Breast Reconstruction Chicago
At Plastic Surgery Clinic of Chicago, breast reconstruction is a very common procedure. Breast reconstruction is a broad term used to describe surgical procedures developed by plastic surgeons to reconstruct the female breast after breast cancer treatment. During breast cancer treatment, patients will have a surgery that removes all or a portion of the breast. The nipple and areola may also be removed during the cancer treatment. Immediately after the breast cancer surgery, the plastic surgeon may reconstruct the breast using implants, expanders, or the patient’s own abdominal tissue to rebuild the breast. The goal of breast reconstruction surgery is to recreate a breast and restore the female breast in form, to achieve symmetry of the bilateral breasts. Additionally, the goal of breast reconstruction surgery is to improve a patient’s self-image and self-confidence after breast cancer treatment.
Breast reconstruction surgery encompasses a wide range of procedures. The procedures range from fat transfer to the breast, direct implant placement, tissue expander, and implant placement, and flap reconstruction with the patient’s own tissue. during your consultation appointment, your Chicago breast reconstruction surgeon will discuss the different techniques and options available.
AM I A CANDIDATE FOR BREAST RECONSTRUCTION?
If you have had breast cancer treatment and have asymmetries of the breast, you may be a good candidate for breast reconstruction surgery. Patients should be in overall good health and not be actively smoking.
A breast reconstruction can also help to correct:
- Breast asymmetries after breast cancer treatment
- Absent breast after mastectomy surgery
- Absent nipple and areola after breast cancer treatment
If any of these factors apply to you, you may be a good candidate for a Chicago breast reconstruction. Ideal candidates should be in generally favorable health and non-smokers.
WHAT TO EXPECT FROM A CONSULTATION
At the Plastic Surgery Clinic of Chicago, we understand that decreased self-image and confidence can affect more than just the perception of oneself, but the quality of life as well. The motivations for breast reconstruction can be varied, but our goal is to help each patient both look and feel like the best version of themselves.
During a consultation at our practice, a board-certified plastic surgeon, certified by the American Board of Plastic Surgery, will discuss your reconstructive goals and review your medical history to ensure that you are a good candidate for a breast reconstruction. Be prepared to discuss any past surgeries and other medical issues related to your breasts.
The plastic surgeon will examine your upper body and take measurements of your breasts for size, shape, skin quality, and nipple position. Photographs are usually taken at this stage so that your plastic surgeon can perform a full evaluation and work with you to determine the best course of treatment to reach your ideal reconstructive goals.
If you have any questions about results, recovery, potential risks, or any other factors, the consultation is the best time to discuss these with your plastic surgeon.
HOW BREAST RECONSTRUCTION IS PERFORMED
There are many techniques available for breast reconstruction. For patients with small asymmetries of the breast, for example from a lumpectomy procedure, fat grafting is an option. In this procedure, fat is taken from one site and transferred to the deficient area of the breast to restore volume and symmetry. For patients who have had a mastectomy, the breast can be reconstructed with an implant or the patient’s own tissue. When an implant based reconstruction is chosen, in certain situations, the implant is placed immediately to reconstruct the breast. In other situations, a balloon-like device or tissue expander has to be placed to expand the breast skin to accommodate an implant. An alternative option is using the patient’s abdominal tissue to rebuild and reconstruct the breast without the use of an implant. This option is the most complex and requires a longer hospital stay.
After the mastectomy procedure is performed by the breast surgeon, your plastic surgeon will then reconstruct the breast with an expander or implant. Sometimes, a biologic tissue substitute is placed to help support the implant and breast skin during the reconstruction. If the patient has opted for a reconstruction using one’s own tissue, then abdominal tissue is used to rebuild or reconstruct the breast (DIEP flap). During this procedure, the abdominal tissue is transplanted to the chest with its own artery and vein. A microscope and suture smaller than a human hair is used to put the artery and vein back together. Once the reconstruction is performed, drains may be placed and the incisions are closed. For implant-based reconstructions, the patient may stay in the hospital for a few days. For the flap based reconstruction, the patient may stay in the hospital for 5-7 days.
RECOVERY AFTER BREAST RECONSTRUCTION
Swelling and bruising of the breasts and incision sites are normal in the weeks following the procedure. Usually an elastic bandage or support bra is necessary to maintain support while the breasts heal. A drain may be placed at the incision sites after surgery to remove any excess fluid.
Your plastic surgeon will prescribe pain medication and issue post-surgical care instructions to ensure a safe recovery. You should avoid any rigorous exercise or exertion until your doctor clears you to return to your normal level of activity.
POTENTIAL RISKS OF BREAST RECONSTRUCTION
There are known risks and potential complications associated with breast reconstruction surgery. Risks commonly associated with breast reconstruction may include:
- Infection
- Hematoma (blood clot)
- Implant related infection
- Loss of flap
- Fluid accumulation
- Scarring
- Breast asymmetry
The Plastic Surgery Clinic of Chicago takes every measure to minimize risk by using only the safest, most innovative techniques in aesthetic and reconstructive breast surgery. You can also reduce potential complications by carefully following all instructions from your plastic surgeon, both before and after the procedure.
