Breast Reconstruction in Atlanta, GA

Breast reconstruction surgery is performed to restore one or both of the breasts to a normal appearance in size and shape following a lumpectomy or mastectomy. It's also available to restore the chest if it has been damaged by trauma or a birth defect. Advances in reconstructive surgery make it possible for breast cancer patients to feel whole again and attain natural-looking breasts even after they have been removed. This surgery generally involves several procedures and various stages that may be done at the beginning of your cancer treatment or delayed until the treatment is complete. Dr. Brandon-Dzung Mang creates a personalized treatment plan and uses a compassionate approach as we help you to restore your appearance and confidence at Rejuve Aesthetic Surgery in Atlanta, GA.

Deciding on breast reconstruction procedures at Rejuve Aesthetic Surgery can stem from various considerations. No matter the motivation behind your choice for this surgery, we are dedicated to tailoring a personalized plan that ensures you attain results leaving you looking and feeling your best. Some advantages of opting for breast reconstruction surgery at our Atlanta, GA facility include:

• Availability of multiple reconstructive techniques
• Renewal of self-esteem
• Achieving proportion and balance in the breasts and upper body
• Addressing both aesthetic and medical complaints
• Enhanced body confidence and self-image
• Expert guidance throughout the entire reconstruction journey
• Improved overall well-being and quality of life

Breast reconstruction is a highly personalized and intimate procedure tailored to your unique needs. Your journey begins with a detailed consultation with Dr. Mang, where together, you'll craft a customized treatment plan addressing your specific concerns and considerations. When considering reconstructive surgery, maintaining realistic expectations is crucial. While Dr. Mang strives to achieve an aesthetically pleasing and natural outcome, it's important to note that the sensations, appearance, and texture of your reconstructed breast(s) may differ from your original breast(s). Prior to undergoing reconstruction, obtaining clearance from your oncology doctor is essential, and it's vital to inform Dr. Mang about any other medical conditions that could impact your recovery.

With advancements in state-of-the-art technologies, numerous breast reconstruction techniques are now available. Dr. Mang considers various factors in determining the most suitable technique for achieving optimal results tailored to your unique situation. Key considerations include your cancer diagnosis, the timing of reconstruction, the choice between natural tissue or implants, and whether nipple reconstruction or nipple-sparing is part of your treatment plan. Adequate tissue is essential for recreating the breast(s), and flap procedures play a crucial role in utilizing your own muscle, skin, and fat to construct and cover the breast mound. The most prevalent flap techniques include:

• TRAM Flap
  The TRAM flap uses muscle, fat, and skin from your abdomen to build the breast(s). The tissue used to create the new breast may be detached from the abdomen or it may stay connected to the donor location, keeping the original blood supply.
• DIEP Flap
  Like a TRAM flap, a DIEP flap takes skin, fat, and blood vessels from your lower stomach, but it doesn't take the muscle. The DIEP (deep inferior epigastric perforator) flap moves fat and skin from the belly to build the new breast(s), then uses microsurgery to reattach the blood vessels to your chest.
• Latissimus Dorsi Flap
  The Latissimus Dorsi flap uses muscle, skin, and fat from your back to build your breast(s). With this technique, tissue is moved from the back to the breast(s) through a surgically created tunnel and remains attached to the donor location, which leaves the original blood supply intact.
• PAP Flap
  Another flap alternative is the profunda artery perforator (PAP). The PAP takes skin, fat, and muscle tissue from your inner thigh to reconstruct your breast(s).
• LTP Flap
  Although the TRAM flap tends to be one of the most common techniques for reconstruction, sometimes there is not enough muscle, skin, and fat to be taken from the abdominal area. In this case, the LTP flap may be used, which uses tissue from the lateral thigh.
• Composite Flap
  Also called a composite stacked flap, this method combines flaps from various areas on your body to reconstruct your breast(s).

While flap procedures stand as a widely adopted and successful approach to breast reconstruction, an alternative option is tissue expansion, offering a unique path to rebuilding your breast(s). This technique involves placing a tissue expander beneath the breast wall and gradually filling it with saline over 4 – 6 months to naturally stretch the skin. Following the creation of a flap or skin expansion, you have the choice between utilizing breast implants or fat grafting to achieve the desired volume and shape. Post-reconstruction, enhancing the aesthetic can involve areola and nipple reconstruction, with various methods available to achieve a more natural appearance. Engaging in a thorough discussion of your preferences and concerns with Dr. Mang will guide you in making informed decisions to attain the desired look.

Breast reconstruction unfolds through multiple stages, with certain phases like flap creation, expander insertion, or implant placement requiring general anesthesia. The necessity of an overnight stay depends on the specific phase of treatment. Following the completion of the final step in the breast reconstruction process, wearing a compression bra becomes imperative. Dr. Mang may prescribe pain medication to alleviate discomfort, minimize bleeding, and reduce swelling. Over time, your reconstructed breast(s) should attain a natural appearance, boosting your confidence. Sustained vigilance through regular mammograms and breast exams is vital for your ongoing health and well-being.

Will insurance cover my breast reconstruction surgery?
Enacted in 1998, the Women's Health and Cancer Rights Act (WHCRA) requires health insurance plans that cover mastectomies to cover reconstruction surgery as well. If you have insurance, a team member at Rejuve Aesthetic Surgery will help you understand your coverage. We can also assist you with getting the necessary paperwork to your insurance carrier.

Which technique should I choose for breast reconstruction surgery?
With so many options, there is no single technique that works for every patient. The best method for you will depend on your concerns, goals, and physique. During your consultation, Dr. Mang will discuss your choices, including flaps and implants, so you understand the advantages and drawbacks of each before you decide on your treatment plan. Whether you choose a flap or implants for reconstruction, Dr. Mang will do his best to make your results look natural.

What about nipple reconstruction?
Reconstruction of the nipple and areola are typically done using 3D cosmetic tattooing. If you're interested in having your nipple-areola complex tattooed onto your reconstructed breast(s), you should ask Dr. Mang during your initial consultation. He will go over your options so you can decide if you want 3D tattooing of the nipple and areola to be a part of your treatment plan.

While the process of breast reconstruction can be lengthy, it's often worth it for our Atlanta, GA patients at Rejuve Aesthetic Surgery. It can help improve the physical and emotional impact of your breast cancer treatment while also allowing you to boost your self-confidence and figure. If you have been diagnosed with breast cancer, have had trauma to the chest, or have a congenital defect that gives your bust a look you are displeased with, we invite you to contact our Duluth, GA office and schedule a consultation with plastic surgeon Dr. Brandon-Dzung Mang.