While each breast reconstruction is different, they are generally done in one of two ways. Each way depends on your body’s natural anatomy as well as the amount of tissue removed during your mastectomy. During your initial consultation, Dr. Esmailian will review each option thoroughly, allowing you to be informed on the upcoming procedure. The two primary breast reconstruction options are as follows:
Breast Reconstruction Surgery In Orange County With Dr. Esmailian
Although each breast reconstruction procedure in Orange County is unique, this procedure is usually performed in one of few ways: A breast reconstruction with implants, a breast reconstruction with the use of a tissue expander, followed by implant placement, or breast reconstruction via tissue rearrangement and breast conservation.
The procedure that Dr. Farbod Esmailian chooses to perform at his office in Orange County will depend on the natural anatomy of the patient who is undergoing the reconstruction procedure as well as the procedure that is being performed: either a mastectomy or breast conservation (lumpectomy).
Breast Reconstruction With Implants Directly Following A Mastectomy
At Dr. Esmailian’s office in Orange County, this is generally an outpatient procedure. Once the mastectomy is performed, a pocket is developed by elevating the pectoralis muscle. Alloderm, which is an acellular human dermis is prepared and placed similar to a hammock to help support the implant and create a well-defined pocket. The implant is then prepared and placed into the pectoralis muscle-alloderm pocket and the skin is then closed in layers.
Although some patients are eligible to receive their breast reconstruction surgery directly following their mastectomy, the majority of patients will require the two-stage reconstruction process. The two-stage reconstruction procedure involves placing a tissue expander beneath the pectoral muscle.
Breast Reconstruction With Implants
This procedure is much like a Breast Augmentation. Dr. Esmailian uses silicone or saline implants to replace the breast tissue that was excised during the mastectomy. He starts with an incision, followed by creating a pocket beneath the pectoral muscle in the chest. Once this pocket is made, he can insert the agreed-upon implant that will be used. While this can sometimes be done directly following a mastectomy, most patients require Dr. Esmailian to use a tissue expander before the implant may be inserted.
When Dr. Esmailian performs breast reconstruction surgery, he either uses saline or silicone implants to replace the tissue removed during a mastectomy. Silicone implants are generally the preferred implant of choice during reconstruction surgery since the implants have the density and feel more like breast tissue. The limitations with silicone implants at this point is size, the largest silicone implants at times may not give enough volume after mastectomy. Therefore, in such instances when larger volumes are needed, saline implants are the only option.
Breast Reconstruction Surgery With A Tissue Expander
After a mastectomy, the remaining tissue is often inadequate to hold a breast implant. When this occurs, Dr. Esmailian will use a tissue expander to gradually create a pocket big enough for an implant. The balloon-like expander is placed under the pectoral muscle. Over the next several months, Dr. Esmailian will inject a saline solution into the expander to gradually make it larger. This allows the skin to stretch over a period of time with minimal discomfort.Once the pocket has been created, a second surgery is performed to remove the tissue expander. Once this is done, a permanent saline or silicone implant is inserted into the pocket made by the expander, and the procedure carries out just like a Breast Augmentation. Breast reconstruction not only requires precision technique and expert surgical knowledge, it also requires sensitivity and care that cannot be compared to any other procedure. To get a glimpse of the different implant options available for your breast reconstruction surgery view our types of breast implants page. Dr. Esmailian is a caring expert who will ensure the process is comfortable every step of the way. Call us today to find out more about the finest, most compassionate breast reconstruction surgery in Orange County.