Breast Reconstruction

REBUILD THE SHAPE, SYMMETRY AND SIZE OF YOUR BREASTS WITH 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. Dr Shortt 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 may also be done. This may include breast fat transfer. Finally, tattooing can be done to complete the cosmetic look.

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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 performed to the opposite breast. This typically includes a breast augmentation, breast lift (mastopexy), or breast reduction.

 

Breast reconstruction is customized for each patient, depending on their needs.

Breast reconstruction is extremely variable and highly tailored to each patient. It can be a transformative procedure that brings a sense of wholeness and self-esteem to patients. Many patients express tremendous gratitude for being made “complete” again. However, it is not for everyone. It can be an emotional ride, and not always straight forward. What is done for each patient really depends on the type of problem that needs correction.

Some of the common procedures include:

 

Use of a tissue expander to create more skin after a mastectomy

Use of a breast implant to provide volume after a mastectomy

Tissue from your abdomen, back or other part of the body to provide either skin, fat volume or both.

Fat which is liposuctioned and injected into the breast area to correct a lumpectomy defect, provide better concealment of a breast implant or tissue reconstruction (flap), or to increase volume of the breast

Rearrangement of breast tissue to fill a defect caused by lumpectomy, scarring or radiation.

Fat used to offset some of the damage caused by radiation, making the breast skin more suitable for reconstruction

Nipple reconstruction

Most patients would benefit from one or even several of the above options to create the most natural and beautiful breast reconstruction possible.

What about the opposite breast?

 

For patients that have a lumpectomy or a mastectomy on one side, often something needs to be done on the opposite side to achieve the best possible balance or symmetry. Although, the goal may be to achieve perfect symmetry, that is not realistic. However, reconstructive surgeons try very hard to get things as close as possible.

Common procedures for the opposite breast include a breast lift, breast reduction, and breast augmentation. In most cases, the surgery to bring the opposite breast into balance with the affected breast is covered by OHIP. A fee may apply, should a patient wish to enhance their breasts beyond just repair of a cancer deformity and the associated balancing. The most common situation would be a patient that desires a cosmetic breast augmentation. A portion of the surgery may be covered by OHIP, while a portion may be self-pay.

 

 

Breast reconstruction is customized for each patient, depending on their needs.

When to consider having this procedure?

In general, candidates for breast reconstruction surgery are in good health, are able to have general anaesthetic, and may have one or more of the following characteristics:

 

 

N

desire to rebuild the shape, symmetry and size of the breasts after surgery from breast cancer, including lumpectomy or mastectomy

N

may consider a breast implant or use their own tissue called a flap

N

consider breast fat transfer to shape or correct symmetry of the breasts, following breast reconstruction

What is the recovery time?

In general, the recovery time following a breast reconstruction is dependant on the type of procedure, but may take 1-2 and up to 6 weeks. As with any surgery under general anaesthetic, there are potential risks or complications to consider. During your private consultation, Dr Shortt will take a thorough medical history from you, discuss your surgical options, explain the complete procedure and potential risks, discuss what to expect pre and post breast augmentation surgery, and your estimated recovery time.

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.

breastreconstructionprogram.com

Learn more about Breast Reconstruction in Dr Shortt’s Blog

The Longevity of Breast Implants: Do They Have To Be Replaced?

I see a lot of patients for breast surgery. It is a significant part of my practise. I do both cosmetic breast surgery and reconstructive breast surgery. One of the questions that I often get from both groups is how long will my implants last? I tell my patients that we really don’t know. In general, they are very robust.

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Reviews

I recently received breast augmentation and am extremely happy with the results

I recently received breast augmentation and am extremely happy with the results! Dr. Shortt and his staff are wonderful and very talented. I definitely recommend this surgeon to anyone who is interested in cosmetic surgery.

Dr. Shortt is a very talented and compassionate doctor

Dr. Shortt is a very talented and compassionate doctor. He takes the time to listen to your concerns, and he lets you know what’s possible and what isn’t – he will never do something that will make you look fake or “done.” Dr. Shortt likes to say that he will make you into a better version of yourself, not someone else. He goes above and beyond to achieve your goals and truly cares about his patients.

I had a septorhinoplasty done to correct my breathing and the appearance of my nose. I have always been insecure about the size and shape of my nose – I had a bit of a bulbous tip and a prominent dorsal hump. I am so thrilled with the results of my surgery! In addition to breathing better, I am also feeling a lot more confident. I used to freak out if anyone took a photo of me from the side, but now I actually encourage it!

The support staff at Briarwood are wonderful, too. They make the experience comfortable and easy.

I am extremely happy that I finally took this step

I just want to say Thank you so much for doing such a wonderful job on my tummy tuck (abdominoplasty). I am very pleased! The care I received prior to, during, and after my surgery has been great. Dr. Shortt and the stuff at Briarwood cosmetic surgical centre have been very thorough and detail oriented when tending to my needs, concerns and questions. I am extremely happy that I finally took this step and LOVE my results. I wouldn’t have changed a thing and am glad I chose Dr. Shortt for my surgery.

Dr Shortt did an awesome job

I recently had a breast reduction and am so happy with the final result – Dr Shortt did an awesome job!

Dr Roger Shortt is a Genius, I am so happy with the result

I recently had a scar revision surgery to repair scars from a bilateral mastectomy. Dr Roger Shortt is a Genius, I am so happy with the result it is more than I could have hoped for. I am so grateful to Dr Shortt for his empathy kindness and professionalism. His staff reflected that image and were helpful, knowledgeable and efficient. Even though I had a bilateral I feel very happy when I see myself in the mirror. That says everything.

Best Choice I Made!

The stretch marks, loose skin and a deformed belly button from my twin pregnancy really affected my self confidence. Dr. Shortt helped me get that “old me” feeling back! He is patient, professional and truly cares for you during the recovery process. I always felt that Dr. Shortt and his team were there when I needed questions answered. Before I went for my surgery, I had no idea how important the weeks and months after would be. Now, I couldn’t be happier that I chose Dr. Shortt to be my doctor. He also makes sure that you know what to expect and that made the journey so much easier for me. Best choice I made! I finally feel like myself again.

Extremely pleased to share my recent experience with Dr. Shortt

Extremely pleased to share my recent experience with Dr. Shortt and his professional staff. The entire experience was more than I had hoped it would be. From beginning consultation to follow-up visits. Dr. Shortt and his staff are highly recommended for any results you are hoping to achieve. This team is the very best!

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Feel and look better than ever before.


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