During your consultation with both Dr. Potter and your oncologist, you will be explained the type of breast cancer you have and they will review your treatment options with you. You may be shown before and after photographs of patients who have had a similar procedure.
Which Surgery Is Best For Me?
The type and extent of your breast cancer diagnosis combined with the treatment planned will impact your surgical choices. Many doctors prefer to perform a breast conserving surgery called a lumpectomy when possible. However, in many cases, a mastectomy is the only option. Some women choose to have a mastectomy for prophylactic reasons. Others may require some adjustments to the healthy breast to maintain symmetry. For some, multiple procedures will be required. In addition, some reconstructive options offer superior results when performed at the time of the mastectomy.
What Can I Expect After My Arm Lift?
There are two basic breast reconstructive procedures: tissue expansion with implants and flap reconstruction.
Tissue Expansion followed by implants is the most common procedure. Tissue expanders are like balloons. They are placed beneath your skin and chest muscle following your mastectomy. During the next several months, Dr. Potter will gradually fill them with a saltwater solution. This will cause them to expand. Once the skin over the breast area has stretched enough, the expander will be removed and replaced with a permanent implant. Implants have the most realistic feel of all reconstructive procedures. Today, implants come in a multitude of sizes and shapes. Saline implants are filled with a saltwater solution and have a silicone shell. Silicone implants are available in controlled test centers.
Flap Reconstruction uses tissue taken from other parts of the body to create a flap. The tissue is usually taken from the abdomen, the back or the buttocks. Regardless of which type of flap procedure you and your surgeon choose, this type of reconstruction is more complex than tissue expansion. However, the results can be more natural when your new breast is created entirely from your own tissue.
How Many Procedures Will I Need?
Breast reconstruction usually involves multiple procedures performed over time. The first procedure is usually the most complex. Some patients may require an additional procedure to remove the tissue expander and insert the implant. Others will need an additional procedure to complete the nipple and areola reconstruction.
After Dr. Potter performs your breast reconstruction surgery, you may decide, like many patients, to have an additional procedure to change your natural breast to match the reconstructed breast.
What Is Recovery Like?
Depending on the surgical option you choose, you may have to stay in the hospital for a few days. Immediately after surgery, you will feel tired and sore. Your new breast(s) will be swollen. Drains and stitches may be in place for about a week. Scars will fade over time. Most discomfort can be controlled with medication. You should avoid any lifting or strenuous activity as well as sexual activity for 3 – 6 weeks following your reconstructive procedure. In addition, you may be asked to wear a binder or girdle during the healing process to decrease the possibility of hernias.