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Breast & Nipple Reconstruction Surgery Mastectomy Reconstruction Surgical Procedure Anita Patel MD Beverly Hills Breast & Nipple Reconstruction peony flower

Breast Reconstruction Surgery in Beverly Hills

Following a mastectomy, many women choose to undergo reconstructive surgery to restore the appearance of their breasts to the way they were pre-mastectomy, or to achieve a different size or shape overall. Breast and nipple reconstruction (also known as mastectomy reconstruction) refers to a series of plastic surgery procedures used to reconstruct the nipples and breast mound. Sometimes, this involves the addition of breast implants, while other times patients choose to forego implants and use their own tissues for reconstruction. It is also important to recognize that opting for no reconstruction is also valid.
Our responsibility is to inform you of your choices and together find what is right for you. Mastectomy reconstruction is a deeply personal decision, and we understand the sensitive nature of the surgery. Dr. Anita is ready to offer compassionate and experienced care— her goal is always to ensure that all patients feel comfortable having this discussion, and confident, happy, and satisfied with their choice and the results of their procedure.
Depending on the situation, patients may opt to begin breast reconstruction surgery in Beverly Hills immediately after their mastectomy procedure— in this case, we will coordinate directly with the surgical oncologist’s office to ensure there is a smooth transition between procedures, and make sure you are a good candidate for immediate (versus delayed) reconstruction.

TREATMENT OVERVIEW

First, you will meet with Dr. Anita to share your concerns and discuss the results that you hope to achieve. This will be followed by a review of your medical history and a focused physical exam. Dr. Anita will then go over the risks and activity restrictions, and give you time to ask questions. For any immediate breast reconstruction procedures, our office will coordinate the reconstruction with the surgical oncologist’s office.

The reconstruction journey involves a number of steps, and after discussing what you are interested in and a good candidate for, the reconstructive steps for that type of reconstruction can be planned out. Prior to the surgery, you will fill out consent forms.

Breast reconstruction can be done using a variety of methods, ranging from implant-based reconstruction (tissue expander followed by exchange for implant; or direct-to-implant) to tissue-based reconstruction (either pedicled flap or free flap).

General anesthesia will be administered for this surgery and we recommend that you arrange to have someone drive you to and from the surgery appointment.

Length of Surgery

Varies based on immediate versus delayed reconstruction, which type of reconstruction, and which step of reconstruction.

Anesthesia

Anesthesia

General

Post-op Activity

Avoid strenuous activity for 6 weeks.

Return to work

5-14 days

Please Note: These are general estimates that may or may not apply to you individually.

FINANCING AVAILABLE

Payments for nonsurgical treatments are made prior to or on the date of service, and payments for surgery are required to be paid in full 3 weeks prior to the surgical date.

We accept all major credit cards, debit cards, cash, and cashier checks. We also work with two third-party financing companies, Care Credit and Alphaeon Credit. You can find more information and apply for credit online using the links below.

Different Types of Beverly Hills Breast Reconstruction

The three main types of breast reconstruction are implant based reconstruction, autologous tissue flap, or free tissue transfer. No matter what type of reconstruction surgery you choose in Beverly Hills, rebuilding a breast and achieving symmetry with the opposite breast is a process that typically requires a series of steps over the course of a year, and possibly more.

The first step is reconstructing the breast(s) that had cancer. If only one breast was reconstructed, the next step is a procedure on the opposite breast to make it match. The third step is either a touch up needed to make sure both breasts match as closely as possible, or nipple reconstruction for the side without a nipple. After a nipple reconstruction, the last step is nipple tattooing to restore the color to the nipple and areola.

Implant Based Reconstruction

Implant based reconstruction is a good option for women who underwent bilateral mastectomy, already have implants, have little bulk for possible donor sites for using their own tissue, and want to minimize downtime or have the quickest recovery possible. It is important to note that this breast rebuilding is not as predictable of an option for Beverly Hills patients who have undergone radiation therapy.

