Best Breast Reconstruction Procedure After PBM (Prophylactic Bilateral Mastectomy)?

One step PBM (Prophylactic Bilateral Mastectomy)? I recently tested BRCA1+ (Breast Cancer 1). How does a Dr know what type of Reconstruction is best for the patient? How do I find a Dr who will preform the one step procedure? Is it possible to go from an A to a B or C with this type of procedure?

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4 Doctor Answers | Asked by snowangel36 in Indianapolis, IN

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Breast reconstruction options

There are many options for breast reconstruction including tissue exapnders and implants, latissimus flaps with implants, fat grafting for small contour problems, TRAM flaps, DIEP flaps, SGAP, and IGAP flaps to name a few. You require an exam first to figrue out what is best for you..

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Options for breast reconstruction

There are two major categories for breast reconstruction: 1) Implant-based reconstruction, and 2) autologous (own tissue) reconstruction. You decision should be based on 1)your social need (can you take 3-6 weeks off from your work for autologous reconstruction), 2)cancer staging (need for radiation), 3) your preference. Some people like the "look of implants" whereas others want to look more natural. With implants, you can go from size A to C. If you... more

Many options to restore breast after mastectomy

You have many options to restore yourself after prophylactic mastectomy given your recent BRCA diagnosis. And the good news is that all aspects of your reconstruction will be covered by your insurance. The two major categories for breast reconstruction are 1) implant-based and 2) autologous (using your own tissue). With proper patient selection, we obtain outstanding results with both modalities. However, reconstruction is a process that requires some steps to achieve the best results... more

A DIEP flap may be a good option

First, I want to recognize that you have gone through a lot to decide on this surgery, so I recognize the importance of having your breasts restored to as natural as possible. The best reconstructions are by far those that use your own tissue, generally the stomach or back fat. You have to have the excess tisuue to begin with, so if you've had children the abdomen may be a good source of extra skin and fat. Taking the stomach tissue is best done using the DIEP flap, which spares... more