Dr. Koumanis is an expert at breast reconstruction with over 14 years of experience performing advanced techniques to restore the female breast after mastectomy. In the following section, frequently asked questions will be answered involving breast reconstruction using implants and also your own tissue.
IMPLANT BREAST RECONSTRUCTION
What is Breast Reconstruction?
Breast reconstruction is the use of autologous tissue (i.e. your own tissue), breast implants, or a combination of the two in order to restore the shape of ones’ breasts.
How many surgeries does it take to achieve final results?
It takes approximately 2-3 surgeries to achieve the final results. It depends if your mastectomy surgeon will be performing a nipple sparing approach or whether the tumor is close to the nipple ducts and therefore must be taken. The third and final step in reconstruction is to make nipple flaps. If a nipple sparing approach is used nipple flaps are not needed.
What happens in each step?
The first step involves the mastectomy. After the mastectomy and at the same anesthesia setting Dr. Koumanis will take a tissue expander first and wrap it with Alloderm (cadaveric acellular dermal skin) and place it either behind the pectoralis muscle of the chest or above it, wrapping the front/anterior surface of the tissue expander. Then 2 drains are put in each breast pocket to help drain fluid in the postoperative period. The drains stay in between 1-2 weeks usually.