Breast cancer survivors, who have had a mastectomy as part of their aggressive cancer treatment, or patients who have had their breasts surgically removed due to trauma or injury, may opt to have breast reconstruction surgery to restore their bust line. Board-certified plastic surgeon, Dr. Jeffrey LaGrasso, offers a number of reconstructive procedures, especially for women desiring to have plastic surgery immediately after their mastectomy. No matter what stage of planning you are in, Dr. LaGrasso will consult with you, and advise you on the best approach to take. By visiting us at our Miami, FL practice, you will plan your treatment alongside Dr. LaGrasso, and he will also take into consideration what your breast or general surgeon recommends as well. Every surgical case will vary, however, we do our best to provide you with a positive experience. Call for a consultation today.
"The best doctor ever - loved the work he did - I did my bbl with dr Jeffrey and my breast augmentation, I don’t even know where to start I would just say thank you dr for being so amazing, he made me feel so comfortable for surgery very knowledgeable of everything I would ask polite, he was in no hurry kept asking me if I had any questions, and his bless his hands not only do I look amazing but omg I had no pain whatsoever for both of my surgeries I didn’t have to take pain killers at all for fat transfer the only thing that hurt me as the massage at first which is normal but I was amazed how I had zero pain after my breast augmentation hands down best dr that my cosmetics will ever have."- A. / RealSelf / Mar 05, 2021
"Going In! I Have Surgery on Monday. - After 4 years of considering, and planning... I'm finally scheduled for this Monday with Doctor Jeffrey Lagrass. I'm very nervous and excited. I'm doing this alone and will be staying at a recovery home. I just got divorced a few months ago and now jumping into this. Not sure if it's too soon after a divorce but I really want this. I feel I'll gain all my confidence back."- A. / RealSelf / Jan 16, 2021
"Amazing! Dr. Jeffrey is the greatest - I had a mommy makeover a little over 2 months ago and I loved every bit of it. My Coordinator Rosa was the best, truly the best. Dr. Jeffrey is the greatest, the best doctor. I had Lipo on 12 areas, Lipo on my arms, tummy tuck, breast lift (no implants) and bbl. I had no pain at all, ever. I felt like I had been to the gym for the first time ever (sore) but no pain. I would do it a million times over if I had to."- H. / RealSelf / Jan 07, 2021
"Excelente Doctor Amo Mis Resultados - Es un excelente doctor me encantaron mis resultados yo me abia echo lipo transferencia con otro doctor acá en Arizona y tuve q ir con Jefrey a q me arreglara y el desastre q me abian echo y me dejo perfecta amo mi doctor"- Y. / RealSelf / Aug 24, 2020
"He Takes the Time with the Patient - He takes the time to explain everything before the surgery and I will update my review a soon I see the results - my surgery was 7/17 - he was attentive like after he left the room I feel relaxed- in the beginning i was scared - he ask me like 3 times no more questions? And I was like No thanks - Im just ready for the surgery AND EVEN I SEE HIM AT THE LAST MINUTE BEFORE THEY DO THE ANESTHESIA. How cool -"- V. / RealSelf / Jul 18, 2020
Surgical techniques vary and today, patients are getting more options that can match their personal preferences. It is important to find a highly specialized plastic surgeon to perform breast reconstruction and one who will work with the cancer surgeon to achieve a natural result.
Reconstruction With Implants
Breast implants are a common method used with a reconstruction procedure. When implants are being considered, the reconstruction process is usually performed in a multi-stage treatment session. A tissue expander is placed in between the chest muscle and the skin during the mastectomy. This expander will be gradually filled with a saline solution to expand the skin and eventually replace it with an implant. Sometimes, the saline-filled expander is retained instead of an implant.
Flap procedures harvest skin and muscle tissue from donor sites and transfer it to the breast. The surgeon may choose between one of the following common techniques:
- TRAM flap involves grafting skin and muscle tissues on the lower part of the abdomen.
- DIEP and SIEA flap graft tissue from the lower part of the abdomen, but harvests only the skin and fat tissues instead of muscles.
- Latissimus Dorsi flap uses skin and muscle tissues from the upper back.
- GAP flap uses skin, fat and muscle tissues from the buttocks area.
- TUG flap harvests skin, fat and muscle tissues from the inner thighs near the buttocks area.
When a breast is surgically removed, the nipple and areola are not spared. To recreate this area, skin and muscle tissues are grafted and formed to look like a nipple while the areola is achieved by tattooing. This is done when the breast reconstruction has fully healed.
Breast reconstruction uses general anesthesia, and the patient is often required to stay in a hospital if done simultaneously with the mastectomy. Patients who have flap surgeries sometimes stay up to 5 days for monitoring. There will be discomfort and pain within the first week, and the patient may feel disoriented with the newly formed chest. Temporary drain tubes and bandages are placed to assist in healing. It can be unnerving to go through a major body change; however, patients find it gratifying and relieving that they are able to once again look and feel normal as they start their new journey towards becoming a cancer survivor.
Things to Consider
The surgical planning for a breast reconstruction typically begins at the same time as the planning for the mastectomy. There are points to consider such as how soon the patient will have the reconstruction and what type of reconstruction technique is best per the surgical case. It will need to be decided whether implants or tissue grafts are used, what type (if any) nipple and areola reconstruction will be used, and other techniques that are specific to the patient’s circumstance. The general goal is to help the patient regain a normal appearance of the breasts as part of the final phase of breast cancer treatment.
Plan Your Procedure
- Procedure Recovery Location
Breast Reconstruction FAQs
With breast reconstruction, a plastic surgeon will work alongside the cancer surgeon and be primarily involved and responsible as it pertains to restoring the appearance. It is a highly specialized surgery so it is critical to choose a plastic surgeon that has years of successful experiences in this type of surgery.
If a patient knows she will want to restore her breasts with a reconstruction procedure, it is recommended that this process begins at the time as the mastectomy. During the breast removal portion, the tissue expanders can be put into place, which eliminates a new surgery. This ultimately decreases the risk for complications.
Because the breast is completely removed and a new one is formed, there will be a loss of sensation. Over time, there is a possibility that this sensation can be slowly regained. This is different for every patient. While some patients regain their sensitivity, there is no guarantee that this will be the case for everyone.