Breast reconstruction is a physically and emotionally rewarding procedure for women who have lost one or both breasts due to genetic susceptibility or breast cancer. When faced with a mastectomy, it’s normal to feel anxious, sad and uncertain about giving up a part of your body. Your breasts may be closely tied to your sense of femininity, your sexuality, your confidence, your self-image and, if you have breastfed children, your experience of motherhood.
precision reconstructive plastic surgery
The creation of a new breast can not only restore your physical body, it can offer peace of mind and dramatically improve your quality of life. That’s why our surgeons at the New York Group for Plastic Surgery strive to give you the best breast reconstruction NYC has to offer.
When you are diagnosed with breast cancer, you must make many important decisions during a challenging time. You may ask yourself questions such as, “Should I have my breast reconstructed or not?” “Should I have the reconstruction performed immediately or wait until later?” “What type of breast reconstruction procedure is right for me?” There are many procedure options available to recreate the volume of the breast.
Why choose us for Your breast reconstruction?
Dr. Salzberg and Dr. Jacobs have spent decades perfecting their technique to rebuild a woman’s breast following mastectomy. Dr. C. Andrew Salzberg is the pioneer of the direct to implant, or “one step,” breast reconstruction procedure. Dr. Jordan M.S. Jacobs specializes in DIEP flap reconstruction and other reconstructive procedures that use microsurgical techniques to create new breasts using a woman’s own tissue. They work seamlessly together to reconstruct a breast which is as perfect as possible and maintains your sensibility and femininity.
Many women in New York City, Tarrytown and the whole country have entrusted their care to the New York Group for Plastic Surgery for solutions and support. Our experienced, knowledgeable and compassionate surgeons can help you through this difficult time. For over 30 years, we have been there for our New York patients and those who fly in from across the country, providing experienced, precision reconstructive plastic surgery with a caring approach to patient care. We truly deliver the best breast reconstruction in New York.
Several important choices accompany every mastectomy procedure. The first and most basic decision is whether to have breast reconstruction in the first place. Some patients decide that they do not want to undergo any further surgeries or are not ready for reconstruction for various reasons. This is an intensely personal decision that does not have a single right answer that suits every woman. After considering your options, you must make the choice that feels right for your body and your life.
In our New York holistic practice, we have found that most women who undergo mastectomy elect to have reconstructive breast surgery. Most patients choose reconstruction because mastectomy drastically alters their body, which in turn can negatively impact their self-image. Breast reconstruction can help you to feel whole and healthy again.
UNDERSTANDING YOUR CHOICES
If you choose to undergo breast reconstruction, you also need to decide when the procedure will take place. Breast reconstruction can be performed either at the time of the mastectomy (immediate reconstruction) or sometime afterward (delayed reconstruction). The advantages of immediate reconstruction include:
- A subsequent surgery and recovery period are avoided.
- Scar tissue has not formed from the mastectomy.
- Remaining breast skin is still available in the size and shape of the original breast.
- The patient does not have to see herself without any breast at all.
- Postoperative chemotherapy or radiation therapy does not usually need to be delayed.
In some cases, such as intermediate or advanced breast cancer, your surgeon will probably recommend choosing delayed reconstruction to allow time to control the cancer. Delayed reconstruction is also advantageous for patients who need time to think through their options thoroughly. We will take the time to answer your questions and discuss all of your options with you at your consultation to help you through this very personal decision. New York Group for Plastic Surgery performs breast reconstruction NYC residents trust.
DIRECT TO IMPLANT BREAST RECONSTRUCTION
Dr. Salzberg performed the first-ever direct to implant reconstruction in 2001 and has since helped more than 500 patients with this technique. Direct to implant breast reconstruction is completed at the same time as mastectomy in one surgical procedure. The permanent implant and a special support material called acellular dermal matrix (ADM) are inserted into the breast immediately following breast tissue removal, eliminating the need to use a tissue expander. Because the reconstructed breast is in place right away, direct to implant reconstruction can help lessen the emotional stress of mastectomy and preserve the patient’s positive body image.
BREAST ANIMATION DEFORMITY CORRECTION
Breast animation deformity (BAD) or “Jumping Breast” is a complication associated with submuscular (beneath the pectoral muscle) implant placement for breast reconstruction. Patients with this complication experience visible contraction, distortion and displacement of their breast implants with movement of the pectoralis major muscle. The distortion is particularly noticeable during certain activities, notably exercises like strength training with weights. BAD is aesthetically displeasing and can cause loss of strength and significant pain.
For postmastectomy patients whose quality of life is diminished by breast animation deformity, revision is an option. Permanently fixing BAD involves an outpatient procedure for the creation of a new pocket in the prepectoral space (directly under the skin and on top of the pectoralis muscle).
The implant is moved to this space and wrapped in an acellular dermal matrix that provides an extra layer of cushion between the implant and the skin. This eliminates movement of the implant, while restoring breast symmetry and creating more natural-looking cleavage.
Another option for correcting animation deformity may be removing the implant and replacing it with an autologous tissue flap, usually from the belly. The flap provides a layer of fat between the skin and the pectoralis muscle, eliminating this unnatural movement. NYGPS surgeons are knowledgeable about a variety of innovative techniques and tailor their approach to the unique needs of the patient to deliver the best breast reconstruction New York has to offer.
Some women are able to have a nipple sparing mastectomy that preserves her own nipple area (nipple areola complex or NAC) for more natural-appearing breasts. If nipple sparing mastectomy is not an option, nipple reconstruction can be performed during a revision procedure. This process can begin once the reconstructed breast has healed and softened, typically several months after surgery. Nipple reconstruction is performed by creating a flap of tissue on the breast mound and arranging it to create the appearance of a nipple. Tattooing is available to recreate the appearance of the areola around the reconstructed nipple. Patients seeking nonsurgical options for nipple reconstruction can choose tattooing to recreate the look of both the nipple and the areola.
Am I A Candidate For Breast Reconstruction?
Breast reconstruction is an option for most women who undergo a mastectomy or lumpectomy. However, you may not be a candidate for every type of reconstruction. You and your plastic surgeon will discuss which type of breast reconstruction is best for you.
Losing a breast to cancer is a deeply emotional experience. It can be reassuring to know that there are options available not only for restoring your health, but for restoring your body and your sense of self. Dr. Jacobs, Dr. Salzberg and the rest of the compassionate team of New York Group for Plastic Surgery can help you design a plan for breast reconstruction that achieves beautiful cosmetic results and helps you feel like your complete self again. Contact our office today at 212-844-8796 to schedule a consultation for superlative breast reconstruction in NYC.