The first step in implant-based reconstruction is typically having a temporary device called a tissue expander placed under the pectoralis muscle on the chest (the exception being “direct-to-implant reconstruction” if a candidate). Tissue expanders are inflatable devices that have a magnet and injection site or port. Fluid is injected through the port into the expander at a series of office visits. The amount injected per visit depends on many factors, including the condition of the skin overlying the expander, the final goal amount, and patient comfort.

Next the tissue expander is removed, and the final implant is placed. The implant chosen may be round or shaped. If the opposite breast needs to be addressed with a lift, reduction, or augmentation, it may be addressed at this surgery or a separate surgery.  Since the breast has been removed in a mastectomy, there is little to camouflage the borders of the implant. In some cases, it is helpful to perform fat transfer to the breast along the upper border of the implant to provide a smoother contour.

Autologous Tissue Based Reconstruction

Autologous tissue-based reconstruction means skin and tissue is used from one part of the body, and rotated into position to create a new breast. Examples of this type of reconstruction include the pedicled TRAM (transverse rectus abdominus myocutaneous) flap, and the pedicled latissimus dorsi flap. For the TRAM flap, skin, subcutaneous fat, and rectus abdominus (abs) muscle, are taken from one side of the lower abdomen and tunneled below the skin and brought out at the breast to create a new breast mound. For the latissimus flap, the tissue rotated forward comes from the back.

The advantage of this Beverly Hills surgery is that there is no implant involved, and the tissue tends to hang or drape in a way that resembles the natural breast shape. Another advantage is the flattening effect on the abdomen, if using a TRAM flap, since in order to close the donor site the abdomen is closed in a manner similar to a tummy tuck. The latissimus flap involves taking tissue from the back, and the incision is created in a way that the final scar can lay in the bra line.

In order to be a candidate for this surgery, there needs to be enough tissue at either the abdomen or back to create a breast, and this tissue cannot be previously operated on. This flap typically gives a smaller volume, and if the goal volume for reconstruction is greater than a B cup, you may need an implant in addition to this flap.

Free Tissue Transfer (Free Flap)

Free tissue transfer is different from the above options because it involves complete separation of skin and tissue from one area, including its blood vessels, and reattaching these vessels to blood vessels in the chest under an operating microscope.

This procedure takes significantly longer than the other techniques, and involves close postoperative monitoring and care, typically requiring at least one night stay in the intensive care unit. The total hospital stay tends to be around five to six days. While both the operating room time and recovery time are the longest for this type of Beverly Hills reconstruction, it does create natural appearing breasts and can transfer a significant volume of tissue.

The most common donor site for tissue is the lower abdomen, and different variations include the free TRAM flap, muscle-sparing TRAM flap, DIEP (deep inferior epigastric perforator) flap, and SIEA (superficial inferior epigastric artery) flap.

STEP BY STEP PROCESS

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At the Clinic

During your consultation, Dr. Anita will take time to learn more about your motivations and goals, understand your concerns, and discuss the treatment in detail. She will go through your medical history and perform a physical exam in order to determine the best plan to reach your goals, and make sure you are a good candidate for surgery.

The Surgery

For any immediate breast reconstruction procedures, our office will coordinate the reconstruction with the surgical oncologist's office. The day of surgery, Dr. Anita will meet with you in the preoperative area, review the planned procedure, and mark out areas on the skin. This is also a time you can go over any additional questions you may have prior to surgery.

POST-SURGERY

After surgery, you will be provided with postoperative care instructions, and instructions for follow-up. Dr. Patel will see you for the first postoperative visit 1-2 days after surgery, with an additional visit the week after for drain removal if placed appropriate. Additional postoperative visits are typically spaced every other week for tissue expansion (in the case of implant-based reconstruction).

Frequently Asked Questions

What is reconstructive breast surgery?

Reconstructive breast surgery typically refers to plastic surgery to reconstruct a breast mound and nipple after mastectomy for breast cancer.

How is breast reconstruction done?

Breast reconstruction can be done using a variety of methods, ranging from implant-based reconstruction (tissue expander followed by exchange for implant; or direct-to-implant) to tissue based reconstruction (either pedicled flap or free flap).