WHAT DOES BREAST RECONSTRUCTION COST IN CHICAGO?
Health insurance carriers will cover the cost of breast reconstruction surgery and therefore the out of pocket cost to you the patient depends on the individual health plan. Be sure to speak with your health insurance carrier about all associated costs prior to your consultation and surgery.
SCHEDULE A CONSULTATION
If you have been diagnosed with breast cancer and are interested in breast reconstruction surgery, call the Plastic Surgery Clinic of Chicago to schedule a consultation. A board-certified plastic surgeon will speak with you about your reconstructive and aesthetic goals and discuss all treatment options available.
All surgical procedures by the Plastic Surgery Clinic of Chicago are performed at top hospitals in Chicago and CMS or AAAASF-certified surgical centers for safety.
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Happy for this patient and her 6 week post-operative result from a breast augmentation. We placed a 400 cc gel implant, in a sub-muscular plane, and through a periareolar incision. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #breastaugmentation #gelimplants #mastopexy #gummybear #chicago #chicagoplasticsurgery
Happy for this patient and her transformation. This patient is transfemale who underwent facial feminization. Can you tell what surgeries were performed? Still have to perform the tracheal shave. Posted with permission.
#plasticsurgery #plasticsurgeon #craniofacialsurgery #FFS #facialfeminization #chicago #chicagoplasticsurgery
6 month follow-up on a mastopexy augmentation case. The patient’s goals were to have her breasts lifted and the volume restored after pregnancy. No patient has perfectly symmetric breasts, which is normal. This case was challenging because of the asymmetries of the nipples; trying to lift, augment, and level the nipples all at the same time is difficult. Many variables to control but the post-operative photos demonstrate improved symmetry with all of the patient’s goals achieved. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #breastaugmentation #mastopexy #breastlift #gummybear #chicago #chicagoplasticsurgery
6 month follow-up on a challenging revision rhinoplasty case. The patient had 3 prior rhinoplasty surgeries by another surgeon and was not happy with the aesthetics of the dorsum or tip. In the pre-operative profile views, you can see a dorsal hump, under-projected tip, and abnormal alar-columellar relationship. On frontal view, there are asymmetries of the dorsal aesthetic lines and C-shape deviation of the nose. The goal of the surgery was to make the nose straighter, improve the dorsum and tip proportions, increase tip projection, and improve the alar-columellar relationship. Look closely at the post-operative profile views and how the tip, nostril and columella appear. Posted with permission.
#plasticsugery #plasticsurgeon #cosmeticsurgery #rhinoplasty #revisionrhinoplasty #chicago #chicagoplasticsurgery
Many ways to do a breast augmentation but the periareolar incision is a great option because the scar becomes imperceptible as the scar matures. This patient is 6 months out from a breast augmentation and the access incision we made was at the bottom border of the nipple areolar complex. It’s hard to see the scar at this point and the scar gets even better at the 12-18 month mark. Also, nipple sensation is unaffected after surgery. The other incisions that plastic surgeons use include an incision underneath the breast, at the breast fold, or the armpit. Each incision has their pros and cons but the periareolar is my preferred approach.
#plasticsurgeon #plasticsurgery #breastaugmentation #gummybearimplants #breastimplants #chicago #chicagoplasticsurgery #cosmeticsurgery
Challenging #gynecomastia case where the patient had grade 2/3 gynecomastia or male breasts with excess skin and significant asymmetries. The challenging part of this case relates to how to manage the excess skin and achieve a symmetric result. Do you remove the excess skin which will leave scars or try to contract the skin with minimally invasive techniques? In this case I performed liposuction, removed the breast tissue through a nipple incision, and performed #Renuvion to facilitate contraction of the skin. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #gynecomastia #liposuction #Renuvion #chicago #chicagoplasticsurgery
Nasal reconstruction for a patient who had a full thickness defect or hole of the left nostril after Mohs surgery to remove a basal cell carcinoma. The patient was missing all three layers of the nose and if you look closely, you can see into the nose and visualize the septum. We re-built the nose using tissue from his forehead or a #forehead flap. In the post-operative photos, you can see a nice reconstruction of the nostril with restored form and function. Additionally, the reconstructed side is symmetric with the unaffected side. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #rhinoplasty #nasalreconstruction #chicago #chicagoplasticsurgery
3 month follow-up on this patient who wanted improvement in the projection of her chin and definition of the jawline. The patient has retrogenia or a small chin and underwent #chinaugmentation with a #genioplasty. In the pre-operative photos, you can see the chin is short and recessed and therefore I moved the chin forward and down. In the post-operative photos you can see improvement in the projection of the chin, a more defined jawline and neck, and a more balanced lower 1/3 of the face. This case highlights the advantages of a genioplasty versus a chin implant, a chin implant cannot lengthen and advance the chin to the same extent that a genioplasty can. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #genioplasty #chinaugmentation #craniofacialsurgery #chicago #chicagoplasticsurgery
