Breast Reconstruction

Implant Based Breast Reconstruction

Implant-based breast reconstruction can either be done 

- or -  

The implants can be placed either above or below the muscle.

Autologous Breast Reconstruction 

(use your own tissue)

Autologous breast reconstruction uses your own tissues to create a new breast.  The tissue can come from your back(Latissimus) or your belly (TRAM or DIEP flap) and in some cases from your leg or buttocks.  Sometimes this will involve surgery under a microscope to hook up the blood vessels to connect these tissues to vessels in the chest. 

Fat Grafting

Fat grafting involves harvesting fat from somewhere else on your body and injecting small amounts at a time to better contour your reconstructed breasts to make them more even and to improve their shape and size.

Nipple Areolar Reconstruction

Nipple areolar reconstruction is like nipple origami.  The tissue on your reconstructed breast is moved around to make a new nipple.  Later the area around the nipple is tattooed to try to match the other side as much as possible. 

Balancing Procedures

Breast Reduction involves making the other breast smaller (and lifted) 

Breast Lift (Mastopexy) involves lifting the other breast without changing the size

Breast Augmentation involves making the other breast larger usually with either a silicone or saline implant but could involve fat grafting if there is not much difference in volume.

Special Note about Insurance - Know your rights

The Womens Health and Cancer Rights Act of 1998 (WHCRA) requires that insurance pays for not only all stages of  breast reconstruction after mastectomy but balancing procedures to the other side.  It also requires that insurance covers prostheses and treatment of physical complications of all stages of mastectomy, including lymphedema.