Mastectomy may be recommended due to trauma, the presence of cancer, or as a preventative measure for those at high risk of developing breast cancer. If your doctor has recommended a mastectomy, and you are considering breast reconstruction, contact our Manhattan, New York, practice. Dr. Oren Lerman can coordinate both nipple- and skin-sparing mastectomy, techniques that segue into natural-looking breast reconstruction results.
Types of Mastectomy
Depending on the reason for your surgery, a number of mastectomy options are available. Many procedures remove only the fat tissue, connective tissue, ducts, and milk glands (collectively called breast tissue) while others extend to the underlying muscles or lymph nodes:
Simple Mastectomy: This surgery removes all of the breast tissue without affecting muscles or lymph nodes. It is typically recommended to women who are seeking preventive surgery or who have multiple large tumors in their breast.
Radical Mastectomy: The most extensive option, a radical mastectomy completely removes the breast tissue, lymph nodes, and underlying muscle. Because it is so extensive, it is only recommended when cancer has spread to the muscles and surrounding tissue.
Modified Radical Mastectomy: This surgery is a less extensive version of a radical mastectomy. While the breast tissue and lymph nodes are removed entirely, the muscle is left alone. It is usually recommended when it is not clear if the cancer has metastasized. Because cancer typically spreads through the lymph nodes, removing them allows your surgeon to confirm whether it has done so: if cancer is found in the lymph nodes, then it has likely made its way elsewhere, as well.
Partial Mastectomy: A partial mastectomy removes only the cancerous part of a breast and some of the surrounding unaffected breast tissue. This option is usually recommended if a patient has only a few small tumors.
Dr. Oren Lerman works with oncologists and other healthcare providers to help his patients achieve the most satisfying mastectomy results possible.
About Tissue-sparing Techniques
Tissue-sparing techniques focus on removing only internal tissue while leaving the skin and, if possible, the nipple intact. Using tissue-sparing techniques better preserves the breasts and lays the foundation for more natural-looking results, while also potentially eliminating the need for procedures such as nipple reconstruction.
Either immediately after mastectomy or at a later time, Dr. Lerman can perform reconstruction using either implants or autologous reconstruction (using the patient's own tissue to rebuild the breast mound). Dr. Lerman has extensive training and experience in breast reconstruction, including microvascular techniques that make transferring tissue to the breast mound less invasive, with a shorter recovery period than traditional methods. These techniques make it possible to connect the tissue to blood vessels at the surgical site, rather than having to keep the original blood vessels intact.
Contact Us Today
Dr. Oren Lerman works with oncologists and other healthcare providers to help his patients achieve the most satisfying mastectomy results possible. Reach out today to set up a consultation and discuss the best options for your treatment. In the meantime, we have compiled answers to frequently asked questions about breast reconstruction for you to explore.