Breast Reconstruction

Breast reconstruction is a surgical procedure that aims to restore the shape, size, and appearance of a woman’s breast after it has been partially or fully removed or altered due to factors like breast cancer or a mastectomy. For many women, this procedure provides not only physical restoration but also psychological relief and enhancement of self-esteem. There are several methods for breast reconstruction, a procedure that often plays an important role in the recovery journey for those affected by breast cancer or other serious conditions. ⁽¹⁾

Deciding on post-mastectomy reconstruction can be confusing and overwhelming. Dr. Azra Ashraf is fellowship-trained in breast procedures and takes great care to help restore her patients’ well-being. If you would like to explore your breast reconstruction options, please take a moment to schedule a personalized consultation with Dr. Ashraf at Panache Plastic Surgery. Our practice prides itself on offering patients personal, attentive care and taking the time to understand their needs and goals.

Schedule your consultation by completing our online inquiry form. If you have any further questions, please feel free to call our office at (949) 877-7910 to schedule a consultation in Newport Beach or Ontario, California.

About Breast Reconstruction

Breast cancer treatment often involves partial or complete removal of one or both breasts, also known as a lumpectomy or mastectomy. Thousands of patients opt for breast reconstruction after breast cancer treatment to reshape their breasts; in 2023, specialists performed more than 157,700 breast reconstructions to help patients enhance their appearance. ⁽²⁾ Breast reconstruction can significantly improve the quality of life for women who are dissatisfied with the appearance of their breasts after surgery. If you have undergone a mastectomy or lumpectomy, breast reconstruction can improve your confidence and help you feel more comfortable in your body.

With advancements in surgical techniques and technology over the years, women now have more options than ever before when it comes to choosing their breast reconstruction methods. At Panache Plastic Surgery, Dr. Ashraf offers both implant-based and flap-based treatments for reconstructing the breasts.

Benefits

Breast reconstruction procedures offer women numerous advantages. When patients undergo treatment at Panache Plastic Surgery, they typically experience benefits that include:

Candidates

Candidates for breast reconstruction ideally include women who have undergone a mastectomy or lumpectomy due to breast cancer or other health issues. Patients should be in good overall health without any additional medical conditions that may impair healing. Patients should have realistic expectations about their results and understand that the new breast(s) may not look exactly like the patient’s old breast(s). The treated breasts will have a new shape and appearance, and breast sensations may not always be restored. ⁽¹⁾ We will also ask that patients who smoke abstain before and after their treatment to optimize their healing. Finally, all prospective patients should consult with their oncologist to confirm that they are suitable candidates for surgery.

Consultation

The first step in your breast reconstruction journey is a personal consultation at Panache Plastic Surgery. During your appointment, Dr. Ashraf will review your medical history, assess your goals, and evaluate your physical condition comprehensively. This assessment will help determine the most suitable type of reconstruction.

Dr. Ashraf will explain the procedure in detail, discuss potential risks, and describe the expected recovery process. She will address any questions or concerns so that you feel well-informed about your options.

Preparation

Once you decide to proceed with breast reconstruction, you will receive detailed preoperative instructions. Following these guidelines carefully will help ensure a smooth surgical experience and optimal results. Avoid blood thinners and certain supplements as instructed. Patients who use nicotine products should quit smoking several weeks before their surgery, as nicotine can impair healing. You will also need to arrange for a caregiver to assist you during your recovery. We recommend preparing a recovery space at home, keeping it comfortable and easily accessible. Finally, please schedule time off from work and social activities to facilitate proper recovery.

Procedure

The specific techniques employed during breast reconstruction can vary based on the chosen method. Breast reconstruction is an inpatient procedure categorized into two types: implant-based and flap-based surgery.

Implant-Based Reconstruction

When using implants for reconstruction, Dr. Ashraf uses saline or silicone implants underneath or on the top of the pectoralis, the main chest muscle, in the place of breast tissue. She will place the implant into the breast while preserving the delicate network of fatty and glandular tissue. Depending on the patient’s anatomy and goals, this can be either a single-stage or two-stage procedure.

Single-stage procedures are less invasive but may require revisional procedures. ⁽³⁾ During a two-stage reconstruction, Dr. Ashraf will place a soft tissue expander into the breast pocket to make room for the implant. In a separate appointment, Dr. Ashraf will place the implants into the newly created pockets. ⁽³⁾

Flap-Based Reconstruction

Flap surgery is another effective procedure for breast reconstruction. During this procedure, Dr. Ashraf utilizes tissues from one body part to rebuild the breast. She harvests tissue from the abdomen (as well as from other donor areas of the body, such as the back, buttock, or thigh) and uses it to create natural-looking breasts. This option often provides patients with breasts that look and feel more natural when compared to implant-based methods.

Smaller surgeries and revisions may be necessary to reconstruct the breast(s) over time.

Recovery

Depending on whether a patient proceeds with implant-based or flap surgery, they may need to spend several days in the surgeon’s hospital post-operatively. It is important to understand that breast reconstruction takes time. Patients may experience pain or soreness, which you can alleviate with over-the-counter medications. You can also manage any swelling with light walks and cold compresses. Dr. Ashraf may require that patients wear a compression garment or supportive bra during recovery to ensure optimal healing. Patients are advised to avoid heavy lifting and strenuous activities while healing, typically resuming normal activities within a few weeks. Implant-based breast reconstruction requires approximately 2-4 weeks of recovery and possibly multiple office visits for expansion. Flap surgery recovery averages 4-6 weeks. Regular follow-up appointments will allow Dr. Ashraf to monitor the healing process and address any concerns or complications. Ultimately, results will improve as swelling subsides over the following weeks and months.

Results

After breast reconstruction, patients can expect significant improvements in breast appearance, achieving balanced and natural shapes. Many women find that their reconstructed breasts enhance their confidence, contribute positively to their body image, and improve their quality of life.

Final results can take several months to stabilize as your breasts heal. Overall, breast reconstruction can be a fulfilling step toward physical restoration and emotional recovery following breast surgery to treat breast cancer or other conditions.

Breast Reconstruction With Lift

If you have loose, droopy skin, Dr. Ashraf can remove it with a breast lift (mastopexy). A breast lift removes excess tissue from drooping breasts, repositions the nipples, and tightens muscles to create a stronger muscular foundation. During the procedure, she can also reposition the breasts for a firmer, perkier, more youthful-looking figure.

Cost of Breast Reconstruction in Southern California

The total cost of breast reconstruction will depend on your personalized treatment plan and aesthetic goals. Panache Plastic Surgery offers financing plans for all of our procedures. After you meet with Dr. Ashraf, we will provide you with an all-inclusive quote.

Schedule your appointment today to begin planning your treatment. If you have any further questions, please feel free to call our office at (949) 877-7910 to schedule a consultation in Newport Beach or Ontario, California.

FAQ

References

1. Regan JP, Casaubon JT. Breast Reconstruction. PubMed. Published 2022. https://www.ncbi.nlm.nih.gov/books/NBK470317/
2. American Society of Plastic Surgeons ® Endorsed Partner.; 2023. https://www.plasticsurgery.org/documents/news/statistics/2023/plastic-surgery-statistics-report-2023.pdf
3. Gurrado A, Pasculli A, Toma A, et al. Mastectomy with one-stage or two-stage reconstruction in breast cancer: analysis of early outcomes and patient’s satisfaction. Updates in Surgery. Published online November 19, 2022. doi:https://doi.org/10.1007/s13304-022-01416-0