring breast reconstruction do not want breast implants, but instead prefer natural reconstruction. This procedure is called a Tram Flap (Transverse Island Abdominal Flap) and uses skin and muscle to create a new breast. The Tram Flap is really two procedures in one; a tummy tuck and breast reconstruction. It uses a woman's own body tissue to form a new breast, rather than using a permanent implant. The Tram Flap involves taking tissue and muscle from the abdomen and transferring it under the chest wall to the mastectomy site, where the skin and muscle is then shaped and sutured into place. A nipple and areola are then added at a later time, completing the new breast. The abdominal skin is then stretched and tightened as in most tummy tuck operations. Not all women are candidates for this procedure. Patients should speak to their doctors to discuss which options are right for them.

I wish you the best of luck during your surgery and your recovery.

Email Questions and Comments

Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.