Immediate breast reconstruction occurs during the same surgery as a mastectomy.
Immediate reconstruction refers to the timing of breast reconstruction as it relates to the oncologic breast surgery (mastectomy or partial mastectomy/lumpectomy).
If reconstruction occurs at the same time as the mastectomy or lumpectomy, it is considered immediate reconstruction.
In natural tissue procedures, immediate reconstruction involves removing a tissue flap from a donor site, such as the abdomen, thigh, buttock, lumbar region, or upper back. That tissue flap is reattached in the breast region using advanced microsurgical techniques (or tunneled under the skin in the case of an LD flap from the upper back). The tissue is then reshaped into a breast mound.
In implant procedures, immediate reconstruction involves placing a tissue expander, or in some cases going directly to a prefilled implant (without the use of a tissue expander), at the time of the mastectomy.
Immediate reconstruction often still has secondary phases, which happen in the following weeks or months. Phase two of breast reconstruction might include minor revision to scars, nipple and areola reconstruction, implant exchange, fat grafting and other outpatient procedure that can further enhance your result.
Immediate breast reconstruction is often associated with better cosmetic results, and in some cases resulting in fewer surgeries. Women also experience better psychological outcomes and emotional well being waking up to a restored breast.
Yes, in some cases. The types of immediate breast reconstruction you can have will be limited until you have completed radiation and your breast skin is fully healed. Your physician team will help determine whether or not you may have breast reconstruction before you begin treatment, or after radiation is complete. In some cases, a delayed-immediate approach may be advised.
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