Houston Breast Reconstruction doctors

	C. Bob Basu, MD Houston Plastic Surgeon 6400 Fannin Suite 2100, Houston		93 answers
	Paul S. Gill, MD Houston Plastic Surgeon 9200 Pinecroft Suite 460, The Woodlands		49 answers
	Sugene Kim, MD Houston Plastic Surgeon 4185 Technology Forest Blvd. Suite 150, The Woodlands		25 answers
	Joseph M. Perlman, MD Houston Plastic Surgeon 6319 Cypresswood Drive, Spring		3 answers
	Gary M. Horndeski, MD Houston Plastic Surgeon 14887 Southwest Freeway, Sugar Land		2 answers
	Craig S. Rock, MD Houston Plastic Surgeon 6624 Fannin Suite 2390, Houston		2 answers

Recent Answers

Is Fat Transfer Only for Mastectomy Breast Reconstruction an Option? I'm currently halfway through chemo for breast cancer; the plan is for bilateral mastectomy afterwards. I'm quite intrigued by the total fat transfer approach (sometimes used in conjunction w/Brava system) & would love to find someone on west coast who has experience doing this. I'm reading so many negative comments on the online discussions about tissue expanders, any kind of implants, ripples, unevenness, etc. Very unhappy women! 100% fat transfer might help avoid these issues.

A: Fat Grafting for primary breast reconstruction

I find fat grafting to be a wonderful tool to further refine and reshape a tissue flap (diep/gap/tram) or implant breast reconstruction. I do not use fat grafting with Brava as a primary method to reconstruct the breast, as it typically requires several more stages than traditional reconstruction. In regards to negative comments to tissue expanders and implants, I think you will find unhappy and very satisfied patient reviews on almost all breast reconstruction procedures. My concern is that primary breast reconstruction with fat grafting alone is a relatively new technique that has not passed the hands of time. Tissue expander or tissue flap breast reconstruction has been extensively studied in the plastic surgery literature and proven to deliver satisfactory short and long term results. I wish you a safe and healthy recovery.

Paul S. Gill, MD

Houston Plastic Surgeon

What is a Typical Post-op Visit Schedule After Implant Reconstruction? For tissue expander-to-implant reconstruction following bi-lateral nipple sparing mastectomy for breast cancer, what is a typical follow up schedule starting right after the surgery for exchange to final silicon implants? I understand that healing issues could change the timing and number of post-op visits, but barring serious problems, what is the ideal number and timing over the following weeks and months? Or even years? What might it be for later revision later surgery, if necessary?

A: Followup for 2nd stage implant breast reconstruction

Based on your question, i gather that you have tissue expanders and are about to undergo exchange to silicone implants.

Since this is outpatient surgery, I prefer to see you back the next day to evaluate for any fluid collection or bleeding and to review postop incision care instructions. In most cases, a drain is not necessary during the exchange procedure. I then see you back at 1 week postop to evaluate your incision and ensure there are no signs of infection. At this point, we discuss implant massage techniques, scar treatment, and activity level for the next month. I then see you at 1 month postop to assess the shape, size, symmetry. At this visit, we again review the signs of capsular contracture and discuss preventive measures. I will then see you every 4-6 months for 2 years.

If a nipple reconstruction is desired, I perform these at 3 months after the exchange procedure.

Paul S. Gill, MD

Houston Plastic Surgeon

Had Radiation After Bilateral DIEP, Can I Get Nipples? What About Fix Symmetry? I had a bilateral mastectomy and excellent DIEP reconstruction at the same time. Unfortunately, it was discovered due to the later pathology report that I would need 6 weeks of radiation with boosts to breast, chest wall and supraclavical area. Can I still get nipple reconstruction? And can doctors do anything about the shrinkage of the left breast? How long should I wait?

A: Radiation after Reconstruction

Yes, you can still get nipple reconstruction. To address the "shrinkage" you describe after radiation, your plastic surgeon can revise your DIEP flap reconstructed breasts to improve their shape and symmetry. However, most surgeons like to wait at least six months after completing radiation to procedure with any revision. At least six months is required to let the radiation effects "cool off".

Best of luck.

Dr. Basu

C. Bob Basu, MD

Houston Plastic Surgeon

Breast Reconstruction Specialist Double Board Certified, Houston Ask Dr. Kim your question here or Call for Consultation (281) 410-8482 Sugene Kim, MD 9 recommendations and 268 answers View Website

Basu Plastic Surgery - Houston Breast Reconstruction services Schedule a Free Consultation Click or call (713) 338-9111

C. Bob Basu, MD 21 recommendations and 750 answers View Website

RealSelf Sponsors

Houston Breast Reconstruction reviews

$4,130 average price for Breast Reconstruction in Houston
80% of Houston reviewers said Breast Reconstruction was worth it

	“You Don't Get Better Than This! -...” If you are looking for PERFECTION -- look no more-- Dr. Spiegel is the "Best of the Best." After hearing the dreadful and scary diagnosis by the radiologist that no woman ever wants to hear in any shape or form -- "I am sorry you have breast cancer"-- I knew through all the confusion that I would need to undergo immediate double masectomies--the underlying question would be... more
	“I Am a Cancer Survivor....I Thank...” I had a tramflap done because I had a double mastectomy. It was easier for me to come out with my own bady parts recreating what was removed than it would have been to go home with nothing. more
	“Bilateral Tissue Expanders - Houston, TX” I've had 90% 3rd degree burns since I was two and about 80 surgeries. I would rate this the 2nd worse. It was extremely taxing physically and emotionally. i cried 5 days straight unless i was asleep which made congestion drop in my chest & i wasnt able to cough it up. I couldn't sit up on my own for 8 days, for the first time in my life begged the nurse to let me stay in... more
	“Could Not Have Been More Pleased” The only con is the healing process because your activities are somewhat limited for a week--and this is an issue if you have children. However, this con pales in comparison to the results. After years of running and having three children, I needed a breast lift. I am so pleased with the outcome. Nearly 5 years later, I am still loving the results and my scars are almost completely gone. more
	“Post Breast Cancer - Houston” I already had a negative body image before breast cancer. The mastectomy only added to that. Looking at other surgeons web sites, I was very hesitant to even enter the office. My daughter was with me, and we were both so impressed with the office staff, and then the surgeon, there was no question. So this was my choice for the breast reconstruction surgery. The whole reconstruction was... more
	“Not Happy with Reconstruction, More...” I don't think that my Dr did a good job on my reconstruction. I look even more assymetrical than before. My nipples are two completely different sizes now and are uneven. My breast cup sizes are different by almost three sizes. My Dr will "fix it" but only with more money, I think enough was paid the first time for him to do a better job than he has done. more