Our Summary

This research paper investigates a combined approach to breast reconstruction that uses both an implant and a patient’s own tissue. The researchers reviewed existing studies and found that this combined approach has become increasingly popular over the last decade. They looked at data from 230 patients and found that this method is safe and effective, with very few instances of complications such as partial flap loss or implant infection. They also found that the rate of flap loss (the failure of the part of the body, such as skin or muscle, that has been surgically moved to another area) was comparable to traditional methods that only use the patient’s own tissue, and the rate of implant loss was lower than in procedures that only use an implant. The paper suggests that more women could be suitable candidates for this combined approach to breast reconstruction.

FAQs

  1. What is the combined approach to breast reconstruction?
  2. How does the rate of complications in the combined approach compare to traditional methods?
  3. Who are the suitable candidates for the combined approach to breast reconstruction?

Doctor’s Tip

One helpful tip a doctor might tell a patient considering breast augmentation is to thoroughly research and understand the different options available, including the potential risks and benefits of each approach. It is important to have open and honest communication with your surgeon to ensure that you have realistic expectations and achieve the desired results. Additionally, following post-operative care instructions and attending all follow-up appointments is crucial for a successful recovery.

Suitable For

Patients who are typically recommended breast augmentation include:

  1. Women who have undergone a mastectomy and are seeking breast reconstruction.
  2. Women who have naturally small or underdeveloped breasts and desire to increase their breast size.
  3. Women who have asymmetrical breasts and wish to achieve better symmetry.
  4. Women who have experienced changes in breast shape or size due to pregnancy, breastfeeding, weight loss, or aging.
  5. Women who have a congenital condition that affects breast development, such as tuberous breast deformity.
  6. Women who have lost breast volume due to significant weight loss.

Overall, breast augmentation is recommended for patients who are physically healthy, have realistic expectations, and understand the risks and potential complications associated with the procedure. It is important for patients to undergo a thorough consultation with a board-certified plastic surgeon to determine if they are suitable candidates for breast augmentation.

Timeline

Before breast augmentation:

  1. Consultation: The patient meets with a plastic surgeon to discuss their goals, expectations, and any concerns they may have about the procedure.
  2. Pre-operative preparations: The patient undergoes a series of pre-operative tests and evaluations to ensure they are healthy enough for surgery. They may also be advised to stop smoking and avoid certain medications in the weeks leading up to the procedure.
  3. Choosing the implant: The patient works with the surgeon to choose the size, shape, and type of implant that will best meet their aesthetic goals.
  4. Surgery: The breast augmentation surgery is performed, typically under general anesthesia. The surgeon makes incisions, inserts the implants, and closes the incisions with sutures.
  5. Recovery: The patient will experience some pain, swelling, and bruising following the surgery. They will need to follow post-operative instructions for proper healing and care of the surgical site.

After breast augmentation:

  1. Immediate post-operative period: The patient will need to rest and take pain medication as needed. They may have drains in place to collect excess fluid and will need to wear a surgical bra for support.
  2. Follow-up appointments: The patient will have several follow-up appointments with the surgeon to monitor healing, remove stitches, and address any concerns or complications.
  3. Recovery period: The patient will gradually resume normal activities and exercise as directed by the surgeon. They will need to continue wearing a supportive bra and may need to avoid certain activities for a period of time.
  4. Long-term results: The patient will see the final results of the breast augmentation once swelling has subsided and the implants have settled into place. They may need to schedule follow-up appointments periodically to monitor the implants and ensure they are still in good condition.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with breast augmentation using a combined approach of implants and my own tissue?

  2. How will my recovery process differ with this combined approach compared to traditional methods that only use implants or my own tissue?

  3. What are the long-term outcomes and success rates of this combined approach compared to other methods of breast reconstruction?

  4. Will I need additional surgeries or procedures in the future if I choose this combined approach to breast augmentation?

  5. Can you provide me with before and after photos of patients who have undergone breast augmentation using a combined approach, so I can have a better idea of the potential results?

  6. Are there any specific criteria or factors that would make me a better candidate for this combined approach compared to other methods of breast reconstruction?

  7. How will the cost of breast augmentation using a combined approach compare to other methods, and will my insurance cover any part of the procedure?

  8. What is the expected timeline for the entire process of breast augmentation using a combined approach, from the initial consultation to the final results?

  9. What type of follow-up care and monitoring will be necessary after the procedure, and how often will I need to come in for check-ups?

  10. Are there any lifestyle changes or restrictions I should be aware of after undergoing breast augmentation using a combined approach, such as limitations on physical activity or dietary considerations?

Reference

Authors: Piper ML, Lentz R, Gomez-Sanchez C, Withers J, Hu A, Sbitany H. Journal: Ann Plast Surg. 2020 Jun;84(6):717-721. doi: 10.1097/SAP.0000000000002085. PMID: 31663940