Breast Reconstruction

Breast reconstruction is a surgical procedure often performed to rebuild the shape, symmetry and size of the breasts after surgery from breast cancer, including lumpectomy or mastectomy.

There may be several ways to reconstruct your breast. Dr Shortt will discuss the different options with you based on your own personal needs. In general, lumpectomy defects can often be corrected with a scar revision and fat transfer to the breast. For mastectomy defects the most common option is to use your own tissue or an implant.

When your own tissue (flap) is used there are several options. However, the lower abdomen usually presents the best option for women that have had children. It provides the best natural feel and appearance to the breast. In this setting, Dr Shortt performs a DIEP flap that removes the lower abdominal skin and fat, but leaves all the muscles behind. He then performs microsurgery to reconnect the flap to a blood vessel in the chest. However, not everyone is suitable for this surgery, and options from your back and thighs may also be discussed.

Implant based reconstruction usually involves placement of a tissue expander either at the time of your mastectomy (immediate reconstruction) or sometime after. After the expander has reached its desired size, it is then exchanged for an implant, typically one that is tear drop shaped and made of cohesive gel silicone. This is the same type of implant used in breast augmentation.

Nipple reconstruction is usually done 2-3 months after your breast mound is created with either your own tissue or a breast augmentation implant. Some refinements to perfect the shape, symmetry and size is also done. This may include breast fat transfer. Finally, tattooing can be done to complete the cosmetic look. This is not done by Dr Shortt, but he will refer you to experts in that field should you wish.

Balancing procedures can also be done to the opposite breast. This typically includes a breast augmentation, breast lift (mastopexy), or breast reduction.

For additional information, Dr Shortt would direct you to the website where he did his fellowship training with world renowned breast and microsurgeon, Dr Edward Buchel.

https://breastreconstructionprogram.com

Dr Shortt will meet with you during a consultation to decide on the surgical technique and timing of surgeries that is best suited for your individual needs. Together with Dr Shortt, you will discuss your medical history, your preferences, body shape, the shape of your other breast, cancer treatment and the stages of reconstructive surgery which may involve future surgical procedures.

Click here to book a consultation with Dr Shortt or telephone 905-849-4282.

breast reconstruction surgery toronto oakville
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