Breast Reconstruction Q&A
88%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
91 Reviews
Breast Reconstructionbefore & after photos
View Before and Afters

Average Breast Reconstruction Cost: $8,900

Learn about Breast Reconstruction

487 people and 265 doctors are talking about Breast Reconstruction

Get Free Email Updates

Best Breast Reconstruction Procedure After PBM?

asked 2 years ago by snowangel36 in Indianapolis, IN
Latest answer by Steven Wallach, MD
Question viewed 538 times
Tags: breasts, breast cancer

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?

4 answers to Best Breast Reconstruction Procedure After PBM?

+1

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

Manhattan Plastic Surgeon
+1

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
Sugene Kim, MD

Houston Plastic Surgeon

www.drkimplasticsurgery.com

+1

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
C. Bob Basu, MD

Houston Plastic Surgeon

www.basuplasticsurgery.com

+1

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
John LoMonaco, MD

Houston Plastic Surgeon

Ask a question