There are several breast reconstruction methods, and the many options available can feel overwhelming during an already difficult time. Dr. Asif Bhatti is committed to ensuring that each patient understands her options and feels comfortable and confident in the decision she and Dr. Asif make together.
Breast Reconstruction
Reconstruction of the breast using a saline or silicone permanent implant is one option. This is performed in two stages. The first stage involves placement of a tissue expander underneath the pectoralis muscle. This is typically done at the same time as the mastectomy. Over the following few weeks, once your incisions are well healed, we expand these “balloons” through a small port accessible right underneath the skin with injectable saline. Once you have reached a size that you like, we schedule you for the second stage, removal of the expander and placement of the permanent implant.
The initial surgery takes approximately 1-2 hours in addition to your mastectomy surgeon and depending on whether we are reconstructing one or both of your breasts. The initial hospital stay is usually 1-2 days.
For the second stage surgery where we remove the expander and place a permanent implant, you can return home that same day. This second surgery takes only an hour or two. The total recovery time for implant reconstruction is 3-4 weeks for the first stage and approximately 1 week for the second.
There are many good reasons why implant reconstruction might be the best option for you, although it is best to keep all of your options open as you discuss your treatment with our surgeon.
Nipple Reconstruction
After breast reconstruction you can decide if you’d like to have your nipple reconstructed. Nipple reconstruction is done after the reconstructed breast has had time to heal.
The nipple would be reconstructed from the surrounding skin at the desired placement. Dr. Asif makes small incisions and then elevates the tissue into position, forming and shaping it into a living tissue projection that mimics the natural nipple.
The new nipple can then be tattooed to add color and create the areola around the nipple.
What to Expect
Before and After Surgery
Pre-Operation
One week before surgery you’ll meet with Dr. Asif’s staff to have pre-operative visit. On the day of surgery, you will be seen and have an opportunity to meet with Dr. Asif. He will review your procedure with you and perform an exam to confirm that you’re in good health for your surgery. You may have paperwork to complete or be given prescriptions to fill; we may also take “before” photos. As always, we will answer any questions and discuss any concerns so that you feel completely confident as your surgery approaches.
Final Preparation
One day before your surgery, confirm the arrangements for your procedure (including transportation) and to prepare your home for a relaxing and comfortable recovery. Shower with antibacterial soap, avoid eating or drinking after midnight, and be sure to follow any other specific instructions provided by Dr. Asif and our staff. Please remember to avoid Aspirin, Vitamins and other homeopathic medications unless specifically discussed with Dr. Asif and staff.
Surgery
Please plan to arrive early to check in and prepare for your procedure. You should wear loose-fitting, comfortable clothes, and leave jewelry and valuables at home. You can expect to remain in the recovery room for several hours following completion of the surgery. When you get home, start taking your pain medication and antibiotics, and limit your activity for at least the next 24 hours.
Recovery
We will schedule follow-up appointments as necessary throughout your recovery. Dr. Asif will assess your healing, remove or change dressings, and document your results. Based on your progress, he will also let you know when you can expect to resume normal activities.
