Breast Reconstruction Surgery in NJ

If you have had a mastectomy as part of your breast cancer treatment, you may want to choose breast reconstruction surgery to restore and rebuild your breast shape. My team and I offer compassionate care to our patients who have battled breast cancer, hoping to empower our patients who are true fighters. I have 25 years of experience performing breast reconstruction surgery, creating natural and beautiful breasts that exceed my patients’ expectations.

Breast Reconstruction Before and After

Please take a look at our breast reconstruction before and after gallery to see our patients’ transformations after their recovery!

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Good-Candidate

Who is a Good Candidate for Breast Reconstruction Surgery?

Women who are looking to rebuild their breasts after a mastectomy are good candidates for breast reconstruction surgery. This procedure is also a good option for you if you do not have additional medical conditions that may affect healing, have a positive outlook, and have realistic expectations for the outcomes of the procedure. It’s also important to note that although I will be reconstructing your breast, it does not restore feeling to the breast or nipple. The skin may become more sensitive to touch over time but will not be the same as it was before surgery.
Consultation

What to Expect During a Breast Reconstruction Consultation

During your consultation, I will talk to you about your medical history, current medications, prior surgeries, and surgical goals. I will also evaluate your general health, examine your breasts, take measurements of your breasts’ shape and size, and evaluate the skin quality of your areolas and nipples. My staff and I will also go over your breast reconstruction options, likely outcomes after surgery, and potential risk and complications of the surgery.
Request Your Breast Reconstruction Consultation with Dr. Spiro today!
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Good-Candidate

How Do You Prepare for a Breast Reconstruction?

To prepare for your breast reconstruction surgery, you may need to adjust certain medications, quit smoking, get additional lab testing, and avoid anti-inflammatory drugs or supplements that may increase bleeding. You should also arrange for a family member or friend to pick you up after surgery, as you may not be able to drive.
During-surgery

What Happens During Breast Reconstruction Surgery?

There are several reconstruction techniques I use to restore your breasts to a more natural appearance and size. The following are four types of breast reconstructive surgery I use depending on your body type, cancer treatments, and type of mastectomy you received from your oncologist.

A tissue expander implant reconstruction is the most common method used to reconstruct a breast after a mastectomy. It involves the placement of a temporary implant device, known as a tissue expander, into the mastectomy space. Over time, the tissue expander is filled, expanding the remaining skin and tissues in preparation for placement of the final implant.

I generally place air in my expanders to allow for a more rapid expansion, switching out the air for saline at the end of the expansion process. I use thin sheets of alloderm (acellular dermal matrix) combined with pectoralis muscles for partial muscle coverage, which also allows for quick expansion and better shaping. At the second stage of the procedure, I remove this allograft and completely replace it with an extra thick sheet of alloderm to refine the breast shape.

Latimssimus flap reconstruction with implants is superior for women who prefer to wake up from a mastectomy with a completed or near-completed breast reconstruction. It is specifically beneficial for women who have had a breast lift, reduction surgery, or implants before needing a mastectomy. I use the latissimus muscle (and skin) flap to form a new breast, creating an internal bra out of muscle while placing the implant in. The results can be aesthetically superior to all other methods of reconstruction, and although there is a scar on the back, patient satisfaction is extremely high.

I use a TRAM or DIEP flap reconstruction to recreate a breast at the time of mastectomy (immediate) or any point after a mastectomy (delayed) with abdominal tissue. A DIEP flap reconstruction involves surgically removing tissue from your lower belly, reshaping and attaching it to your chest to form a new breast. TRAM flap reconstruction surgery involves moving a section of your abdominal muscle, along with fat and skin, up to your chest to create a new breast – without cutting the tissue off from its blood supply. 

The perceived downside of a TRAM flap stems from the use of more muscle in the flap transfer and the potential abdominal wall weakness that may occur. However, since I have extensive experience with tummy tucks, my abdominal portion of the TRAM flap is very strong and quite aesthetic. Some surgeons consider the abdominal tissue as an afterthought, whereas I use it as an opportunity to create enhanced aesthetics.

Oncoplastic breast reconstruction is the use of local tissues to reconstruct a breast that is undergoing a lumpectomy or partial mastectomy. During oncoplastic reconstruction, I sculpt the remaining tissue to realign the nipple and areola to restore a more natural breast shape. The other breast is modified as well to create symmetry.

During-surgery

How Long is Breast Reconstruction Recovery Time?

Following your surgery, I will apply gauze or bandages to your incisions and provide you with a support bra to help minimize swelling and support your breasts as they heal. My staff and I will also give you specific instructions to follow, including medications to apply or take, how to care for the surgical site, specific concerns to look for, and when to follow up and come back to my office. Healing may take several weeks depending on the type of reconstruction surgery, but you can usually resume normal activities within six to eight weeks. After the swelling subsides, you will see an improved breast shape, size, and symmetry.
Request a Consultation with
Dr. Spiro today!
Request a Consultation
Request a Breast Reconstruction Consultation in West Orange, NJ