The most common reason for breast reconstruction in Boston is a woman’s desire to rebuild the breasts after a mastectomy. Additional reasons for breast reconstruction include an injury or trauma, illness or a congenital defect.
Breast Reconstruction with Dr. Montilla
In the aftermath of breast cancer, Dr. Montilla has helped many women regain a sense of dignity and pride in their appearance by creating breasts that both look and feel highly natural. Research has shown that breast reconstruction often has a positive impact, both emotionally and mentally, providing a sense of closure as well as hope.
Dr. Montilla can begin breast reconstruction at the same time as mastectomy, or he can delay the reconstruction for a later date. It’s important that you discuss reconstruction with your mastectomy surgeon so he or she can use the proper techniques. Note that our breast reconstruction in Worcester is an option whether you have a full mastectomy or just a partial one.
Options for reconstruction
Dr. Montilla can perform breast reconstruction either with implants or through the fat transfer process. With fat transfer, fat is taken from a donor area where it is unwanted (such as the thighs, belly or hips). It is purified and sterilized, and then is injected into the breasts to build volume naturally. Dr. Montilla will help you to determine the best method for reconstruction during your confidential consultation in Greater Boston Area or Worcester.
Reconstruction with implants
Dr. Montilla will use either saline or silicone implants placed under the pec muscles. If the skin is too tight, Dr. Montilla will need to use a tissue expander first in order to create the proper capsule to house the implant. The next step will be for Dr. Montilla to reconstruct the nipples, and finally apply an areola tattoo, creating the most authentic-looking breasts possible.
In some cases, he may also apply an acellular dermal matrix (ADM) made of human cells to create a scaffolding on which the implants can rest. Fat transfer may be used to create more natural-looking edges around the reconstructed breasts.
Reconstruction with tissue flaps
During this approach, Dr. Montilla will use the patient’s own fat, tissue and muscle to create a flap that resembles the breast mound. Tissue is taken from the thighs, back, belly or buttocks to create the flaps, and the blood vessels are reconnected within the chest to ensure blood flow to the new breast mounds.
Types of flaps:
- TRAM flap (transverse rectus abdominus myocutaneous flap): Skin and fat are harvested from the lower abdominals and the rectus muscle.
- LD flap (latissimus dorsi myocutaneous flap): Tissue is taken from the upper back. This procedure can be used alone to reconstruct the breasts, and is a good option for those who don’t qualify for fat transfer.
- DIEP flap (deep inferior epigastric perforator flap): Tissue is taken from the belly to reconstruct the breasts.
- SGAP flap (superior gluteral artery perforator flap): In this case, skin and fat are harvested from the glutes.
- TUG flap (transverse upper gracilis free flap): The TUG flap uses fat and skin from the thighs for reconstruction.
- SIEA flap (superficial inferior epigastric artery flap): Fat and skin are taken from the lower belly.
Getting started with breast reconstruction
If you are in the Greater Boston Area or Worcester areas and would like to learn more about our breast reconstruction in the Greater Boston Area, please contact Montilla Plastic Surgery today to set up your confidential consultation in the privacy and comfort of his luxury office suites.
During this initial session, Dr. Montilla will examine you physically, review your medical and surgical history, and take the time needed to answer all your questions in depth, including those regarding what type of reconstruction options are available; costs, financing and insurance; risks and benefits; recovery and downtime; and what you can realistically expect from your final outcome.
Dr. Montilla - A Surgeon Focused on Others
In everything he does, Dr. Montilla applies himself to the betterment of others. To illustrate this, he applies his own hard-fought talent to various non-profit organizations. Primarily, he is a member of Surgicorps International, an organization that sends medical missions to communities devoid of medical assistance. He helps repair cleft lips and palates in children, allowing them to live a life free from embarrassing or debilitating deformities.
Seek care from a surgeon who truly puts others first. Call Montilla Plastic Surgery to schedule your consultation.