Designed for women following a single or double mastectomy or women who suffer from a congenital of developmental abnormality, breast reconstruction is designed to restore a more natural and symmetrical breast appearance. While a reconstructed breast will never look and feel exactly like natural breasts, Los Angeles plastic surgeon Dr. Matthew Malamet uses a number of advanced techniques to create a new breast and nipple that will resemble the woman’s natural beauty.
A full examination will be necessary to determine the best course of action to achieve the very best results. Since mastectomy or radiation therapy can pose a number of additional concerns including insufficient tissue on the chest wall to cover and support a breast implant, additional measures may be necessary to achieve the desired results. In these cases, a flap technique may be used to build up tissue surrounding the breast, and will help to support the new breast implant(s). Dr. Malamet will conduct a full examination to help determine the best plan to achieve the very best, most natural-looking and symmetrical results.
The Breast Reconstruction Procedure
Breast reconstruction is a highly individualized procedure that involves a number of advanced procedures and techniques designed to create a natural-looking breast contour. Depending on the amount of correction necessary, Dr. Malamet will help to determine which advanced procedures and techniques will achieve the desired results.
Tissue Expansion and Flap Techniques
- TRAM FLAP- Harvests muscle, tissue and skin from the abdomen. The harvested reconstructive tissue can remain attached to the original blood supply and tunneled up through the chest wall. In some cases, the harvested tissue will be detached and shaped into a breast mound.
- LATISSIMUS DORSAL FLAP-
Harvest muscle, tissue, and skin from the back, keeping it attached to the original blood supply. The harvested tissue is then tunneled to the mastectomy site.
- DIEP OR SGAP FLAP- These techniques do not use muscle. They involve transporting tissue to the chest from the abdomen or buttock.
- TISSUE EXPANSION- Requiring a shorter recovery time, tissue expansion is a procedure that involves an expander being placed in the chest wall. The disadvantage to this procedure is that it requires multiple office visits over a 4-6 month period. At these visits, the expander is gradually filled through an external valve in the skin. Once the tissue is expanded to a desired size and shape, a second surgery will replace the expander with a breast implant. Since this technique works over a period of 4-6 months, the body regenerates the tissue in the chest wall naturally as the chest wall is expanded. It does not involve using muscle or tissue from other areas of the body.
Dr. Malamet was beyond helpful and caring with me as his patient. The surgery for me was so overwhelming and nerve-racking but he made sure to comfort me through it all. I went to several other doctors before Dr.Malamet and none of them compared to him.
Breast Reconstruction Key Facts:
- Anesthesia: General
- Length of Procedure: 60 Minutes-3 Hours
- Length of Stay: Variable, but patients may require an overnight hospital stay
- Discomfort: Moderate swelling, bruising and discomfort
- Anticipate: Swelling and Bruising will persist for a few weeks, but daily activities can be resumed within a few days
- Final Results: Visible once swelling and bruising subside
- Duration of Results: Lasting
Breast Reconstruction Results
While breast reconstruction will not produce a perfect recreation of a woman’s natural breast, using the most advanced techniques and procedures helps Dr. Malamet to achieve amazing results. Breasts are often very important to a woman’s sense of self and femininity, and Dr. Malamet understands how important this can be for self-esteem and self-confidence. Using breast reconstruction, Dr. Malamet helps women feel more feminine while simultaneously helping to improve their self-esteem.
If you would like to learn more about breast reconstruction and how it can improve a woman’s self-confidence and self-esteem, schedule a consultation with Dr. Matthew Malamet. He meets with each patient individually to address any questions or concerns that may come up prior to the actual procedure.