Eugene Oregon Breast Reconstruction
You have options when it comes to breast reconstruction.
A breast cancer diagnosis can be frightening. Suddenly you are faced with decisions you hoped you’d never have to make. Deciding how you want to approach breast reconstruction after mastectomy can let you write your own, positive conclusion to a harrowing journey.
Whether you have just received a breast cancer diagnosis or you have already undergone mastectomy, Dr. Movassaghi will help you understand the different options for breast reconstruction and provide you with the care and guidance you need to achieve a successful outcome while making your health a top priority. We invite you to read the overview of breast reconstruction options below, or contact us for a personal consultation with Dr. Movassaghi.
“To now be able to walk by the bathroom mirror and actually stop in awe instead of sorrow is just unbelievable. You have restored my self esteem. Dr. Movassaghi, thank you for taking the extra time to do such a great job. I can't even imagine what it must be like to go in and repair another surgeon's previous work. Your skills are amazing and literally life changing. I feel whole again for the first time in what seemed like forever.”*
The Oregon Cancer Alliance
We are a proud member of the local chapter of the Oregon Cancer Alliance, a non-profit that brings coordinated, expert care to local and regional cancer patients in our area.
Breast Reconstruction Without Implants
Breast reconstruction techniques that use a patient’s own muscle, fat and skin to create a new breast mound are called “Flap” techniques. Such techniques have been used successfully for many years, and can be a good option for those who do not want breast implants.
TRAM Flap Breast Reconstruction following Mastectomy
A TRAM flap breast reconstruction procedure relies on using your own tissues, taken from your abdomen, to build a new breast. TRAM stands for transverse rectus abdominis myocutaneous. Dr. Movassaghi will use the entire rectus abdominis muscle to carry the lower abdominal skin and fat up to the chest wall. Dr. Movassaghi will then create a breast shape using this tissue. In order to transfer the flap to the chest, the muscle is tunneled under the upper abdominal skin. The result is a more natural-appearing breast reconstruction. It, however, weakens abdominal and lower back strength.
The TRAM flap can be used for reconstructing one or both breasts. If you are undergoing unilateral reconstruction, the TRAM flap can potentially offer better symmetry than using an implant.
Before & After Gallery*See patient photos
Latissimus Flap Breast Reconstruction
The latissimus dorsi flap method is a standard method for breast reconstruction that has been in use for more than thirty years. This method uses skin from your back, and is commonly combined with a tissue expander and breast implant to complete the reconstructed breast.
The latissimus sparing flap technique offers Dr. Movassaghi additional options with regard to the appearance of your reconstructed breast. The skin flap can create a more natural-looking breast shape when compared to a breast restored through use of tissue expanders and breast implants alone.
Very thin patients with small breasts can sometimes rely on a latissimus dorsi flap alone for reconstruction—no implants needed.
Dr. Movassaghi currently uses an advanced technique called latissimus sparing flap where he only uses a small portion of the latissimus muscle. This allows for preservation of more than 80% of the muscle, and therefore patients experience very minimal loss of function.
Breast Reconstruction Using Implants
For many patients, a breast reconstruction involving tissue expanders and breast implants provides a beautiful breast shape with minimal impact to surrounding muscle tissue. Post-mastectomy breast reconstruction with a tissue expander and implant requires a staged approach.
Dr. Movassaghi will first insert a temporary tissue expander on the chest wall beneath the pectoralis major muscle. A tissue expander looks similar to a saline implant, but it can be gradually filled with more solution to expand your skin and healthy tissues and help make room for the breast implant. Depending on the patient, Dr. Movassaghi may place a tissue expander immediately following your mastectomy or place it during a separate procedure after a certain period of time following mastectomy.
Once the tissue has been adequately stretched, Dr. Movassaghi will perform a follow-up surgery to remove the tissue expander and place the silicone or saline breast implants that you have chosen during your previous consultations. One advantage of implant reconstruction is that patients are often able to enhance or reduce the size of their natural breasts to suit their lifestyle and aesthetic tastes.
Tissue-Sparing Mastectomy & Reconstruction
For certain breast cancer patients, Dr. Movassaghi and the cancer surgeon can work together to remove unhealthy breast tissue with mastectomy and reconstruct a new breast shape while maintaining some of the natural breast tissue. This can help Dr. Movassaghi reconstruct a more natural-looking breast.
In skin-sparing mastectomy or breast-conserving surgery, the entire breast, nipple and areola are removed without removal of the breast skin. To preserve the skin, breast reconstruction is performed immediately after the mastectomy.
In this case, the cancer surgeon and Dr. Movassaghi, work together. To remove the cancerous breast tissue, the cancer surgeon makes a small incision around the areola that maintains the rest of the breast skin to optimize the results of cosmetic reconstruction. This leaves a natural breast pocket that Dr. Movassaghi then fills with either a breast implant or other tissue from the patient’s body.
For some patients, the nipple sparing mastectomy is a new option. To preserve the nipple, breast reconstruction is performed immediately after the mastectomy. In this case, the cancer surgeon and Dr. Movassaghi work together to remove the cancerous tissue and reconstruct the breast during a single operation.
Nipple-sparing surgery is performed by:
- Removing only the breast tissue
- Hollowing out the area of the nipple
- Analyzing the tissue that is left for any signs of cancer
- Immediately reconstructing the tissue back to the breast skin.
After the surgery, nipple and areola sensation are not maintained. Good candidates for the nipple-sparing mastectomy as women who have smaller tumors positioned away from the nipple and those who have elected to have a total mastectomy as a preventative measure.