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Bartow Plastic Surgery

Breast Reconstruction in New Orleans, LA

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Breast reconstruction is a surgical procedure that rebuilds the shape and appearance of the breast after mastectomy or lumpectomy typically due to breast cancer. This procedure plays a critical role in helping a woman regain her confidence and feel whole again after a life-changing experience. With today’s advancements in plastic surgery breast reconstruction options have expanded offering patients personalized approaches tailored to their unique needs.

What Is Breast Reconstruction?

Breast reconstruction refers to a set of surgical techniques aimed at restoring the breast’s natural appearance and symmetry following its removal or damage. This procedure can involve the use of breast implants, autologous tissue (tissue from another part of the patient’s body), or a combination of both. Reconstruction can be performed immediately after a mastectomy or delayed until the patient has completed cancer treatments or is otherwise ready.
The goal of breast reconstruction is not only to recreate the breast’s physical appearance but also to help women reclaim their sense of femininity and self-esteem after a traumatic experience like cancer surgery.

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Who Is a Candidate for Breast Reconstruction?

Not all women who undergo a mastectomy will be candidates for breast reconstruction, but most are. Good candidates for breast reconstruction typically include women who:

  • Are generally healthy and have no other medical conditions that may affect healing
  • Do not smoke or are willing to quit
  • Have realistic expectations

Patients may also need to consider factors such as their cancer treatment plan, as those undergoing radiation may require delayed reconstruction to allow the skin to heal fully.

What Are the Benefits of Breast Reconstruction?

Breast reconstruction offers numerous physical and psychological benefits. These include:

  • Restoration of body image
  • Boost in self-confidence
  • Improved sense of how clothes fit
  • Increased comfort in a wider range of clothing styles
  • Improved peace of mind
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What Are My Breast Reconstruction Options?

Breast reconstruction is not a one-size-fits-all procedure. Patients can choose between several reconstruction methods, including:

  • Autologous Reconstruction: Also known as flap reconstruction, this method uses tissue from another area of the body to recreate the breast. It provides a more natural look and feel, but the procedure is more complex and involves a longer recovery time.
  • Implant-based Reconstruction: This is the most common method involving silicone or saline implants to recreate the breast mound. It offers a quicker recovery time but may require replacement over time.

Combined Implant and Flap Reconstruction: In some cases Dr. Bartow may use both an implant and autologous tissue to achieve the desired results. This method provides additional volume and support for patients with limited tissue.

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How Is Breast Reconstruction Performed?

Breast reconstruction can be performed using several techniques, which typically fall into two main categories:

  1. Autologous Tissue Reconstruction: This uses tissue taken from another area of the body (commonly the abdomen, back, or thighs) to rebuild the breast. Common techniques include the DIEP flap (Deep Inferior Epigastric Perforator) procedure.
  2. Implant-based Reconstruction: This involves placing a silicone or saline breast implant under the chest muscles or skin. It may be performed in one or more stages, starting with the placement of a tissue expander.

The choice of technique depends on various factors including the patient’s anatomy, medical history, and personal preferences.

Initial Consultation

During the initial consultation Dr. Bartow will discuss the patient’s medical history, including any cancer treatments and surgeries. The consultation allows patients to ask questions, voice concerns, and discuss their goals for reconstruction. He will evaluate the patient’s physical condition, including the amount of available tissue for autologous reconstruction, skin quality, and any existing scars. Imaging tests such as mammograms may be performed to assess the patient’s overall breast health. Based on this information, Dr. Bartow will present various reconstruction options and recommend the most suitable approach. What is important to understand about breast reconstruction is that it is a process, usually requiring at least two surgeries to first correct the breast defect or deficit and then another stage of surgery to augment and highlight the aesthetic and cosmetic refinement of the breasts.

Preoperative Instructions

In preparation for breast reconstruction surgery patients will receive detailed preoperative instructions to help achieve the best possible outcome. One important guideline is to quit smoking, as nicotine can impair healing. Patients are typically advised to stop smoking at least four weeks before and after surgery. Additionally, certain medications such as aspirin or anti-inflammatory drugs may increase the risk of bleeding so Dr. Bartow will provide a list of medications to avoid. Breast reconstruction typically requires general anesthesia so patients may also need to fast for several hours before the procedure. In some cases Dr. Bartow might recommend specific preoperative exercises or skin care routines to enhance tissue quality and overall skin health leading up to the surgery.

During the Procedure

The steps involved in breast reconstruction surgery will vary based on the chosen technique. However, the general process typically follows a similar sequence. First, the patient is administered general anesthesia to ensure they remain comfortable throughout the surgery. For implant-based reconstruction, Dr. Bartow may insert a tissue expander beneath the chest muscles. This expander gradually stretches the skin to make room for the final implant. This process can take several months, with saline injections used to expand the tissue incrementally. In autologous reconstruction Dr. Bartow harvests tissue from another part of the body, such as the abdomen or thighs, and uses it to rebuild the breast. Blood vessels are meticulously reconnected to ensure proper circulation to the new tissue.

Once the necessary preparation is complete the implant or tissue flap is positioned to form the new breast. For implant-based procedures the final implant is placed after the tissue has been adequately expanded. For flap reconstruction the harvested tissue is sculpted into a breast mound and carefully secured. If nipple reconstruction is desired, it can be done either during the initial surgery or at a later stage. This process may involve tissue grafts or tattooing to create a realistic nipple appearance. Finally, the incisions are closed with sutures, and the patient is fitted with a surgical bra or compression garment to support the healing process.

What Can I Expect During Recovery From Breast Reconstruction?

Recovering from breast reconstruction involves several stages of healing and adjustment.

Immediate Postoperative Care

Immediately after surgery you may feel discomfort, swelling, and bruising; these symptoms are expected and can be managed with prescribed pain medications. In the first few days you might stay in the hospital or surgical center especially if you had autologous reconstruction so medical staff can monitor your condition and assist with postoperative care.

First Week

It’s important to keep the area clean and follow Dr. Bartow’s care instructions closely. While you should avoid strenuous activities, gentle movement is encouraged to promote circulation and reduce the risk of complications. If drains were placed during surgery they typically are removed in the first one to two weeks, but close monitoring of the output is encouraged.

First Few Weeks

Over the next few weeks swelling and bruising will gradually subside. Dr. Bartow may remove sutures during follow-up visits. You can typically resume light activities after two to three weeks but should avoid heavy lifting and vigorous exercise for at least six weeks.

Long-term Recovery

By six to eight weeks you can usually return to your daily routines. The reconstructed breast may feel firm or tight initially but will soften over time. Full recovery including the final appearance of the breast can take several months to a year as tissues heal and scars fade.

Regular follow-up appointments are essential to monitor your healing progress and address any concerns. If you notice unusual symptoms like signs of infection or excessive pain, contact the office immediately for evaluation.

When Will I See My Breast Reconstruction Results?

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Breast reconstruction results take time to fully develop. While patients will notice immediate changes in their breast shape and size, swelling and bruising may obscure the final results for several weeks to months. Once the body has healed and the tissues have settled the reconstructed breast will take on a more natural appearance.
For patients who undergo staged reconstruction with tissue expanders, the final results may not be visible until after the permanent implant is placed, which can take several months.

How Much Does Breast Reconstruction Cost in New Orleans, LA?

The cost of breast reconstruction in New Orleans, LA, varies widely depending on: the type of reconstruction, the surgeon’s expertise, and geographic location, etc. Fortunately breast reconstruction is often covered by insurance as it is considered part of breast cancer treatment. However, patients should verify coverage with their insurance provider, including any co-pays or deductibles that may apply.

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