About Breast Reconstruction
Breast reconstruction surgery can be performed to restore the female chest to the desired size, shape, and appearance following a lumpectomy or mastectomy. It's also an option to restore the breasts if one or both have been affected by a birth defect or trauma. Advanced options in reconstructive surgery make it possible for you to feel fully restored and confident and attain breasts that look natural once more. This surgery may involve several procedures performed in various stages that may be completed at the beginning of your breast cancer treatment or delayed until the treatment is complete. Largo, FL plastic surgeon Dr. Roderick Urbaniak creates a personalized treatment plan with compassion as we help area women restore their physical appearance and confidence at Urbaniak Plastic Surgery.
"I had a double mastectomy and though I'm not done with my journey I have to say.... I could not have found a more compassionate and skilled Doctor than Dr Urbaniak. The office and medical staff are exceptional in all aspects of customer service as well and are caring and so friendly. With all the weight on my shoulders I feel so grateful to have them on my "team". When "all this" is behind me, I think I'll go back to him for a neck lift :)"- C.S. / Google / Jul 23, 2019
"Very lovely afternoon spent at this office with Teuta giving me a wonderful facial, she was professional, friendly and informative. And then Dr. Ginger, who was very impressive with her technique! It all felt tailor made to me and my skin. I have definitely found my new med spa and can’t wait to try more things. Very friendly staff, office is very clean and nice."- N.S. / Google / Jun 16, 2020
"I've been seeing Dr. G for nearly 3 years. She is literally the kindest and most genuine person you will ever meet and her staff is just as amazing!!! She doesn't make you feel rushed or make you feel like just another 'patient' she makes all the effort in the world to help you meet your goals and make you feel great about yourself. If I could give Urbanaik Plastic Surgery 100 stars I would because not only is Dr. G an amazing doctor... she's an amazing person!!!!"- C.S. / Google / Mar 18, 2020
"I visited several doctors for consultations before choosing. Dr. Urbaniak. He recommended something that none of the other doctors caught and he was priced very fairly. His bedside manner is fantastic as he has a wonderful sense of humor and is very confident. My procedure went smoothly and the whole experience was great! His staff are professional and kind and have always provided a superior customer experience. The results of my surgery are amazing!! I am very very happy and I highly recommend this practice!"- J.R. / Google / Feb 18, 2020
"After getting several "breast-imates" a friend urged me to see Dr. Urbaniak. She loved his work and thought I would too. I am so glad I did! He was the only doctor to suggest some additional work that would ultimately create better results. His estimate turned out to be more affordable than the others AND he was so much friendlier. I am beyond satisified with Dr. Roderick Urbaniak and the care his staff gave me. They made every appointment pleasant and quick. AND I LOVE the results of my surgery!! I can't wait to go back and see him again for the follow up. Dr. Urbaniak is a gem!"- J.R. / Google / Feb 18, 2020
Breast Reconstruction Ideal Candidates
Breast reconstruction is an extremely personalized surgery. Each patient will have a thorough consultative appointment with Dr. Roderick Urbaniak to create and tailor their treatment plan based on their concerns, needs, and suitable options. If you are considering breast reconstruction surgery, it is vital that you have realistic expectations. While Dr. Urbaniak strives to give you a natural appearance, your newly reconstructed breast(s) may not have the same sensations, feel, or look as your original breast(s). You should speak with your oncology doctor before your surgery and inform Dr. Urbaniak of any conditions that may impact healing.
Breast Reconstruction Surgical Technique
There are many surgical techniques available today to reconstruct the breasts. There are also multiple factors that Dr. Urbaniak will consider when determining the technique that will produce optimal results. A few of these factors include your specific cancer diagnosis, reconstruction timing, whether you will use natural tissue or implants, and if nipple-sparing or nipple reconstruction is a part of the treatment plan. In order to recreate the breast, there must be enough tissue to fully cover the breast mound. Flap methods accomplish this by using your own skin, muscle, and fat to build and cover the breast. The most frequent flap techniques are:
- Latissimus Dorsi Flap
- TRAM Flap
- Free-Tissue Transfer
- Oncoplastic Surgery
Additional Considerations for Breast Reconstruction
There are many additional techniques, principles, and aesthetic options to consider incorporating with breast reconstruction surgery, including:
Tissue Expanders – While flap procedures are a common and highly successful method for breast reconstruction, you may want to reconstruct your breast(s) with tissue expansion. This involves the placement of a tissue expander under the breast wall. The expander is slowly filled with a saline solution over the course of 4 – 6 months until the skin is stretched sufficiently enough to reconstruct the breasts. After you choose the flap method or tissue expansion, you can then decide whether you would prefer to use a natural fat transfer or breast implants to create the volume and shape of the breast(s).
