Breast Reconstruction

What is Breast Reconstruction?

Breast reconstruction is a surgical procedure designed to restore the shape, size, and appearance of the breast after mastectomy (breast removal) or significant trauma. This transformative surgery can help women regain confidence and a sense of wholeness following breast cancer treatment or other medical conditions.

There are two main types of breast reconstruction:

• Implant-based reconstruction – Uses silicone or saline implants to restore breast volume.
• Autologous (flap) reconstruction – Uses the patient’s own tissue from areas such as the abdomen, back, or thighs for a natural reconstruction.

How is the Procedure Performed?

Breast reconstruction can be performed immediately following mastectomy or delayed until after cancer treatment is complete. The process varies depending on the type of reconstruction chosen.

1. Consultation & Planning

   • A thorough evaluation of medical history, breast size, body type, and surgical goals.
   • Discussion of implant vs. natural tissue reconstruction.
   • Consideration of nipple reconstruction or tattooing for final aesthetic refinement.

2. Surgical Techniques

   • Implant-Based Reconstruction
     • A tissue expander may be placed under the chest muscle to gradually stretch the skin.
     • Once the skin is ready, a permanent silicone or saline implant is inserted.
   • Autologous (Flap) Reconstruction
     • Tissue from the abdomen (DIEP or TRAM flap), back (latissimus dorsi flap), or thighs is used to form a new breast.
     • This method provides a more natural look and feel.
   • Nipple & Areola Reconstruction (if needed)
     • Can be done with surgical techniques or 3D tattooing for a natural appearance.

3. Post-Surgical Care

   • Patients will wear a surgical support bra.
   • Drainage tubes may be placed temporarily to prevent fluid buildup.
   • Follow-up appointments ensure proper healing and adjustment.

Who is a Good Candidate?

Breast reconstruction is ideal for:

• Women who have undergone a mastectomy or lumpectomy.
• Those looking to restore symmetry and breast shape after trauma or congenital conditions.
• Patients in good overall health and with realistic expectations.
• Women who have completed cancer treatment (if delayed reconstruction is chosen).

Recovery & Results

• Swelling & Bruising:
  • Some swelling and bruising last for 2-4 weeks.
• Return to Work:
  • Light activities can resume within 2-3 weeks, with full recovery in 6-8 weeks.
• Final Results:
  • Immediate improvement, but final shape and feel settle within 3-6 months.
• Longevity:
  • Results are permanent, but natural aging and weight fluctuations may affect appearance.

Risks & Considerations

Breast reconstruction is a safe and life-changing procedure, but as with any surgery, there are potential risks:

• Temporary swelling, bruising, and discomfort.
• Scarring, which fades over time and is carefully placed to be discreet.
• Implant complications, such as rupture or capsular contracture (if implants are used).
• Tissue loss (in flap procedures), though rare, may require revision surgery.
• Changes in sensation, which may improve over time but can sometimes be permanent.

Dr. Claudia Nobmann prioritizes patient safety and precision, utilizing advanced techniques to minimize risks and ensure optimal results.

Why Choose Dr. Claudia Nobmann?

Dr. Claudia Nobmann is a highly experienced and compassionate breast reconstruction specialist dedicated to helping women restore their confidence. Her expertise in both implant and autologous reconstruction ensures personalized, natural-looking outcomes tailored to each patient's needs. She provides:

• State-of-the-art techniques for optimal aesthetic and functional results.
• Compassionate, patient-centered care.
• Customized treatment plans to meet individual goals and preferences.

Breast reconstruction is a transformative procedure that restores confidence, femininity, and a sense of self. If you are considering this procedure, consult Dr. Claudia Nobmann for expert guidance and a customized approach.

Frequently Asked Questions