Innovative options for immediate reconstruction with implants
If you’ve undergone breast removal surgery (mastectomy), breast reconstruction can help to restore femininity and wholeness after breast cancer. One of the ways we do this is through breast implants, which come in various shapes and sizes. Breast implants are a safe option, and the FDA approves both silicone gel and saline (saltwater) implants for implant breast reconstruction. In addition, breast implant reconstruction is a shorter procedure than natural breast tissue reconstruction, and recovery is quicker as well.
Before you even have your mastectomy, you can speak to your doctor about breast reconstruction. Having the conversation at the beginning of your care allows your breast and reconstructive surgeon to work together to create a surgical strategy developed with your needs in mind.
When going over your choices, you will be presented with several surgical options and receive an explanation of the differences between each one. There are pros and cons to each procedure, and we'll recommend a reconstructive option that takes into consideration your desired appearance, as well as your body type, medical history, and health status. Most reconstructive procedures are covered by health insurance.
At MedStar Health, many of our patients elect to have breast reconstruction using implants after a mastectomy because we offer a groundbreaking option that helps women achieve the cosmetic outcome they desire immediately following surgery. Immediate reconstruction eliminates the need to return for additional procedures.
Types of procedures
Direct-to-implant breast reconstruction
At most medical centers, plastic surgeons perform breast implant surgery by placing the implant under your pectoral chest muscle, resulting in a flat, unnatural look. Implants placed under the chest muscle can be especially noticeable when you use your chest muscles, as this movement can create a visible distortion. Our board-certified plastic surgeons developed a new pre-pectoral breast reconstruction technique known as the P1 method to give you a better outcome. With the P1 method, we place the implant over your muscle. This approach produces little to no muscle deformity or pain since the muscle remains intact. Instead, the implant is placed directly under the skin, providing a more natural-looking reconstructed breast.
Planning and recovery
Many patients undergo implant breast reconstruction at MedStar Health immediately following their mastectomy, resulting in only one surgery with a shorter combined recovery time. Women who undergo reconstruction alone can typically return home the day after their procedure. In addition, the recovery process with the P1 method results in less pain and no chronic pain, unlike the traditional way.
When you are discharged, you may have one or more drains, which are small tubes that remove extra fluid from your surgery site while it heals. The fluid typically collects in a hollow ball that’s connected to the other end of your drain. Your reconstructive team will explain how to care for and maintain your drains and explain when you can safely remove them.
Breast reconstruction with tissue expanders
To help prepare for the insertion of a breast implant, you may undergo a breast reconstruction with tissue expanders. This technique involves stretching breast skin and muscle using tissue-expanding implants similar to balloons. By stretching the skin and muscle with a tissue expander, your surgeon can form a recreation of your natural breast shape.
Planning and recovery
During this type of reconstructive surgery, a MedStar Health plastic surgeon will insert a tissue expander beneath your chest muscle and fill the implant with saline. You may need to revisit us for one to two months to have the implant filled with more saline for further expansion. Once your breast(s) reaches the desired size, we'll conduct a second surgical procedure to replace the tissue expander with a permanent implant.
While breast reconstruction with tissue expanders requires more visits to our medical centers, it comes with the benefit of a shorter recovery period and more satisfying results. In addition, we find that many of our patients prefer this method of breast reconstruction because of the ease and flexibility of choosing their desired size.
Because reconstruction with tissue expanders doesn’t involve transplanting tissue from another spot on your body, this procedure has a shorter recovery period than other breast reconstruction options. You may not even have to stay overnight when receiving your permanent implant. However, you should still expect to be healing for several weeks after your procedure. You may also experience some discomfort during the expansion process.
While you heal, swelling will gradually decrease, and your breast shape will improve. Medication to control the pain and drainage tubes to remove excess fluids may be necessary for a short time. Any drainage tubes should be left in place until your doctor decides it is okay to remove them safely.
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Breast Reconstruction Surgery
Gabriel Alfonso Del Corral, MD
Microvascular Plastic Surgery, Gender Surgery, Reconstructive Plastic Surgery & Plastic Surgery
Kenneth L. Fan, MD
Ryan W.F. Faught, MD
Gastrointestinal Surgery, General Surgery & Minimally Invasive General Surgery
Samer Jabbour, MD
Microvascular Plastic Surgery, Breast Surgery, Reconstructive Plastic Surgery & Plastic Surgery
Grant M. Kleiber, MD
Reconstructive Plastic Surgery, Hand Surgery & Plastic Surgery
David Zachary Martin, MD
Surgical Wound Care & Plastic Surgery
Rajiv P. Parikh, MD,MPHS
Microvascular Plastic Surgery, Reconstructive Plastic Surgery & Plastic Surgery
David Habin Song, MD, MBA
Breast Surgery, Reconstructive Plastic Surgery & Plastic Surgery
Laura Tom, MD
Microvascular Plastic Surgery, Breast Surgery & Plastic Surgery
Patricia B Wehner, MD
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3800 Reservoir Rd., NW Georgetown Lombardi Comprehensive Cancer Center Ground Floor Washington, DC 20007
40900 Merchants Lane Ste. 102 Leonardtown, MD 20650
110 Irving St. NW Washington Cancer Institute 1st Floor Washington, DC 20010
7501 Surratts Rd. Ste. 305 Clinton, MD 20735
18101 Prince Philip Dr. Ste. 6100 Olney, MD 20832
12 MedStar Blvd. Ste. 180 Bel Air, MD 21015
5601 Loch Raven Blvd. Smyth Building Suite 403B Baltimore, MD 21239
9101 Franklin Square Dr. Baltimore, MD 21237
New breast reconstruction technique: Less pain, easier recovery, and more natural-looking outcomes
Kelly Chapman, a school teacher from Alexandria, Virginia, was 33 in the spring of 2016 when she was diagnosed with stage II breast cancer. When she and her physicians decided that the best course of treatment would include a double mastectomy, they presented her with a new reconstruction technique that promised an easier recovery and a more natural-looking result.