How does a breast expander work?

A breast expander is a silicone shell that is inserted with a small amount of fluid inside, and gradually inflated with more fluid, allowing the skin to stretch and grow to accommodate the growing size. It allows the body to gradually generate more skin, in an area where the skin is tight, such as after mastectomy where both skin and breast tissue are removed.

Is breast reconstruction safe?

Breast reconstruction risks vary based on which type of reconstruction is performed, and also which step in reconstruction (earlier procedures tend to be greater in scope than later procedures). In addition, the risk also depends on one’s overall health status.

Can I get breast implants after a mastectomy?

Yes, one can get breast implants after mastectomy. Depending on what you are a candidate for, this may involve an initial step of tissue expansion, followed by exchange for an implant, or if you are a candidate- you may be able to go straight to implant.

How long does a mastectomy take to heal?

Mastectomy is the removal of the breast and nipple areola complex, and typically one can go back to work 10-14 days later.

How much is breast construction surgery?

Breast reconstruction is typically covered by insurance, though there may be out-of-pocket costs. Those costs depend on a number of factors, and requires additional information to answer. To provide you with accurate pricing information, we invite you to book a complimentary Pre-Consult Phone Call with our Patient Care Coordinator by calling 310-205-0212. During that phone call, important information will be discussed and ballpark pricing will be provided.

Does insurance cover mastectomy reconstruction?

Insurance is mandated to cover mastectomy reconstruction, and also for symmetry procedures for the opposite breast if needed.

Who could have their breasts rebuilt?

Breast reconstruction in Beverly Hills refers to rebuilding breasts following cancer surgery, such as a mastectomy, or trauma. Even patients who undergo a limited mastectomy such as a segmental resection, or a lumpectomy, may be candidates for breast reconstruction.

Client Reviews

" Dear Dr. Patel, June, and Zuny. Thank you so much for your kindness and compassion with me during and after my accident. I feel as though you saved me from disfigurement and I am SO grateful... Thank you for making my accident easer to put in the past. All my best. "

E.J.

" The fabulous Dr. Anita Patel, thank you so much for my new boobies! I am so happy with the results and already feel so much more confident. You truly made me feel comfortable every step of the way. You are a master at what you do and I am so honored to have gotten work done by you! I adore you tons. xxxo "

S.R.

" Dr. Patel, thank you so much once again! You saved me at an all time low. "

G.D.

" Dr. Patel, I cannot thank you enough for what you have done for me! Your gentle kindness is greatly appreciated. I love the New Me and it is all because of you! Warm Regards. "

T.V.

" I would like to say that Dr. Patel and her medical and office staff are professional and courteous. From my initial consultation visit until the present which is post-surgery 3 months. They smile and look you in the eye. They make you feel comfortable enough to express your true desire for your appearance and they sincerely endeavor to give to you the closest possible result. Dr. Patel and her team took such good care of me. She anticipated my needs and was attentive to my wound care and pain maintenance. I am pleased with my tummy and thighplasty. I am looking forward to next year when I continue with a breast reduction and lift and upper arms. "

O.A.

" Dr. Patel and her staff are absolutely AMAZING!!! After having my lap-band in 2009, I was ready to get rid of my loose skin for good! I decided to have a tummy tuck and a thigh lift. =) I met with 5 different surgeons before I was referred to Dr. Anita Patel. She was finally the one!!!! Her assistant Jenny is just as amazing as she is!!! I was super nervous about having these two procedures done, but I had Dr. Patel and Jenny right there the whole way!!! They went above and beyond to meet all of my concerns. =) I had my surgeries 11 days ago and I am super happy with my results so far!!! I can't wait to see them when I am fully recovered! I will be having a breast lift/augmentation next! Everyone from the front desk to the operating room are just AMAZING!!!! "

V.J.

" Dr. Patel made me so comfortable. She is absolutely amazing and I would recommend her to everyone! "

D.B.

