Implant reconstruction is the most common type of breast reconstruction for women undergoing a mastectomy. Dr. Lerman specializes in breast reconstruction and has the experience to make your breast reconstruction experience a comfortable one. With his expertise, patients can enjoy a restored body image and self-confidence.
Breast implant reconstruction is probably the most common type of
reconstruction for patients who are undergoing mastectomy. Breast implant
reconstruction is usually a two-stage procedure where the patient undergoes
two operations: one at the time of the mastectomy and then one a few months
later. We use a breast implant to replace the tissue that is taken out
during the mastectomy.
Usually the skin of the breast is left behind and I like to think of this
as kind of taking a pillow out of a pillow case. You can come and put a new
pillow inside the pillow case and it looks like a normal pillow, and that's
the same for a breast. The breast surgeon takes out the breast tissue but
leaves behind the skin. My job is to come and fill that with something,
that can either be a breast implant or it can be your body's own tissue.
If I put in a breast implant, the breast implant has to be protected from
the outside world. The skin that's left behind after mastectomy is very
thin, so the implant has to go in underneath the muscle of the chest wall.
Except that there isn't room underneath the muscle of the chest wall, so
usually we do a two-stage operation where on the first day we put in
something like a breast implant, called a "tissue expander."
The tissue expander goes in underneath the muscle, you close up the skin,
and when the patient wakes up from the operation, their breast is not the
full size that it will be when we're all done with the reconstruction. They
come back to the office and over the course of a few weeks or a couple of
months, we expand the tissue expander by injecting it with saline. Once we
reach the size of the breast zone that they're happy with, or the size that
looks good for them, or the size that matches their other breast, then we
schedule them for a second operation. We go back to the operating room and
we take out the tissue expander and put in a permanent breast implant.
And the breast implant can be made out of saline or it can be made out of
silicon. There are plusses and minuses to each one. Most women get silicon
breast implants for reconstruction, because it feels a little bit more
natural and it looks a little bit more natural, but saline is certainly an