San Francisco Bay Area Breast Reconstruction in Walnut Creek, CA
Breast Reconstruction encompasses a wide range of procedures. While we often think of breast reconstruction after breast cancer, it is also applicable other acquired and congenital breast deformities.
Congenital breast reconstruction can be life changing for women who are born without a breast. An example is Poland Syndrome. In Poland Syndrome, the breast, chest muscles and even the hand can be affected. If the hand is webbed (syndactyly), this is repaired at an early age to allow for proper hand function. The breast deformity repair is deferred until puberty, and is often staged to match the growth of the opposite normal breast.
Women who have misshapen breasts, like severe forms of tubular breast deformity, may also benefit from breast reconstruction. The characteristic shape of the tubular or tuberous breast does not become apparent until puberty. During breast development, the skin on the lower breast remains constricted and leads to a tubular breast, often with a puffy nipple called the "snoopy-nose" deformity. Tubular breasts can be present on one or both sides, and asymmetry is the norm.
The most common acquired breast deformity requiring breast reconstruction is the absence of the breast after a mastectomy for breast cancer. Burns, trauma and infection can also lead to breast deformities requiring surgical repair.
Breast Reconstruction surgery often requires multiple surgeries to achieve the best results. For example, after a mastectomy, the breast mound needs to be reconstructed. Breast mound reconstruction can range from a simple, one-step procedure, to a series of complicated surgeries. If sufficient skin remains on the breast, reconstruction can be similar to a routine breast augmentation, and can often be completed at the same time as the mastectomy. For a breast cancer patient, this means never having to go without a breast.
However, the mastectomy often requires removal of skin, and sometimes it is necessary to replace some of the skin for an aesthetic breast reconstruction. If reconstruction is performed using a breast implant, recruitment of new breast skin is accomplished with staged tissue expansion. During the mastectomy, a tissue expander is placed under the breast skin. During a series of office visits the tissue expander is gradually filled to allow the skin to stretch. Once enough skin is available, the expander is exchanged for a breast prosthesis (breast implant). When reconstruction is performed using a tissue flap, the skin can be transplanted as part of the breast reconstruction flap. Again, when performed at the time of the mastectomy, termed immediate breast reconstruction, a woman can maintain her breast mound.
Once the breast mound is made, if desired, a nipple and areola are reconstructed. Nipple Reconstruction and Areola Reconstruction are usually outpatient procedures, and can often be performed under local anesthesia.
During breast reconstruction, consideration is also given to treating the opposite breast. Sometimes a breast lift, breast reduction or breast augmentation may be indicated on the unaffected side, to improve symmetry.
San Francisco Breast Augmentation surgeon Dr. Joseph Mele, performs breast reconstruction in Walnut Creek, California. Because of the individualization of the process, it is ideal to see a Board Certified Plastic Surgeon, like Dr. Mele, prior to the definitive cancer treatment. If this is not possible, delayed breast reconstruction is still an option. More information about breast reconstruction surgery is available on the American Society of Plastic Surgeons Breast Reconstruction page.
To learn more about Breast Reconstruction, please give us a call at (925) 943-6353, or contact our Walnut Creek Plastic Surgery practice today.