" I had my lap band surgery three years ago now I was ready for my tummy tuck. But from the horror stories I heard I kept putting it off. I went to see two other doctors and wasn't happy, until I met Dr. Patel and her amazing staff. The first day I met them I knew I wanted her to be the one to do my surgery for me. Everyone was fantastic from Dr. Patel's staff to the after care. "

M.M.

" Dr. Patel and her staff are the best professionals in town! "

A.S.

" Dr. Patel is a great Doctor. From the very first phone call with Jenny, Dr. Patel's Coordinator, I felt very comfortable. When I went for the 1st appointment in Newport Beach, I was very impressed with the professionalism of Dr. Patel and Jenny. They took time discussing the procedures and options and put my mind at ease. I had a Tummy Tuck and Breast Lift with Implants. The surgery day went great and I am so happy with the results. I would recommend her to my family and friends and will use her for any future cosmetic surgeries I may have. Thank you Dr. Patel!! "

C.C.

" Dr. Patel is absolutely amazing! I interviewed many surgeons and no one could touch her compassionate, genuine personality. Dr. Patel takes her time during the consultation, you are never rushed. She is very detailed when explaining the procedures, prep and recovery. She is real... not pretentious, no inflated ego and zero God complex. Dr. Patel cares about every person who takes the time to come to her clinic. Throughout my pre-op, surgery and post-op Dr. Patel's exceptional care was displayed without waiver. I would HIGHLY recommend anyone considering the services of a PS to contact her... it will be worth your time. Thank you Dr. Patel!!!!! "

A.V.

" You give so much of yourself in the kindness you show and the lives you touch. Wish that all the goodness you share comes back to you. Thank you for everything you have done for me. "

A.K.

" Words cannot express how thankful I am for you. You really have helped to change my life for the better, and gave me the body I knew was under there somewhere... making it all happen truly renews my faith that there are great people out there. You are an artist and I am so happy to have you in my life... "

M.V.

" Dr. Patel, Jenny, Nicole, and staff, I have enjoyed every moment with each of you and I thank you again for making the entire process of my surgery at Rox Surgery Center such a joy and success. You're all the best!!... "

V.W.

" You are an amazing surgeon I am so glad I found you. I am more than happy with the results. It is better than I could have ever imagined. Your staff Jenny and nurse Zarina were so caring and made me feel comfortable with the whole process... Thank you so much... "

K.S.

" There really isn't a way to explain what this surgery has meant to me. It is the final step of a really long and hard emotional journey... From the bottom of my heart thank you for making me look like I feel. Your talent is amazing!... "

C.L.

" I was extremely happy with everyone. The whole staff was helpful and very personable. Dr. Patel you are amazing!!... I would recommend you to anyone looking for a breast augmentation. Thank you!! Thank you!! Thank you!!... "

V.M.

" Thank you and your staff so much for making me feel so special and taking such good care of me. I can tell you love what you do... "

C.B.

I just wanted to thank you for taking such great care of me before, during, and after my surgery. It meant a lot to know I wasn't just another patient coming through. I'll actually miss seeing you once all is said and done!... "

N.H.

" I've wanted to do this my whole life. Thank you for being so kind and holding my hand through this experience. I am so grateful I found you... "

D.W.

" Thank you for taking the time to listen. I am so happy with my results! I wish I had done it sooner... "

S.P.

" Thank you so much for taking care of me. Your kindness is greatly appreciated... "

N.A.

" Words cannot express my gratitude for your expertise... I was in need of a Beverly Hills plastic surgeon and no where near Beverly Hills! It was nice of you to work at the hospital that day!! Thank you... "

L.G.



    Contact Us about Breast Reconstruction Surgery in Beverly Hills Today

    If you are looking into breast reconstruction surgery in Beverly Hills, call our office now. Dr. Anita Patel can meet with you to go over your many options for rebuilding your breasts after a mastectomy or other trauma. She will do her best to make sure you feel comfortable and cared for throughout the process, and aim to deliver you beautiful results. Call now to learn more.
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