Surgical Reconstruction

Surgical breast reconstruction uses saline or silicone implants or tissue from a patient’s body to reconstruct the breast after a mastectomy. Once the breast is removed during a mastectomy, it does not function with the rest of the body.

There are several types of surgical breast reconstruction:

  • TRAM Flap— A TRAM (Transverse Rectus Abdominus) flap procedure uses skin from the abdomen to create a new breast mound.
  • Latissmus Dorsi Flap— This procedure uses tissue from the patient’s back to create a new breast.
  • Endoscopic Flap—An updated version of the Latissmus Dorsi Flap procedure, an Endoscopic Flap procedure uses tissue from a patient’s back, but has a smaller incision size, reduction in postoperative pain, and a smaller scar.
  • Tissue Expander—Mastectomy often leads to a shortage of skin and certainly breast tissue. Expander-based reconstruction re-establishes the breasts’ envelope by stretching the skin to the appropriate size followed by replacing the expander with the permanent implant at a second stage.
  • Immediately after Mastectomy—During a mastectomy procedure, sometimes the breast surgeon can preserve enough skin to allow immediate placement of an implant (instead of an expander followed by an implant in a second surgery). Inserting an implant immediately after a mastectomy cuts down on recovery time and does not leave women without breasts.

Candidates for Surgical Breast Reconstruction

If you have undergone a mastectomy, you are likely a candidate for surgical breast reconstruction. The type of surgical breast reconstruction depends on the patient’s body type, the existing tissue they have on the breast and the rest of the body, and the type of treatment used during breast cancer.

The Procedure

A number of factors are taken into consideration when choosing which procedure to undergo, including the type of mastectomy, patient’s body type, and type of cancer treatment. Surgical breast reconstruction falls into two categories: implant-based reconstruction or flap reconstruction. Flap reconstruction uses a patient’s own skin and tissue from another part of the body to create a new breast.

The Recovery

Recovery depends on the type of procedure used and is shorter if inserting an implant immediately after a mastectomy. Often, recovery is longer when undergoing a procedure that uses your own tissue instead of an implant, but may eliminate the need for additional surgeries in the future.

The Process

  • Consultation with Dr. Nima Naghshineh
  • Create a customized surgical plan
  • Take pre-op photos
  • Meet with our Practice Manager
  • Schedule surgery with our Surgical Coordinator
  • Obtain surgical clearance from your family doctor
  • Return to the office for a pre-op before Surgery
  • Have surgery
  • Return to the office within one week of surgery for your post-op visit

To learn more about what you can expect from your breast reconstruction process, or to schedule your consultation with Dr. Nima Naghshineh, please fill out the form on this page or call (310) 860-8915. We’re located in Beverly Hills and Pasadena, serving Santa Monica, Hollywood, Brentwood, Westwood, Burbank, Glendale, and Arcadia.