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Dallas Breast Reconstruction - Plano Reconstructive Surgery

Thanks to the efforts of breast cancer support groups and American Society of Plastic Surgeons, the Federal Women’s Health and Cancer Rights Act of 1998 provides benefits for mastectomy related services including reconstruction and surgery to achieve symmetry between the breasts, prostheses, and complications resulting from mastectomy. The goal of a plastic and reconstructive surgeon is to create a soft, natural looking breast for a woman who has lost a breast to cancer. Dr. Lester believes this will improve her quality of life, gain back her self-confidence and return the patient to normalcy.

Breast reconstruction can be performed immediately following a mastectomy or delayed because of further treatment by the oncologist or the patient’s personal decision. There are several choices for breast reconstruction. During the consultation, Dr. Lester will consider the patient’s physical and emotional health to determine which reconstruction method would be appropriate. The options available are:

Skin expansion with a tissue expander: A balloon expander is surgically placed beneath the chest muscle, and over several weeks is gradually filled with a saline solution. Once the skin is stretched, the expander is removed and a permanent implant is inserted. If a sufficient amount of skin is present, Dr. Lester can place an implant without the skin expansion.

Flap reconstruction: Tissue (consisting of a portion of skin, fat and muscle) is taken from the back or abdomen and tunneled to the breast to form a mound. The flap is still attached to its original blood supply. Many women prefer this procedure because the breast is reconstructed with natural tissue. This method may require a long recovery, but is only one surgery not two as with an expansion. If the flap is taken from the abdomen, an added benefit is that the abdomen may appear trimmer and flatter (as with an abdominoplasty).

The nipple and the skin surrounding it (the areola) are reconstructed after the initial reconstruction has healed. At this time, Dr. Lester may recommend a reduction, breast lift or enlargement of the opposite breast for symmetry.