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Rebuilding the breasts with strategic breast reconstruction

The most common reason for breast reconstruction is a woman’s desire to rebuild the breasts after a mastectomy. Additional reasons for breast reconstruction include an injury or trauma, illness or congenital defect.

In the aftermath of breast cancer, Dr. Parker has helped many women to regain a sense of dignity and pride in their appearance by creating breasts that both look and feel highly natural. Research has shown that breast reconstruction often has a positive impact, both emotionally and mentally, on the breast cancer survivor, providing a sense of closure as well as hope.

Dr. Parker can begin your breast reconstruction at the same time as mastectomy, or he can delay the reconstruction for a later date. It’s important that you discuss reconstruction with your mastectomy surgeon so he or she can use the proper techniques. Note that breast reconstruction is an option whether you have a full mastectomy or just a partial one.

Options for reconstruction

Dr. Parker can perform breast reconstruction either with implants, or through the fat transfer process. With fat transfer, fat is taken from a donor area where it is unwanted (such as the thighs, belly or hips), it is purified and sterilized, and then is injected into the breasts to build volume naturally.

Dr. Parker will help you to determine the best method for reconstruction during your confidential consultation in Las Vegas.

Reconstruction with implants

Dr. Parker will use either saline or silicone implants placed under the pec muscles. If the skin is too tight, Dr. Parker will need to use a tissue expander first in order to create the proper capsule to house the implant. The next step will be for Dr. Parker to reconstruct the nipples, and finally apply an areola tattoo, creating the most authentic-looking breasts possible.

In some cases, he may also apply an acellular dermal matrix made of human cells to create a scaffolding on which the implants can rest. Fat transfer may be used to create more natural-looking edges around the reconstructed breasts.

Reconstruction with tissue flaps

During this approach with breast reconstruction surgery, Dr. Parker will use the patient’s own fat, tissue and muscle to create a flap that resembles the breast mound. Tissue is taken from the thighs, back, belly or buttocks to create the flaps, and the blood vessels are reconnected within the chest to ensure blood flow to the new breast mounds.

  • TRAM flap (transverse rectus abdominus myocutaneous flap): Here, skin and fat are harvested from the lower abdominals and the rectus muscle.
  • LD flap (latissimus dorsi myocutaneous flap): Here tissue is taken from the upper back. This procedure can be used alone to reconstruct the breasts, and is a good option for those who don’t qualify for fat transfer.
  • DIEP flap (deep inferior epigastric perforator flap): Here tissue is taken from the belly to reconstruct the breasts.
  • SGAP flap (superior gluteral artery perforator flap): In this case, skin and fat are harvested from the glutes.
  • TUG flap (transverse upper gracilis free flap): The TUG flap uses fat and skin from the thighs for reconstruction.
  • SIEA flap (superficial inferior epigastric artery flap): Fat and skin are taken from the lower belly.

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