Breast Reconstruction

Breast Reconstruction Sanjay Mukerji

Choosing Reconstruction • Most women who have mastectomies are good candidates for breast reconstruction

Choosing Reconstruction • Lack of wholeness • Loss of feminity • Hassle of wearing a prosthesis

Choosing Reconstruction • Every woman’s decision is different • Must ultimately be made by her • Based on her needs, desires and expectations

Choosing Reconstruction • Will require multiple procedures • Each patient and procedure is different, hence number of surgeries and recovery period varies

Physicians • Surgeon – biopsy and mastectomy • Pathologist – studies tumor • Medical oncologist – Chemotherapy • Radiation oncologist- Radiation therapy • Plastic Surgeon – Breast reconstruction

Breast Anatomy

Breast Anatomy • Breast Mound • Skin envelope • Nipple areolar complex

Breast Anatomy • Breast Mound – Tissue transfer/Implants • Skin envelope • Nipple areolar complex

Breast Anatomy • Breast Mound – Tissue transfer/Implants • Skin envelope – Tissue transfer/ Expansion • Nipple areolar complex

Breast Anatomy • Breast Mound – Tissue transfer/Implants • Skin envelope – Tissue transfer/ Expansion • Nipple areolar complex – Tattoo / Fold

Breast Mound • Tissue transfer • Belly fat • Back fat • Implants

Breast Skin • Tissue transfer • Belly skin • Back skin • Implants • Tissue expansion

Nipple Areola • Tattooing • Nipple and areola color • Folding • Nipple shape and size

Patient 1

Patient 2

Patient 3

Tissue expanders

Breast Reconstruction