Gym or surgery? This patient underwent hi-def liposuction or abdominal etching to improve the contour of the abdomen and to define the abdominal muscles. In the post-operative photos, the patient has natural washboard abs. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #abdominaletching #hidefliposuction #liposculpture #liposuction #chicago #chicagoplasticsurgery
Long term follow-up on a revision mastopexy augmentation case. The patient had a previous augmentation with gel implants and wanted the implants removed, breasts lifted, and re-augmented with fat but downsized. The patient underwent explantation of the implants, a capsulectomy, a breast lift, and fat transfer to augment the breasts. In the post-operative photos, you can see the breast/nipples are lifted to a more aesthetic position and we were able to maintain volume, although smaller, with fat transfer alone. This patient has a very natural result using only fat from her abdomen to restore volume. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #breastlift #breastaugmentation #mommymakeover #fattransfer #chicago #chicagoplasticsurgery
1 year follow-up on a primary rhinoplasty. This patient’s goals were a straighter profile, smaller and more refined tip, and a nose that was not drastically different. In the post-operative photos you can see the dorsal hump was removed and the nasal bones narrowed, the tip was refined, rotated, and projected more. Overall, still her nose but more refined and aesthetic. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #rhinoplasty #nosejob #chicago #chicagoplasticsurgery
Early follow-up on a #facialmasculinization surgery for a trans male who wanted to improve the contour of the lower 1/3 of the face and neck. The patient underwent a sliding #genioplasty, custom #mandibularimplants, and #neckliposuction to achieve his goals. We used computer software to design the cuts in the bone and #3Dprinting to make the custom mandibular implants. Can you see the improved contour of the chin, jawline, and neck in the post-operative photos? Posted with permission.
#plasticsurgery #plasticsurgeon #craniofacialsurgery #genioplasty #chinimplants #facialimplants #facialmasculinization #chicago #chicagoplasticsurgery
1 year follow-up on a patient who wanted fuller and more symmetric breasts after having deflation with pregnancy. The patient is athletic and therefore it was very important to her to have a smaller augmentation that appeared natural. The patient underwent a breast augmentation with gel implants (250 cc) through a periareaolar incision and in a submuscular plane. Posted with permission.
#plasticsurgery #plasticsurgeon #breastaugmentation #gummybear #breastlift #cosmeticsurgery #chicago #chicagoplasticsurgery
This patient had a full thickness nasal defect of the left nostril after a skin cancer was removed by our Dermatology colleagues. Even though the wound is relatively small, this is a challenging reconstruction because all layers of the nose have to be rebuilt without making the reconstructed area bulky and noticeable. Also, you have to make the area strong enough so that the nostril doesn’t collapse as the area heals and scars. Posted with permission.
#plasticsurgery #plasticsurgeon #skincancer #nasalreconstruction #nosejob #rhinoplasty #chicago #chicagoplasticsurgery
A 1 year follow-up on a patient who wanted a rhinoplasty to remove the dorsal hump and improve the aesthetics of her tip. In this case the dorsal hump was removed, the nose made straighter, the tip refined, and the tip rotated and projected more. Her new nose fits her face without overtly changing the ethnic features of her face. Posted with permission.
#plasticsurgery #plasticsurgeon #rhinoplasty #ethnicrhinoplasty #nosejob #cosmeticsurgery #chicago #chicagoplasticsurgery
Proud of our research team for getting this important manuscript published in the #1 plastic surgery journal in the world. In this study, we looked at the published literature to develop guidelines on how to treat visual impairments related to droopy eyelids and excess skin of the eyelids.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #blepharoplasty #eyelidlift #chicago #chicagoplasticsurgery
Happy for this patient who underwent full facial rejuvenation surgery, which included a brow lift, upper/lower blepharoplasty, facelift, neck lift, and facial fat transfer. How much younger does he look now? Posted with permission.
#plasticsurgery #plasticsurgeon #facelift #necklift #blepharoplasty #eyelidlift #browlift #fattransfer #chicago #chicagoplasticsurgery
Amazing transformation for this lovely patient who wanted to have fuller, more symmetric, youthful, and natural breasts. The patient underwent a #breastaugmentation with gel implants. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #breastaugmentation #gelimplants #gummybearimplants #chicago #chicagoplasticsurgery
One year follow-up on a #BBL or Brazilian butt lift. As you can see from the post-operative photos, the fat that is transferred stays and is permanent. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #BBL #360degreeliposcution #liposuction #chicago #chicagoplasticsurgery
Male patient in his late 60’s who was able to turn back the clock after undergoing a #facelift, #neck lift, #blepharoplasty, and #fattransfer. Pay close attention to the “bags” underneath the eyes, the jawline, and neck. The scars have healed nicely and are inconspicuous even with short hair. In the post-operative photos, the patient has maintained his natural facial features and anatomy, but just looks like a more youthful version of himself. Posted with permission.
#plasticsurgery #plasticsurgeon #cosmeticsurgery #facelift #necklift #blepharoplasty #chicago #chicagoplasticsurgery