For many individuals undergoing mastectomy due to breast cancer or a high-risk diagnosis, breast reconstruction can be an empowering and deeply personal part of the healing process. At Kenneth Bermudez, MD, we are committed to helping patients make informed decisions about their reconstructive options by offering compassionate care and cutting-edge surgical techniques.
Understanding Breast Reconstruction
Breast reconstruction is a surgical procedure that rebuilds the shape and appearance of the breast after mastectomy. It can be performed at the same time as the mastectomy (immediate reconstruction) or at a later date (delayed reconstruction). The goal is not only to restore form but also to help patients regain confidence and a sense of wholeness.
Autologous Breast Reconstruction
Autologous reconstruction, also known as flap reconstruction, uses tissue from another part of the patient’s body (such as the abdomen, back, or thighs) to rebuild the breast. Common techniques include:
DIEP Flap (Deep Inferior Epigastric Perforator): Uses abdominal skin and fat while preserving the underlying muscles.
TRAM Flap (Transverse Rectus Abdominis Muscle): Involves abdominal muscle, fat, and skin.
Latissimus Dorsi Flap: Uses tissue from the upper back.
Autologous reconstruction typically results in a more natural look and feel compared to implants and avoids the use of synthetic materials. It’s often recommended for patients who desire a more permanent solution and are suitable candidates based on their health and body type.
Implant-Based Breast Reconstruction
Breast implants are a common option for women who prefer a shorter surgery and recovery time. This procedure uses silicone or saline implants to recreate the breast mound. Implant reconstruction may be performed in one or two stages:
Direct-to-Implant: The implant is placed immediately following mastectomy.
Tissue Expander Method: A temporary expander is inserted first to stretch the skin and muscle, followed by placement of the permanent implant.
This option may be ideal for patients who do not have sufficient donor tissue for autologous reconstruction or prefer a less invasive procedure.
Fat Transfer Breast Reconstruction
Fat Transfer Breast Reconstruction involves using a patient’s own fat, typically harvested through liposuction from areas such as the abdomen, thighs, or flanks, to rebuild the breast after mastectomy. This natural alternative to implants provides a soft and realistic feel and appearance, and can be performed alone or in combination with other reconstruction techniques.
Restoring Sensation After Reconstruction
A significant advancement in breast reconstruction is Resensation, a technique aimed at restoring sensation to the breast after mastectomy. This involves reconnecting sensory nerves during flap reconstruction, offering the potential for improved tactile feeling and a more complete recovery experience. Dr. Bermudez is proud to offer this innovative option to eligible patients as part of our commitment to comprehensive care.
Ready to Explore Your Options?
Every breast reconstruction journey is unique, and selecting the right option depends on your goals, lifestyle, and medical history. Whether you choose autologous reconstruction, implants, or pursue advanced techniques like resensation and nipple reconstruction, Kenneth Bermudez, MD, will be with you every step of the way, offering expertise, support, and a patient-centered approach.
If you're considering breast reconstruction after mastectomy, schedule a consultation with Kenneth Bermudez, MD, to explore your options and create a personalized plan that supports your healing and restores your confidence. Visit our office in San Francisco, California, or call (415) 712-1800 to book an appointment today.
