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Breast Reconstruction

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Breast Reconstruction

Case #55 Details

Age: 47

This 47 year old health care worker underwent bilateral mastectomies and immediate (Direct to Implant) reconstruction using silicone gel implants and Alloderm.  After she was diagnosed with breast cancer she came to our Long Island plastic surgery office to talk about reconstruction.  Although she had cancer only on one breast, she decided to have both breasts removed in order to avoid any chance of developing cancer of the other breast.  She had heard that we were able to do immediate, one-stage reconstruction in some cases, and wanted to know her options.

Fortunately, her breast surgeon felt she was a good candidate for nipple-sparing mastectomies.  Traditionally, In most breast cancer mastectomies the nipple and areola are completely removed.  One consequence is that after the fullness of the breast has been reconstruction, another surgery is needed to reconstruct the nipple and areola.  This patient was able to have the nipple preserved, and her surgery was done completely through an incision around the areola.

Examining the patient, it was clear she didn't have enough fat in the lower abdomen to reconstruct even one breast, much less both.  She was a good candidate though for breast reconstruction at the time of mastectomy using silicone gel implants and Alloderm (a human-derived skin product that enables immediate implant placement).

Her surgery was uncomplicated, and she spent one night in the hospital.  Our only problem has been holding her back from vigorous activity during the first few weeks after surgery, to give her body time to heal.

Her post-op photographs are taken 8 weeks after surgery.  No one would suspect that she had undergone bilateral mastectomy just 2 months ago.  She was anxious to share these photographs with other women who might be facing the loss of a breast, to give encouragement and hope to them.  Not all women are candidates for nipple sparing mastectomy.  And not all women are candidates for immediate (Direct to Implant) reconstruction.  But it is encouraging to know that breast reconstruction continues to improve.

To learn more about breast reconstruction using silicone implants (or the TRAM flap) on Long Island, give us a call at 631-424-3600.  Plan to visit our plastic surgery office on East Main Street in Huntington soon.

Surgeon: Dr. James N. Romanelli

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