Breast Reconstruction After Mastectomy in Portland, OR

Restore Your Body and Rediscover Your Confidence

A mastectomy is a physically and emotionally challenging experience. Fortunately, breast reconstruction can restore your breast shape and volume, helping you feel more confident and comfortable in your body.

Dr. Bartholomew is a compassionate and skilled plastic surgeon who specializes in breast reconstruction after mastectomy. He will guide you through your reconstructive options and create a personalized plan just for you.

What is Breast Reconstruction After Mastectomy?

Breast reconstruction is a surgical procedure that rebuilds the breast mound after a mastectomy. The three main types of breast reconstruction are:

Implant-Based Reconstruction

This technique uses breast implants to reconstruct the breast. Your surgeon will place the implants under or over the chest muscle, depending on your body and preferences.

Implant-based reconstruction is a good option for women who have enough healthy tissue to cover the implant and create a natural-looking breast shape. This may be possible if you're been diagnosed with breast cancer and have a mastectomy without radiation therapy.

However, if you've had radiation therapy or have limited breast skin, flap surgery may be a better option to ensure optimal results. Dr. Bartholomew will carefully assess your individual needs and recommend the most appropriate approach for you.

Autologous Reconstruction (Flap Surgery)

This type of reconstruction uses tissue from other parts of your body to create the breast mound. Plastic surgeons use different flap techniques, each with its advantages and considerations:

• The DIEP Flap: The DIEP Flap (deep inferior epigastric perforator) uses skin and fat from the lower abdomen. This technique preserves the abdominal muscles, resulting in less pain and a faster recovery.
• TRAM Flap: The TRAM flap (transverse rectus abdominis musculocutaneous) also uses tissue from the abdomen, but it involves transferring a portion of the abdominal muscle, which can result in a longer recovery time.
• Latissimus Dorsi Flap: This technique uses skin and muscle from the back. It works well for patients who have had radiation therapy or have limited tissue available in other areas.

Nipple Reconstruction

After the breast mound is reconstructed, the nipple and areola can be recreated using various techniques, such as skin grafting or tattooing.

Choosing the Right Breast Reconstruction Technique

The best technique will depend on your overall health, the type of mastectomy, your body type, and personal preferences. Dr. Bartholomew will carefully evaluate your needs and recommend the best approach to help you achieve your desired outcome.

What to Expect During Breast Reconstruction Surgery

Breast reconstruction is typically performed under general anesthesia, so you'll be asleep during the procedure. The specific surgical steps will depend on the type of reconstruction chosen. Dr. Bartholomew will discuss the details of the surgery with you beforehand and answer any questions you may have.

Recovery After Breast Reconstruction

Recovery time varies depending on the type of reconstruction performed. Dr. Bartholomew will provide you with detailed post-operative instructions and support you throughout your recovery journey.

Stay Informed With Pre-Op Consultations

If you're considering a mastectomy, it's important to discuss breast reconstruction options with your surgical team. Dr. Bartholomew can meet with you before your mastectomy to discuss your options and help you make informed decisions.

In some cases, it may be possible to undergo nipple-sparing mastectomy, which preserves the nipple and areola. This can simplify the reconstruction process and result in a more natural-looking outcome. Dr. Bartholomew can help you determine if you're a candidate for this procedure.