Improve Confidence and Wellbeing with Breast Reconstruction
For many women, the breasts are a key component of their femininity. Mastectomy or lumpectomy due to breast cancer not only takes a toll on a woman’s appearance, but it also can drastically affect her self-image and confidence. Breast enhancement surgeon Dr. Lloyd Landsman works to help breast cancer survivors in Nassau and Suffolk Counties restore positive body image and emotional wellbeing with breast reconstruction. The procedure is designed to recreate all or a part of the breast mound and nipple. Known for his compassion and world-class patient care, Dr. Landsman treats each patient with her unique concerns and goals for breast reconstruction in mind.
Breast Reconstruction Candidacy
Breast reconstruction is ideal for women who wish to restore a normal breast shape and size, or symmetry when only one breast has been altered after breast cancer. Prior to treatment, a full evaluation of the patient’s medical history will be conducted. Many candidates decide to get their breast reconstructed at the same time as their mastectomy or lumpectomy (immediate reconstruction). In these cases, candidates should be undergoing a type of cancer treatment that will not be affected by breast reconstruction. Dr. Landsman will work with your oncology team to design a treatment plan that is both safe and successful in achieving your desired outcome.
Breast Reconstruction Options
When choosing your breast reconstruction method, Dr. Landsman will take several factors into consideration, including your body type, amount of tissue available and personal preferences. Breast reconstruction is performed as an outpatient procedure, under general anesthesia. The length of the procedure depends on the technique used and the complexity of the procedure. Dr. Landsman can reconstruct the breasts using the following techniques:
In flap reconstruction, Dr. Landsman repositions the skin, fat and muscle tissue to create a breast mound over the existing breast tissue or to cover a breast implant. There are two main flap techniques:
TRAM (transverse rectus abdominis muscle) flap uses donor skin and fat from the patient’s abdomen. Dr. Landsman may either leave the flap attached to the original blood supply and tunnel it through the chest wall, or completely detach it to create the breast mound.
Latissimus dorsi flap uses skin and fat from the back area tunneled to the breast mound. In this technique, the flap remains attached to the donor site, leaving blood supply intact.
Tissue Expansion with Implants
Tissue expansion creates the necessary amount of tissue in the chest area to cover a breast implant. Although this technique is typically a lengthier process than the flap technique, it usually involves a quicker and easier recovery than flap reconstruction.
During tissue expansion, Dr. Landsman will insert a device (tissue expander) into the mastectomy site to expand the tissue and create a space or pocket for the implant. Women have the option of reconstructing their breasts using saline or silicone gel implants. Each type of implant has advantages and disadvantages, which Dr. Landsman will discuss with you during your consultation. Once the implant is in place, the doctor will close the pocket with sutures.
The final step for many breast reconstruction surgeries is reconstructing the nipple and areola, which typically occurs several months after the breast mound has healed. Dr. Landsman can do this using several techniques, including skin grafting and tattooing. Breast lift may also be performed during the reconstruction procedure to achieve a natural-looking and symmetrical breast appearance.
Learn More about Breast Reconstruction
To find out more about breast reconstruction, schedule a breast reconstruction consultation with Dr. Landsman. Contact his office by calling (631) 864-4111 today.