Breast Reconstruction Techniques


Restoring a natural bustline is one of the most important things for so many women who have undergone mastectomy. Dr. Oren Lerman specializes in providing results that make women feel beautiful and confident in their figures. He can perform your reconstruction according to your unique specifications or artfully correct previous results from another doctor that you aren't fully satisfied with.

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00:00:03.640 --> 00:00:06.820 There are multiple types of breast reconstruction surgery. 00:00:06.850 --> 00:00:09.040 Breast reconstruction is for women who've 00:00:09.070 --> 00:00:14.200 had mastectomy or removal of their breast due to breast cancer, and also for women 00:00:14.230 --> 00:00:18.360 who have prophylactically or preventatively had breast surgery to 00:00:18.380 --> 00:00:21.300 remove their breasts so that they don't get breast cancer. 00:00:21.330 --> 00:00:24.080 Most, if not all, women who have breast 00:00:24.100 --> 00:00:29.440 cancer or having a mastectomy can have breast reconstruction either at the same 00:00:29.470 --> 00:00:32.400 time as their mastectomy or later down the road. 00:00:32.430 --> 00:00:35.560 The other very common procedure that we do 00:00:35.590 --> 00:00:41.760 for breast reconstruction is fixing a breast reconstruction, or a deformity that 00:00:41.790 --> 00:00:45.000 has been left over in the past from a previous surgery. 00:00:45.000 --> 00:00:46.840 When performing breast reconstruction, 00:00:46.840 --> 00:00:50.680 there's typically two different kinds of options available to a patient who's going 00:00:50.710 --> 00:00:54.160 to have a mastectomy and breast reconstruction. 00:00:54.180 --> 00:00:56.360 They usually fall into one of two groups. 00:00:56.390 --> 00:01:01.800 Either you use a breast implant or you use your body's own natural tissue. 00:01:01.830 --> 00:01:04.320 Those two options are very different. 00:01:04.350 --> 00:01:10.000 The key thing is to go to a breast reconstruction specialist that can offer 00:01:10.030 --> 00:01:14.210 you both options and determine which one is best for you. 00:01:14.240 --> 00:01:19.560 Most women who are having surgery for breast cancer or to prevent breast cancer 00:01:19.590 --> 00:01:22.520 are going to be good candidates for breast reconstruction. 00:01:22.550 --> 00:01:24.440 Because there's different options 00:01:24.470 --> 00:01:29.480 available for breast reconstruction, pretty much every woman is a candidate. 00:01:29.510 --> 00:01:31.920 Some patients might be better off getting 00:01:31.950 --> 00:01:36.620 breast implants, some patients might be better off using their own tissue. 00:01:36.650 --> 00:01:38.840 In many cases, we do breast reconstruction 00:01:38.870 --> 00:01:43.840 even without a mastectomy, even without removing the breast, for women who are 00:01:43.870 --> 00:01:47.850 simply having a lumpectomy or having a small mass removed. 00:01:47.880 --> 00:01:51.720 Many options in breast reconstruction are really a personal choice. 00:01:51.750 --> 00:01:55.740 They are lifestyle choice as much as they are technical choices. 00:01:55.760 --> 00:01:57.280 You might be a good candidate to have 00:01:57.310 --> 00:02:02.440 breast implants or natural tissue and ultimately the decision is going to be 00:02:02.470 --> 00:02:05.850 made on what you think is best for yourself. 00:02:05.880 --> 00:02:08.560 A breast reconstruction surgeon needs to 00:02:08.590 --> 00:02:13.320 have the ability to offer you all of the most advanced techniques, including 00:02:13.350 --> 00:02:18.240 natural tissue reconstruction, breast implant reconstruction, single stage 00:02:18.270 --> 00:02:23.080 reconstruction, revision breast reconstruction, and all of 00:02:23.110 --> 00:02:27.220 the small additional procedures that go along with it. 00:02:27.250 --> 00:02:31.280 A breast implant reconstruction might take 3 or 4 hours, whereas natural tissue 00:02:31.310 --> 00:02:34.660 reconstruction might take six, seven, or even eight hours. 00:02:34.690 --> 00:02:37.960 The recovery from those two surgeries is a little different. 00:02:37.990 --> 00:02:43.240 A breast implant reconstruction recovery might take 3 or 4 weeks, whereas natural 00:02:43.270 --> 00:02:47.500 tissue reconstruction recovery might take 4 or 5 or even six weeks. 00:02:47.530 --> 00:02:51.200 You need to take off from work about 3 or 4 weeks for a breast implant 00:02:51.230 --> 00:02:55.800 reconstruction, and about 4 or 5 to 6 weeks for natural tissue reconstruction.

Dr. Oren Lerman

Oren Z. Lerman, MD

Dr. Oren Lerman performs a variety of cosmetic and reconstructive procedures with a specialty in reconstructive breast surgery. In fact, he is the director of breast reconstruction at Lenox Hill Hospital's Institute for Comprehensive Breast Care as well as the Microvascular and Cosmetic Breast Fellowship. In addition to the hospital, Dr. Lerman is affiliated with:

  • The New York Regional Society of Plastic Surgeons (Past President)
  • The American Board of Plastic Surgery (Diplomate)
  • The American College of Surgeons (Fellow)
  • The American Society of Plastic Surgeons
  • The American Society of Reconstructive Microsurgery

You can schedule a consultation with Dr. Lerman by filling out our online form or calling (212) 434-6980.

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"The one thing that is most important when we're doing cosmetic surgery and aesthetic surgery of the face or the body is to make sure that the patient is happy afterwards..." Dr. Oren Lerman

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