Considering Breast Reconstruction?

At Écosse Plastic Surgery, we understand how vital breast reconstruction surgery can be for women who have undergone breast cancer treatment or experienced trauma. Dr. Koonce utilizes various techniques to recreate a natural-looking breast contour, including breast implants and autologous tissue (flap reconstruction). This procedure helps restore physical appearance and boosts self-confidence and emotional well-being. We believe breast reconstruction surgery can empower women to embrace a sense of wholeness and femininity on their journey to recovery.

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Breast Reconstruction after Mastectomy or Lumpectomy

Breast reconstruction is a surgical procedure designed to restore one or both breasts' shape, size, and appearance after a mastectomy or lumpectomy, typically performed as part of breast cancer treatment.

Techniques for Breast Reconstruction

  • Implant-based reconstruction using silicone or saline implants
  • Autologous tissue reconstruction, where the patient's tissues are used to rebuild the breast

Factors Affecting the Choice of Reconstruction Method

  • Anatomy
  • Health status
  • Personal preferences
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The Benefits of Breast Reconstruction

Breast reconstruction can positively impact a woman's emotional well-being, providing a sense of closure and moving forward after breast cancer treatment. For example:

  • With reconstructed breasts, women can enjoy a broader range of clothing options and feel more at ease wearing different styles
  • Reconstruction can help achieve symmetry between the breasts, resulting in a more balanced and proportionate overall appearance
  • Advancements in surgical techniques and materials allow for more natural-looking and aesthetically pleasing breast reconstructions

Ideal Candidates for Breast Reconstruction

Ideal candidates are women who have undergone a mastectomy or lumpectomy as part of breast cancer treatment and desire to restore their breast appearance. Candidates also include:

  • Those who are in overall good health and do not have medical conditions that could impair healing or increase surgical risks
  • Non-smokers or individuals willing to quit smoking before and after the procedure to minimize complications and promote optimal healing
  • Women who have completed or are near the end of their cancer treatment and have received clearance from their oncologist for breast reconstruction
  • Patients who are emotionally and mentally prepared for the physical and emotional aspects of the breast reconstruction process

Procedure Options for Breast Reconstruction: Implant-Based or Autologous Techniques

The procedure can be performed using different techniques, including implant-based reconstruction or autologous (flap) reconstruction:

  • In implant-based reconstruction, breast implants are placed to create the breast mound. The surgery may require multiple stages to achieve the desired shape and size.
  • Autologous reconstruction takes tissue from other body areas, such as the abdomen or back, to recreate the breast.

The procedure is performed under general anesthesia, and the choice of technique depends on factors like the patient's body type, breast size, and medical history.

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Recovery and Results Following Breast Reconstruction

After the surgery, patients can expect some discomfort, swelling, and bruising in the chest and donor site areas. Pain medication and post-operative care instructions provided by the surgical team will help manage discomfort and promote optimal healing.

Over time, swelling will gradually subside, and patients will start to appreciate the transformative results of their breast reconstruction, allowing them to move forward with renewed confidence and a sense of restoration.

Some other recovery considerations include the following:

  • It is essential to follow specific guidelines, including wearing supportive garments or bras to minimize swelling and stabilize the newly reconstructed breasts.
  • Strenuous activities and heavy lifting should be avoided for several weeks to allow the incisions to heal properly.
  • Most patients can resume non-strenuous daily activities within a few weeks, gradually increasing their activity level as healing progresses.
  • Regular follow-up appointments with the surgical team are scheduled to monitor the healing progress, address any concerns, and provide ongoing support throughout the recovery journey.
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Stephanie Koonce, MD

About Dr. Koonce

Dr. Koonce is a compassionate plastic surgeon renowned for her warmth and expertise in breast reconstruction procedures. At her practice, Écosse Plastic Surgery, she and her dedicated team create a haven of sophistication and care for every patient. With a focus on personalized treatment plans, Dr. Koonce takes the time to listen attentively to her patients' needs and desires, ensuring that each breast reconstruction procedure is tailored to achieve natural and transformative results. Book a consultation today; our office provides a warm and sophisticated environment where patients can feel at ease and confident in the hands of a skilled and caring professional.

Breast Reconstruction FAQ

Can breast reconstruction be performed immediately after a mastectomy?

Yes, breast reconstruction can be performed immediately after a mastectomy, known as immediate reconstruction. Alternatively, it can be performed later, known as delayed reconstruction. The timing of reconstruction depends on individual medical circumstances and preferences.

What are the different types of breast reconstruction procedures?

Several breast reconstruction procedures include implant-based reconstruction, autologous tissue reconstruction (using the patient's own tissue), and combining both techniques. The choice of method depends on factors such as body type, breast size, medical history, and individual preferences.

Will breast reconstruction leave visible scars?

Yes, breast reconstruction will leave some scars, but Dr. Koonce carefully places incisions to minimize their visibility. Scars typically fade over time and can be concealed by clothing.

Can breast reconstruction interfere with cancer treatment?

Breast reconstruction should not interfere with cancer treatment. Dr. Koonce works closely with the medical oncology team to ensure that the reconstruction process complements the overall treatment plan and does not compromise cancer care.

Will I need additional surgeries after breast reconstruction?

Some patients may require additional surgeries to refine the breast shape or to achieve symmetry with the opposite breast. However, this varies depending on the type of reconstruction and individual circumstances.

How long does the breast reconstruction process take?

The breast reconstruction process duration varies depending on the type of reconstruction, the number of procedures needed, and individual healing rates.

Is breast reconstruction covered by insurance?

In many cases, breast reconstruction is covered by insurance plans. You should check with your insurance provider to understand your coverage and potential out-of-pocket costs.

Why should I choose Dr. Koonce for my breast reconstruction procedure?

Dr. Koonce is a board-certified plastic surgeon with extensive experience and expertise in breast reconstruction. Her compassionate approach, attention to detail, and commitment to achieving natural and transformative results make her a highly sought-after choice for breast reconstruction procedures. Her team at Écosse Plastic Surgery ensures that patients receive the highest care and support throughout their journey.

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