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Understanding Your Options for Breast Reconstruction: A Guide for Women Diagnosed with Breast Cancer

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Understanding Your Options for Breast Reconstruction: A Guide for Women Diagnosed with Breast Cancer

Receiving a breast cancer diagnosis can be overwhelming, and the journey to recovery involves making important decisions about breast reconstruction. At Dr. Mouchantat’s practice in Denver, we understand the significance of this choice and are here to guide you through the various options available. Here are the different breast reconstruction techniques that you may consider for your breast reconstruction after mastectomy.

Timing Your Procedure

Breast reconstruction takes place after a mastectomy or lumpectomy has been performed for breast cancer. Some patients get their breast reconstruction immediately following the mastectomy (“immediate breast reconstruction”) while others postpone it to a later date (“delayed breast reconstruction”). In any event, in order to undergo breast reconstruction, your cancer must first be fully eradicated. You must also be mentally and emotionally prepared to undergo this surgery and understand all the benefits and risks that accompany it.

Implant-Based Breast Reconstruction

One popular option for breast reconstruction is implant-based reconstruction. This technique involves using silicone or saline implants to recreate the shape and size of the breast. With implant-based reconstruction, some patients are eligible for direct-to-implant reconstruction (immediate). In this case, implants are inserted the same day as the mastectomy, immediately after the breast tissue has been removed. This often helps women experience faster emotional healing as they move on after having cancer.

Other women may choose or be compelled to wait on their reconstruction for days, months, or even years after their mastectomy. Women who delay their reconstruction may require a tissue expander to make room for their implants. This process requires multiple procedures, beginning with the insertion of the expander and ending with the removal of the expander and insertion of the implants. This process may be necessary due to the type of cancer treatment, the patient’s health, and other relevant factors.

Tissue-Based Breast Reconstruction

Another option for breast reconstruction is autologous tissue reconstruction, also known as flap reconstruction. This approach involves using your body’s own tissue, typically from the abdomen, back, or buttocks, to reconstruct the breast. Examples are the latissimus flap, SGAP, SIAE, and DIEP techniques, which vary with the location of the tissue source and blood supply for the graft.

Combination Tissue and Implant Breast Reconstruction

In some cases, a combination of implant-based and tissue reconstruction may be recommended for optimal results. For example, the latissimus flap procedure uses muscle and skin from the back in combination with an implant to shape the reconstructed breast. This strategy can be used to match the shape of a natural breast on the other side or to help when radiation is needed.

Breast reconstruction is a deeply personal decision, and the technique that is right for you will depend on your body and your medical history, among other factors. When you consult with Dr. Mouchantat, he will outline your breast reconstruction options (including those listed above) and help you decide which is best for you. Bear in mind that this conversation is best done early after your diagnosis so that you have the most options available to you (including immediate direct-to-implant reconstruction).

To understand more about breast reconstruction and its benefits, schedule a personal consultation with Dr. Richard Mouchantat. Dr. Mouchantat will assess your individual circumstances and recommend which techniques could create the most natural-looking and symmetrical breast appearance for you. Our goal is to provide you with the information and support you need to make the best choice for your unique circumstances. Whichever technique you choose, Dr. Mouchantat’s expertise and compassionate care will guide you through the process, helping you regain your confidence and restore your sense of self. To book your appointment with Dr. Mouchantat, call (303) 232-8585 or contact us online today.



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    Dr. Mouchantat has been performing plastic surgery procedures in the Denver area since 1996. Some of these procedures include abdominoplasty, breast augmentation, breast reconstruction, breast reduction, liposuction, face lifts and eyelid surgery. Dr. Mouchantat is experienced in fat grafting techniques as well. Some procedures can be done comfortably in the office under local anesthesia, while others are done in an accredited outpatient surgical facility or hospital setting.

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