Nipple-Areola Reconstruction – After your reconstruction mammoplasty, you may want to amplify your results by having a nipple and areola reconstruction. There are numerous options to restore the areola and nipple so that it appears more natural.
Acellular Dermal Matrix (ADM) – This type of biologically derived tissues can be used in implant-based reconstructions to provide soft but strong coverage and support with a great cosmetic outcome. ADM also offers very low rates of complications.
Symmetry Procedures – Dr. Urbaniak offers various methods of reconstruction to achieve symmetry in patients whose breasts are asymmetrical. This could include breast reduction, breast lift, and or fat grafting. Your options will be relayed to you during your consultation.
What to Expect with Breast Reconstruction
Breast reconstruction surgery is performed in several stages. In some phases (like creating a flap, inserting an expander, or implant placement), general anesthesia is used. Some patients may require to stay overnight, but this is dependent on the treatment phase, as well as the individual needs of the patient. When the final step is completed in the breast reconstruction process, you should wear a supportive bra and you may be prescribed medication by Dr. Urbaniak to control swelling, bleeding, and discomfort. In time, your breast(s) will look normal so you can feel more confident. Ongoing monitoring with breast exams and mammograms are important and recommended for your ongoing health.
Breast Reconstruction Frequently Asked Questions
How much does breast reconstruction surgery cost?
Breast reconstruction is a complex surgery so to get your best results, you should concentrate on selecting a surgeon with years of experience and training, like Dr. Urbaniak, over the lowest price. During your consultation, Dr. Urbaniak will take time to understand your concerns and goals before creating your personal treatment plan. Once this is done, a member of our team will help explain costs, payment methods, and low-interest financing.
Does insurance cover my surgery?
The WHCRA (Women's Health and Cancer Rights Act) of 1998 requires insurance policies that cover mastectomies to also cover reconstruction surgery as well. If you have insurance, a team member at Urbaniak Plastic Surgery will help you understand your policy and benefits. We will also help you submit needed paperwork to your insurance carrier.
Which technique should I choose?
There is no single reconstruction technique that works for every patient. The recommended technique for you will depend on your concerns, wants, and physique. In your initial consultation, Dr. Urbaniak can discuss your choices, including both implants and flaps, so you understand the pros and cons of each before you decide. Whether you choose implants or a flap for reconstruction, Dr. Urbaniak will do his best to make your results look natural.
What about nipple reconstruction?
Reconstruction of the nipple and areola are usually performed with 3D cosmetic tattooing. If you're interested in nipple and areola reconstruction, you should talk to Dr. Urbaniak during your consultation. He will go over your options so you can decide if you'd like 3D tattooing of the nipple and areola to be a part of your treatment plan.
Should I have reconstruction with my mastectomy or wait?
When you choose to have breast reconstruction is dependent on many factors. Some patients decide to have their breast(s) reconstructed at the same time as their mastectomy while some patients decide to wait. Dr. Urbaniak recommends you schedule a consultation following a diagnosis of breast cancer so you can begin learning about your choices, including when you want to have reconstruction surgery. If you want to have reconstruction with your breast cancer treatment, Dr. Urbaniak will collaborate with your oncology team to plan your care.
Plan Your Procedure
Breast Reconstruction Reclaim Your Self-Confidence
While the process of breast reconstruction can be lengthy, it's probably one of the most worthwhile surgeries for our Largo, FL patients at Urbaniak Plastic Surgery. It may help decrease the physical and emotional impact of breast cancer treatment while also allowing you to boost your figure and self-confidence. If you have breast cancer, have had an injury to the chest, or were born with a defect that affects the shape of your breasts, we encourage you to call our Largo, FL office and schedule your consultation with Dr. Roderick M. Urbaniak.