Beverly Hills Breast Reconstruction
Board Certified Breast Surgeon in Los Angeles
In Beverly Hills, breast reconstruction after breast cancer surgery has changed significantly in the last several years. Women have more options to have the natural looking breasts they desire and deserve. Dr. David Sayah has performed extensive research in the field of breast reconstruction, and, in response to federal law changes, breast reconstruction following cancer treatment is now a right and not a privilege. As a result, all insurance companies must cover breast reconstruction.
Interested in learning more about breast reconstruction from a board-certified
breast surgeon in Beverly Hills?
Call (310) 905-8405.
What Type of Reconstruction Is Right?
Options for breast reconstruction naturally are dictated by the type of deformity that occurs following a surgery for breast cancer. For patients who had a minor area of their breast removed and did not under therapy with radiation, a breast implant can be an excellent option. If the opposite normal breast is too large, another option is to make the larger breast smaller via a breast reduction surgery.
Radiation therapy makes matters a bit more complicated; breast implants have a much higher chance of becoming hard if you have undergone radiation therapy. In such cases, better options include a breast lift on the opposite breast, or if the deformity on the affected breast is large, Dr. Sayah can reconstruct your breast with your own tissue.
Another issue to consider in breast reconstruction is timing. While most women prefer to have their breast reconstructed simultaneous to their lumpectomy or mastectomy, other women wait to have their breast reconstructed at a later stage. Thorough team discussions with your oncologist, breast cancer surgeon, as well as Dr. Sayah are very helpful in making such decisions.
Issuing Your Own Tissue
There are several options when it comes to using your own tissue for breast reconstruction. These include your latissimus dorsi muscle (on your back) or your tummy tissue, which would be obtained from a tummy tuck (TRAM or DIEP flap). In the second case, Dr. Sayah would perform a tummy tuck on you, using the excess skin and fat that was removed to reconstruct your own breast. This type of surgery under the microscope is the most cutting-edge approach to breast reconstruction.
In those who have had the entire breast taken out to prevent the spread of cancer, reconstructive options would include breast implants or using theirown tissue as described above. Dr. Sayah also strives to help you better understand your choice of techniques. Because of the complexity and importance of this topic, and you are encouraged to request a consultation with Dr. Sayah so your particular case and preferences can be discussed in detail.
What to Expect During the Procedure
During your consultation and pre-surgical visits, Dr. Sayah reviews which surgical option is your best solution. If you have chosen breast implant reconstruction, they are typically inserted through the already existing scar from your prior surgery. In some cases, a tissue expander may need to be inserted first in order to stretch your breast skin over time until your desired breast size is reached. A saline or silicone breast implant is then exchanged for the temporary tissue expander. To accomplish symmetry, a breast lift on the opposite normal breast may be performed with minimal scar techniques. For those choosing to have their breast reconstructed with their own tissue, skin, and fat can be derived from your buttocks, tummy, thighs, or back area. Each “donor site” has its own benefits and disadvantages.
Most commonly, back or tummy tissue is used. When using tissue from the back, the muscle and its overlying skin and fat are carefully separated from the back and rotated to the chest to reconstruct the affected breast. When using tissue from your tummy, the excess skin and fat removed during a tummy tuck are rotated to the chest to reconstruct the breast.
Modern techniques such as the DIEP Flap avoid the weakness of the tummy muscle and have lower abdominal wall complication rates. Based on the timing and reconstruction technique you have chosen, your procedure is performed in an ambulatory surgery center or at a hospital. While breast implant reconstructions are performed as outpatient surgery, allowing you to go home shortly after your procedure, more involved tissue reconstructions (TRAM, DIEP) will require hospitalization for a few days.
Dr. Sayah can explain your options and help you select the right procedure
for breast reconstruction in Beverly Hills.
Call (310) 905-8405.