A mastectomy is the surgical removal of breast tissue to treat or prevent breast cancer, performed by a breast or general surgeon. Breast reconstruction, performed by a plastic surgeon, rebuilds the breast(s) after mastectomy. Breast reconstruction can be done in a separate surgical procedure from the mastectomy, but it can also be performed at the same time as the mastectomy. This depends on the recommendations of the breast or general surgeon and/or the plastic surgeon. There are many procedure options that a plastic surgeon can use to re-create the volume of the breast, and some can take months to complete. Patients of the New York Group for Plastic Surgery can have breast reconstruction done immediately following the mastectomy, within the same surgery. We perform direct to implant NYC residents trust.
Rebuilding the breasts
DIRECT TO IMPLANT, OR “ONE STEP” BREAST RECONSTRUCTION
Dr. C. Andrew Salzberg pioneered the direct to implant, or “one step,” breast reconstruction procedure using a special support material called acellular dermal matrix (ADM). He performed the first ever direct to implant reconstruction in December 2001, and has since reconstructed more than 900 breasts (more than 500 patients) with this procedure as part of breast cancer treatment, or prevention for women at high risk due to BRCA mutations or family history.
How Does Direct To Implant Differ From Traditional Breast Reconstruction?
Direct to implant breast reconstruction is completed in one surgical procedure at the same time as mastectomy. With a traditionally performed breast reconstruction using prosthesis, the plastic surgeon inserts an empty, balloon-like device called a tissue expander into the breast immediately after the breast tissue is removed. Then over 3 – 6 months, the tissue expanders are filled with saline to stretch the skin and pectoralis major (chest) muscle to create a pocket for an eventual permanent implant. Once the breast skin and muscle are fully expanded, a second surgery is performed to exchange the tissue expander for a permanent silicone or saline breast implant.
With direct to implant breast reconstruction, however, we insert the permanent implant into the breast immediately following breast tissue removal. This procedure avoids the need for our patients to have tissue expanders. We are able to bypass the expansion process by using a specially prepared skin tissue called acellular dermal matrix (ADM). The ADM is attached to the lower border of the pectoralis major muscle and then to the inframammary (lower) fold of the breast, essentially creating a pocket sufficient to place a permanent implant underneath. Thus, the combination of ADM and the pectoralis muscle eliminates the need to stretch the muscle with devices such as a tissue expander.
GET STARTED WITH DIRECT TO IMPLANT BREAST RECONSTRUCTION
Learn more about the best direct to implant New York City has to offer. Request your consultation online, or give us a call at 888-834-2075 (New York City) or 914-366-6139 (Tarrytown). At the New York Group for Plastic Surgery, we serve patients in the entire Hudson River Valley, Northern New Jersey, Eastern Pennsylvania and Western Connecticut.