About Breast Reconstruction
Surgical breast reconstruction is performed to give a more normal appearance to one or both breasts following a lumpectomy or mastectomy. It may also be an option to improve the aesthetic of a breast damaged by a birth defect or trauma. Advanced technologies in reconstructive surgery make it easier for breast cancer patients to feel whole again and have natural-looking breasts even after removal or damage. This surgery may involve multiple procedures and various stages that can be done at the same time as your breast cancer treatment or delayed until after that treatment is complete. Dr. Corbin Plastic Surgery offers personalized breast reconstruction surgery at his offices in Brea, CA and Beverly Hills, CA. Board-certified plastic surgeon Dr. Frederic Corbin and his expert staff will provide compassionate care to help enhance your physical appearance and confidence.
Breast Reconstruction Reviews
"This doctor is BRILLIANT!!! I am completely amazed at the results of my mastectomy reconstruction revision that he performed. I presented somewhat of a mess for him to fix, after my original mastectomy reconstruction in Florida left me with symmastia (uniboob) as well as severe rippling and odd shaped breasts. After surviving breast cancer, I wasn't sure if I should even pursue fixing the poor results of my reconstruction because I was just grateful to be alive. But I found myself always trying to hide my chest in high neck shirts and feeling insecure about the way my symmastia looked. I moved to California in 2017 and began to research the best Plastic Surgeons in breast reconstruction and Dr. Corbin had the MOST experience with the BEST reviews, and now I understand why! He is simply brilliant!!! He has achieved results that I never dreamed were possible. He fixed my symmastia and used the newest Inspira Cohesive breast implants to fix the rippling, which look incredibly full and beautiful. Dr. Corbin has given me my confidence back. I no longer feel disfigured or embarrassed by my post-mastectomy breasts. After breast cancer, I just wanted to feel "normal" again, but thanks to Dr. Corbin, I feel better than normal. Words cannot express how grateful I am to Dr. Corbin and his staff. BY the way, his staff are ALL rock stars!!! From Dee at the front office to the incredible nurses who literally held my hand through it all, I love you and am forever thankful for all you did!! If you want the best results and the best experience, choose Dr. Corbin. I am so very glad I did."- C. / RealSelf / Jun 19, 2018
Am I a Candidate for Breast Reconstruction?
Breast reconstruction is an extremely individualized procedure. Each patient will have an in-depth consultation appointment with Dr. Corbin to determine their surgical plan based on their concerns, needs, and suitable techniques. If you're considering breast reconstruction surgery, it is crucial that you have realistic expectations for results. While Dr. Corbin strives to create an attractive, natural appearance, your reconstructed breast(s) will not have the same sensations, feel, or look as your original breast(s). You should be cleared by your oncology doctor to undergo reconstruction surgery and talk to Dr. Corbin regarding any other medical conditions that could affect your recovery.
Our Breast Reconstruction Technique
A variety of surgical techniques are available today for breast reconstruction. There are also many factors that Dr. Corbin considers when determining the technique most likely to give you optimal results. Some of these factors include cancer diagnosis, reconstruction timing, whether you will use natural tissue or implants, and if nipple-sparing or nipple reconstruction needs to be part of the process. In order to rebuild the breast, you must have enough tissue to adequately cover the breast mound. Flap procedures accomplish this by using your own muscle, fat, and skin to create, cover, and build the mound. The most common flap techniques are the following:
- TRAM Flap
This technique takes skin, fat, and muscle from your abdomen to rebuild your breast. The tissue selected to create the new breast can be removed from your abdomen or it may stay connected to the donor location, keeping the original blood supply.
- DIEP Flap
Like a TRAM flap, a DIEP flap uses skin, fat, and blood vessels from your lower stomach; however, it doesn't use the muscle. The DIEP (deep inferior epigastric perforator) flap removes skin and fat from the stomach to build the new breast, then uses microsurgery to attach the blood vessels to the chest wall.
- Latissimus Dorsi Flap
This method uses muscle, skin, and fat from your back. During this procedure, tissue is taken from the back to the mastectomy site through a surgically created tunnel and stays attached to the donor location, leaving the original blood supply intact.
- PAP Flap
Another flap is the PAP (profunda artery perforator). This technique uses fat, muscle, and skin tissue from your inner thigh to create your breast(s).
- LTP Flap
While the TRAM flap is one of the most common methods used for breast reconstruction, sometimes there is not enough muscle, skin, and fat that can be taken from the abdominal area. In these situations, the LTP flap may be used, which uses tissue from the outer thigh.
- Composite Flap
Also called a composite stacked flap, this method combines flaps from different areas on your body for breast reconstruction.
Although flap procedures are a common and highly successful method used in breast reconstruction, you may want to recreate your breast(s) with the tissue expansion method. This involves placing a tissue expander under the breast wall and then gradually filling it with a saline solution over the course of 4 – 6 months to stretch the skin naturally. After a flap has been created or the skin is stretched through an expander, you can then decide whether you would prefer to use a natural fat transfer or breast implants to create the volume and shape of the breast(s). After your reconstruction mammoplasty, you may want to improve the look with nipple and areola reconstruction. There are numerous techniques to reshape the nipples and areolas so that they appears more attractive.
What to Expect During Recovery
Breast reconstruction surgery is performed in various stages. In some phases (like creating a flap, tissue expansion, or implant placement), general anesthesia is often used. Some patients will need to stay overnight, but this depends on the phase of treatment. Once the final stage is completed in the breast reconstruction process, you will need to wear a supportive bra, and Dr. Corbin will prescribe you medication to help minimize discomfort, swelling, and bleeding. In time, the reconstructed breast(s) should appear normal so you can feel more comfortable. Regular checks with breast exams and mammograms are essential and recommended to check for new cancer growths.
Reclaim Your Self-Confidence
While the process of breast reconstruction can take time, it is considered a worthwhile procedure for most patients at Dr. Corbin Plastic Surgery. It can help improve the physical and emotional impact of a mastectomy while also allowing you to boost your figure and self-confidence. If you have been diagnosed with breast cancer, have had an injury to the chest, or were born with a defect that affects the appearance of your breasts, then we encourage you to contact our Brea or Beverly Hills, CA office and schedule your consultation with Dr. Frederic Corbin.