Breast Reconstruction Phoenix
The process of Scottsdale breast reconstruction is usually a combination of several procedures most often done in sequence: mastectomy, tissue expander placement followed by implant placement, breast augmentation or mastopexy for balancing with the opposite breast, and nipple and areola reconstruction.
Here at North Valley Plastic Surgery we understand that the experience of breast reconstruction can be an emotional and difficult time for you. Our board certified plastic surgeons, as well as our sophisticated team of medical professionals, will guide you through the process and keep you informed every step of the way.
About the Mastectomy Procedure
The two most common types of mastectomies are modified radical mastectomy and simple mastectomy. The modified radical mastectomy and compresses removal of all of the breast, the nipple and areola, as well as many of the lymph nodes in the axilla (underarm).
The simple mastectomy operation removes only the breast tissue; leaving the lymph nodes intact.
The incision is located in the center of your breast. Once your breast tissue and any necessary lymphatic tissue have been removed, your board certified plastic surgeon here at North Valley Plastic Surgery will first place the tissue expander or implant, as the case indicates. Once complete, we will close your incision site with dissolvable and Nylon sutures. Often times, a drain is sutured into the underarm area on both sides. The purpose of the drain is to collect excess fluid from the wound to lower the risk of infection. Drain logs will be provided to keep a record of the output of fluid. Drains will be removed when the output meets the doctor’s specifications.
Restrictions over the next six weeks may include but are not limited to: heavy lifting, pulling, or pushing. It will take several weeks for the swelling and bruising to dissipate.
The use of a bath tub, Jacuzzi, or anything that allows the body to submerge is not allowed, until clearance from the physician has been provided (usually three weeks after the surgery). Showering is allowed 48 hours after surgery. It is important to pat the operative areas dry and replace the dressings. If you have any questions, please call one of our licensed providers at North Valley Plastic Surgery.
About the Tissue Expanders
The tissue expander is placed after your mastectomy to stretch the pectoral muscles and the chest wall skin out for the subsequent placement of your permanent breast implants. You will have a follow-up appointment 1-2 times per week for your fills. Saline solution is injected into your expander port to stretch the tissue. The expansion is gradual, and a pocket will be created for your implant. This process is much like how a woman’s belly gradually stretches with pregnancy.
You will have the option of saline or silicone gel filled permanent reconstructive implants.
About the Placement of Implants
The incision for the placement of your implants is through your mastectomy scar. Once the incision has been made, your board certified plastic surgeon will remove your expanders in exchange for your implants, and make any necessary adjustments in the breast implant pockets. The incision site will be closed with dissolvable and Nylon sutures.
Post-operatively it is common to feel tired and sore. A frontal zip-up sports bra is recommended to wear post-operatively because it prevents the breasts from dropping, allowing them to stay in place. Your breasts will be swollen, and it can take up to five weeks to subside. You can shower 48 hours after surgery; and in ten days your Nylon sutures will be removed.
The use of bath tubs, Jacuzzis, or anything that allows the body to submerge is not allowed, until clearance from your physician has been provided.
About the Areola Reconstruction
Areola reconstruction can be done with micropigment application (tattooing) and/or surgically.
Areola reconstruction via micropigment application uses permanent makeup to recreate an areola for breast cancer patients during an emotional time. The procedure can be done to correct irregular shape, add color, as well as create a natural appearance for those who have undergone areola removal or areolar loss.
Areola reconstruction via plastic surgery uses the “skate flap” technique. In the skate flap procedure, the nipple will be reconstructed using skin on the reconstructed breast to make a papule that projects forward from the breast much like a nipple. Once the papule has been reconstructed, the areolar is then reconstructed using a full thickness skin graft harvested from elsewhere on the body, most commonly from the groin crease. A bolster dressing is applied, securing the areolar graft in place, and protecting the nipple for four to six days after surgery. After the bolster dressing is removed, a protective dressing is used for two more weeks while the reconstructed nipple and areola mature in position. Color can be added to the reconstructed nipple and areolar using the micropigmentation techniques explained above.
For more information regarding Scottsdale breast reconstruction, Phoenix breast reconstruction, breast reconstruction surgery, breast reconstruction surgery, breast reconstruction Scottsdale or to schedule a consultation, please call one of our licensed, board certified providers: 480-991-6877.