About Reconstructive Surgery
The change in appearance or loss of one of both breasts due to breast cancer treatment or an injury can be corrected with breast reconstruction surgery at Charles P. Virden, MD. Using a variety of techniques for both immediate and delayed reconstruction, board-certified plastic surgeon Dr. Charles Virden helps patients in the areas in and around Reno, Nevada and Tahoe/Truckee, California recover physically and emotionally. Breast reconstruction surgery (also known as reconstructive mammaplasty) helps to restore a normal and natural appearance after a mastectomy, double mastectomy, or trauma to the chest. Dr. Virden can work with the patient's cancer team to develop their best reconstruction plan, whether it is done during the same surgery as the mastectomy or if the reconstruction is delayed until after the breast cancer treatment is complete. Thanks to advanced medical technology and modern surgical techniques, Dr. Virden is better able to help patients look and feel like themselves with breast reconstruction surgery.
With compassion and respect for the patient, our practice offers breast reconstruction surgery to:
- Breast cancer survivors who have had a mastectomy or lumpectomy
- Women who are scheduled to receive aggressive treatment for breast cancer (the removal of one or both breasts)
- Women who have experienced a traumatic injury or have birth defects in the chest area
What to Expect
There are numerous ways to reconstruct the breasts following cancer or trauma. From this stage, several techniques may be considered. Whenever it is possible, the general surgeon and plastic surgeon work together to provide immediate cosmetic results once the breast has been removed or reduced.
- Immediate Reconstruction
Dr. Virden prefers a prepectoral technique where the implant is wrapped in AlloDerm® to prevent contractures. If this is not possible, breast reconstructive surgery can be performed at a later date while the patient recovers and wear prosthetics in the place of the breast.
- Tissue Expansion
The first stage in the reconstruction process generally involves the placement of a tissue expander, which is inserted within the breast pocket. This deflated expander is used to stretch the skin over a period of time to make room for an implant or fat transfer. Once the expander is in place, saline will be injected into it about every 2 – 3 weeks. Once the appropriate size has been achieved, the expander will be replaced with either a silicone or saline implant.
- Latissimus Flap Technique
The LTP flap process involves transferring tissue from the latissimus dorsi muscle and skin to the breast from an area on the thigh.
- TRAM Flap Technique
The TRAM (transverse rectus abdominus myocutaneous) flap technique is a reconstruction surgery that is performed in two stages. Tissue, muscle, fat, and skin are taken from the lower abdomen and are used to reshape the chest wall, using as much tissue and fat as needed to produce a desired contour. This is an approach for patients who desire an autologous approach, and wish to not have implants. The patient may also choose to have additional enhancement surgeries to add symmetry, fullness, or skin tightening for more natural-looking results.
If the breast cancer patient will receive chemotherapy after the mastectomy, but wants to have breast implants, they should talk to the plastic surgeon about scheduling the surgeries around their chemotherapy schedule. The patient should not lose hope that the cancer will control what can and cannot been done with plastic surgery.
Plan Your Procedure
- Procedure Recovery Location
Trust our Skilled Surgeon
Contact our friendly patient coordinator about scheduling an appointment to discuss plans breast reconstruction. Patients can schedule a breast reconstruction consultation immediately after their diagnosis to learn more about their options before beginning their treatment. The careful, skillful talent of a board-certified reconstructive surgeon can help you through this difficult physical and emotional diagnosis. Call and schedule an appointment today.