After undergoing a mastectomy necessitated by breast cancer, women in the Denver area often look to board certified plastic surgeon Dr. Richard Mouchantat to learn more about their breast reconstruction options and choose him to help them on the road to recovery.
A breast reconstruction surgery can:
- Recreate your breasts using implants or your natural tissues
- Correct a loss of breast contour, shape or volume
What Is Breast Reconstruction?
As an integral part of breast cancer treatment, breast reconstruction takes place after a mastectomy or lumpectomy has been performed. Breast reconstruction can happen immediately following the mastectomy or may be put off until a later time. Rather than one surgery, the reconstructive process may take place over several surgeries, sometimes beginning with tissue expansion procedures.
In order to move forward with a breast reconstruction, your cancer must be fully eradicated and you must be mentally prepared to undergo surgery and understand the benefits and risks that accompany it.
When you consult with Dr. Mouchantat, he will outline your breast reconstruction options, which include the insertion of implants or one of several flap procedures that utilize your own tissues.
The Breast Reconstruction Procedures
If you choose implant based reconstruction, some patients will be eligible for direct to the final implant reconstruction and some will require a tissue expander to make room for their final implant. Dr. Mouchantat is experienced with the latest generations of anatomically shaped implants.
Your other breast reconstruction options all utilize tissue from your own body to recreate the breasts. The technique that is right for you will depend on your body and your medical history, among other factors.
The latissimus flap procedure uses muscle and skin from the back to shape the reconstructed breast along with an implant. The latissimus flap is often indicated for matching the shape of a natural breast on the other side or to help when radiation is needed.
Other microsurgical breast reconstruction techniques include the SGAP, SIAE, and DIEP technique, which are similar to the TRAM technique, but vary with the location of the tissue source and blood supply for the graft.
Breast Reconstruction Pre/Post Op Instructions
Following your surgery, you will likely experience pain and exhaustion for one to two weeks and may be prescribed medication to manage discomfort. Your sutures will be hidden inside the skin and resorbable. You will likely have drains to assist your tissues in healing and remove excess fluid.
Breast Reconstruction Pre-op Instructions
Do not take aspirin, ibuprofen, herbal medications or vitamin E for 14 days prior to surgery.
Shower for the week prior surgery, the evening before and the morning of surgery with Hibiclens use a
fresh towel with each shower. You can get Hibiclens from your pharmacy. You may shower 48 hours post
op using the remaining Hibiclens for the first few showers.
Do not shave your armpits the day before or the day of surgery
Wear comfortable clothes to the hospital, avoid tops that pull over the head and slip on shoes are best.
Bring your history and consent paperwork with you to the hospital.
Fill prescriptions and read the instructions before the day of surgery. Discuss your regular medications and
birth control pill use prior to surgery.
Do not drive yourself to the surgery center or hospital; you will also need a ride home and someone to care
for you for at least 24 hours.
After Surgery Instructions
Do not use ice packs or heating pads.
Eat what sounds appetizing, smaller portions more often may be more comfortable than full meals.
Take medications as directed, try to keep some food in your stomach before taking pain medications as
they can cause nausea. Pain medications can cause constipation, take plenty of liquids and an over the
counter stool softener such as: Colace or Senna Kot can help prevent problems. Milk of Magnesia as
directed on the bottle is safe if you are having a problem.
Rest, but do not be sedentary for extended periods, raise your legs and flex the leg muscles frequently while
resting and walk for 5-10 minutes four or five times a day, around the house is fine.
You may move your arms gently throughout the range of motion if you have round implants. If you have
shaped implants, you should limit your range of motion to reaching no higher than the top of your head. No
resistive exercise and no lifting more than 5 pounds with each hand.
Adjust your garment as needed if you have had one placed at surgery, and put it back on after showers.
Empty the drains and record the amount of fluid two or three times a day. Bring the record of output to
your follow up office appointment.
You should take a shower in 48 hours from the surgery time unless your discharge paperwork tells you
otherwise. Use the remaining Hibiclens for the first few showers. Wash right over the wounds and drain
dressing taking care to keep the dressing intact.
A gentle massage of tenderness or spasms in the muscles is OK. If something doesn’t seem right to you,
please call, we are happy to answer questions.
Click here to download instructions
Learn More About Breast Reconstruction in Denver
To find out more about how Dr. Richard Mouchantat can help you with breast reconstruction, we encourage you to call his Denver plastic surgery practice to schedule a consultation. You can also use the online contact form to send an email. Service areas include: Denver, Lakewood, Centennial, Colorado Springs, Arvada, Parker, Aurora, Littleton, Highlands Ranch, Thornton, Wheat Ridge, Ken Caryl, Boulder & Westminster Colorado.