Oncoplastic Breast Surgery and Plastic Surgery

Several interesting topics were discussed at the Breast Surgery Symposium in Atlanta, GA at the Southeastern Society of Plastic and Reconstructive Surgeons Meeting. A panel discussing Oncoplastic Breast Conservation Surgery & Nipple Preserving Mastectomy was extremely interesting. For decades Plastic Surgeons have provided reconstructive options for women undergoing partial and complete mastectomy which are included but not limited to the permanent silicone gel implant, tissue expanders that are later exchanged for implants, expanders and or implant in addition to a latissimus flap, and the now various forms of flap from the lower abdomen and thighs such as the TUG flap, Free TRAM, Pedicled TRAM, and the increasingly popular DIEP flap. Despite all of the options less than 30 percent of women get a reconstruction. This leads to finger pointing on both sides. The plastic surgeons think the general or breast surgeons are not referring or discussing breast reconstruction in their initial consultation with the patients and the general surgeon or breast surgeons feel like they cannot get a plastic surgeon to see the patient. Sometimes because of location there may not be a plastic surgeon nearby. This is becoming less the case with the aid of the internet. Finding physicians and surgeons is becoming easier. There can be hurdles with insurance after that with respect to the providers. Fortunately it is a Federal Law that women have the ability to under reconstruction after mastectomy and any symmetry procedures on the opposite breast.

One of the take home points from the panel to me was that great reconstruction outcomes can only happen with great mastectomies. That means the general or breast surgeon has to do a great job performing the mastectomy in order for the plastic surgeon to then perform the best reconstruction. In cases of nipple sparing mastectomy the general or breast surgeon performs the mastectomy and sentinel lymph node biopsy and then performs a biopsy of the tissue behind the nipple to confirm there is not cancer. At this point the plastic surgeon can perform the reconstruction with a combination of expanders and acellular dermal matrix. The techniques can very among the plastic surgeons who perform the procedure but the outcomes should be great if the mastectomy was done well. The final product should look like a breast augmentation rather than a breast reconstruction. To gain more information about this and other topics related to breast reconstruction please search the following terms below.

Breast reconstruction photos, mastectomy reconstruction, breast expanders, breast expander, breast plastic surgery, mastectomy, mastectomy clothing, breast reconstruction, mastectomy forms, breast reconstruction surgery, mastectomy prosthesis, mastectomy supplies, mastectomy products, mastectomy scar, amoena mastecomy, reconstructive breast surgery, mastecomy pictures, mastectomy photos, mastecomy botique, breast reconstruction mastectomy, breast reconstruction photo, breast reconstrucion picture, breast cancer reconstruction, mastectomy breast forms, tram flap breast reconstruction, tram breast reconstruction, breast reconstruction pics, breast cancer reconstruction surgery, breast reconstruction surgeon, immediate breast reconstruction, areola reconstruction, diep surgery, tram surgery partial mastectomy, diep flap surgery, tram flaps, tram flap reconstruction, implant reconstruction, post mastecomy breast reconstruction, breast reconstructions, breast cancer mastecomy, simple mastecomy, mastecomy recovery, breast reconstruction after cancer, diep flap, diep flap breast reconstruction, lumpectomy vs mastecomy, lumpectomy versus mastecomy, skin sparing mastectomy, radicle mastectomy, preventaive mastectomy, breast reconstruction after mastectomy, mastectomy complications, mastectomy and reconstruction, segemental mastecomy, subcutaneous mastecomy, dcis mastecomy, mastecomy surgery, mastectomy scars, modified mastectomy, toilet mastectomy, pictures of mastecomy, latissimus dorsi breast reconstruction, breast reconstruction implants, breast reconstruction after breast cancer, surgery for breast cancer, breast reonstruction complications, breast cancer lumpectomy, breast reconstruction photographs, breast reconstruction surgery, lumpectomy surgery, breast reconstruction implant, after breast reconstruction, breast reconstruction options, latissimus dorsi flap, flap breast reconstruction, reconstructive surgery after mastectomy, reconstruction after mastectomy, mastecomy with reconstruction, tram flap recovery, breast cancer breast reconstruction, breast cancer and reconstruction, bilateral prohylactic mastecomy, breast reconstruction methods, tram flap breast, breast reconstruction stories, breast reconstruction problems, breast reconstruction forum, breast reconstruction recovery, breast reconstruction surgeons, breast reconstruction center, mastectomy radiation, breast reconstruction guidebook, after reconstruction, bilateral breast reconstruction, breast reconstruction with implants, diep reconstruction, breast cancer reconstruction photos, breast cancer reconstruction pictures