Breast cancer can be devastating physically and psychologically for patients. At Coastal Plastic Surgeons we attempt to improve both the functional and psychological well-being of our breast cancer patients.
What is breast reconstruction?
Breast reconstruction is for patients who have undergone mastectomy or have had part of the breast removed because of breast cancer. In this procedure at Coastal Plastic Surgeons, we work with the breast cancer patient who is surviving from the disease, to help them reconstruct or rebuild the lost breasts. We completely recreate the breast, areola and nipple by harvesting the surrounding tissue.
We will discuss the appropriate procedure with you during our consultation. This can range from tissue expanders and implant reconstruction to the use of your own tissue. As one of the busiest breast reconstruction practices in Southern California we can offer options not only for primary reconstructions but also breast cancer reconstruction revision surgery. Call to make your appointment today.
This is a 37-year-old woman who underwent a mastectomy on the left side. This patient underwent reconstruction with tissue expander followed by high-profile gel implants. She has good symmetry, post-operatively. She also required a lift of the right breast for balance and symmetry. The post-operative photograph was taken prior to nipple reconstruction. She has a nice outcome. The time required to complete this procedure, from the time of expander placement to final result, is approximately six months.
This 44-year-old woman underwent a right-sided mastectomy followed by radiation. Once someone receives radiation to the chest wall, it is very difficult to reconstruct the area with just an expander. This is what was attempted with this patient, initially. As the patient’s skin did not expand adequately, we then had to do a latissimus dorsi flap, taking tissue from her back to reconstruct the radiated skin on the right side. Following the latissimus dorsi flap procedure, an expander was placed, followed by placement of an implant. The post-operative photograph shows this patient approximately one year after her initial reconstruction was started. She opted not to have nipple reconstruction, as well, and has excellent symmetry with regard to the volume and shape of her breasts. She is very happy with her outcome.
This patient underwent bilateral mastectomies. She had developed breast cancer on the left side and opted to have the right breast removed at the same time for fear of possibly developing breast cancer on the right side, as well.
This post-operative photograph was taken approximately one year after reconstruction had started. She underwent placement of tissue expanders on each side, which were expanded over a period of several months, to give her the size she desired. Following this, this skin was allowed to relax in the new position for approximately three months, and then implants were placed. She is very happy with her outcome, with regard to the size and perkiness of her breasts. She still requires nipple reconstruction with tattooing. Overall, this patient is very happy with her outcome.
This Asian-American woman underwent bilateral mastectomies. She was then reconstructed using tissue expanders. Whenever a case of bilateral mastectomy is contemplated, the breast symmetry is achieved with tissue expanders, followed by placement of implants. She underwent expander treatment and then placement of 300cc high-profile gel implants and opted not to undergo reconstruction of her nipples. This post-operative photograph shows her approximately four months after the initial placement of tissue expanders.
This 54-year-old woman underwent bilateral mastectomies, as well as radiation on the left side. A latissimus dorsi flap was performed on the left side to reconstruct the breast, followed by placement of tissue expanders and then placement of bilateral implants. She is shown here, post-operatively, approximately one year after implant placement, with good symmetry, prior to reconstruction of her nipples.
This patient underwent a left-sided mastectomy followed by radiation. She is one of the fortunate and rare cases in which she was able to be expanded without requiring a latissimus dorsi flap procedure. As noted previously, expanding a radiated breast is very difficult. This patient had adequate expansion, followed by placement of an implant. The right side was lifted to improve her symmetry. This post-operative photograph was taken approximately two weeks after her last procedure.
This patient underwent lumpectomy with radiation. Oftentimes, a lumpectomy with radiation leaves a worse deformity than mastectomy. In this particular case, the patient required latissimus dorsi flap to allow her nipple to be rotated and the breast to be adequately reconstructed with regard to volume. The latissimus dorsi flap is taken from the back. The right side was also lifted and reduced in size to match her left breast. As you can see in the post-operative photograph taken approximately one year after the initiation of reconstruction, there is nice symmetry. This patient is very happy with her outcome.
This patient underwent bilateral mastectomies. She initially had mastectomy on the left side, but then developed breast cancer on the right side. This photograph was taken approximately six months after her implant reconstruction. There is good symmetry and an overall nice outcome.
This patient underwent lumpectomy followed by radiation. Once again, there was significant distortion to the left breast. A latissimus dorsi flap was used at the inferior aspect of the left breast to allow the nipple to be rotated forward. In addition, the right side was reduced and lifted to match the left breast. As you can see, there is good volume symmetry and balance. She is very happy with her outcome.
This patient underwent a reconstruction using a TRAM flap. This post-operative photograph was taken approximately six months after the reconstruction procedure, followed by nipple tattooing. Overall, there is good symmetry and she is very happy with her outcome.
This patient underwent bilateral breast reconstruction at another facility, with a very poor outcome. This photograph shows her after the revision reconstruction, with the left side reconstructed with placement of an implant and lift, and the right side being modified, as well. As you can see in the post-operative photograph, there is a very nice result.
This patient is an active nurse in a local hospital who underwent bilateral mastectomies. She had bilateral expanders placed, followed by bilateral cohesive gel implants and nipple reconstruction. Overall, you can see that she has a nice shape to her breasts. The mastectomy scars are still visible, but, overall, there is a very nice outcome and this patient is very happy with her result.
This patient underwent mastectomy several years in the past and was tired of wearing spacers. This photograph was taken approximately one month after her implant reconstruction. She underwent expander placement, followed by implants. Moderate profile cohesive gel implants were used for this patient. Overall, this patient is very satisfied with her outcome and is happy to no longer have to use spacers.
This patient underwent lumpectomy followed by radiation. She was reconstructed using a TRAM flap. As you can see in the post-operative photograph, after the nipple reconstruction and nipple-areola tattooing, there is nice symmetry and balance.
This is an 83-year-old patient who underwent mastectomy in the past and was tired of wearing spacers. She only wanted minimal reconstruction. She underwent a lift with a reduction on the right, and then placement of an expander, followed by an implant on the left side. She is very happy with her result.
This patient underwent bilateral mastectomies, followed by expanders and placement of implants. This photograph shows the expander placement, followed by replacement with high-profile silicon gel implants. In the bottom photograph, her nipple-areola complex has also been tattooed. Overall, she is very happy with her outcome.
This patient underwent lumpectomy followed by radiation on the left side. She required a latissimus dorsi flap to the inferior aspect of her left breast to allow the nipple to be rotated upward. In addition, we performed an augmentation on the opposite side with a high-profile, 300cc cohesive gel implant to match the reconstructed breast. As you can see, she has a nice outcome.
This patient underwent mastectomy on the left side followed by reconstruction, using a high-profile cohesive gel implant. The right side required a reduction and lift to match the symmetry of the reconstructed breast. Overall, there is a very nice outcome.
This patient underwent bilateral mastectomies. She had an expander placed on the left side followed by high-profile cohesive gel implant. Overall, you can see there is nice symmetry and volume to her breasts. She is very happy with her outcome.