The type of breast reconstruction you undergo after a mastectomy is a very personal choice. Dr. Jay Orringer understands that this is a highly stressful and emotional time for you and works with each patient to establish an individualized plan based on your particular situation, specific body type, lifestyle, and goals.
In general, Dr. Orringer offers patients the choice between implant reconstruction and autologous tissue reconstruction. The main difference is that implant reconstruction requires the use of a breast implant and autologous tissue reconstruction uses tissue from your own body, either alone, or in conjunction with a breast implant.
With breast implant reconstruction, a tissue expander is often used to prepare the implant pocket for an implant. Replacement of the expander with an implant can be done with a variety of options. These options now include implants of variable firmness (cohesiveness), size, shape, and surface (smooth versus textured).
With totally autologous tissue reconstruction, tissue will be removed from the donor site (usually the abdomen, but occasionally the buttock) and used to reconstruct the breast mound without the use of an implant. Dr. Orringer will most often recommend DIEP flap, or muscle-sparing free TRAM flaps if sufficient tissue is present and the patient prefers autologous tissue reconstruction.
Each type of breast reconstruction has potential benefits and risks which must be weighed in the decision-making process. Dr. Orringer will educate you regarding the various options for breast reconstruction so that you can better make an informed decision regarding which option best suits your needs, goals, and unique situation.
To meet with Dr. Orringer regarding this important decision-making process, please call 310-273-1663 today to schedule your consultation with Dr. Orringer. We welcome patients from Beverly Hills, Los Angeles, Santa Monica and Hollywood, California, nationally, and internationally.