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Overview Breast Reconstruction

Breast Reconstruction with Tissue Expanders
This operation is performed to restore a normal appearance to the breast or breasts.  Deformities are commonly caused by breast cancer, trauma, and congenital abnormalities.  For patients undergoing mastectomy for breast cancer, reconstruction is performed immediately or in a delayed fashion after six months.  Permanent implants are placed roughly three months after tissue expansion has been completed.
   
Anesthesia type:  General

Length of surgery:  2 hours

Risks:  Infection, bleeding, poor scars, asymmetry, delayed wound healing, seroma, need for revision procedures, tissue expander deflation or exposure

Average recovery time:  Return to work in 5-7 days; start to resume normal activity in 2-3 weeks; feeling back to normal in 4-6 weeks 

Duration of effect:  >10 years

Breast Reconstruction without Tissue Expanders
This procedure utilizes the patient’s own tissue to reconstruct the breast.  Skin, fat, and muscle can used from the abdominal region.  This is known as a TRAM flap procedure.  Sometimes, tissue from the back can be used in combination with a permanent implant.

Anesthesia type:  General

Length of surgery:  4-6 hours

Risks:  Infection, bleeding, poor scars, asymmetry, delayed wound healing, seroma, need for revision procedures, hernia, wound dehiscence, implant exposure

Average recovery time:  Return to work in 2 weeks; start to resume normal activity in 4 weeks; feeling back to normal in 6-8 weeks

Duration of effect
:  >10 years


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