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Breast Reconstruction (Restoration Mammoplasty, Post-Mastectomy Surgery) – Metairie, New Orleans, LA

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Breast Reconstruction

Aesthetic breast reconstruction is performed to restore the breast(s) to an attractive appearance in shape and size following a lumpectomy or mastectomy after cancer (or for high risk breast cancer patients) utilizing all of our principles we adhere to in cosmetic surgery. Advanced options in reconstructive surgery make it easier for breast cancer patients to feel complete and have breasts that look and feel natural. This surgery can include a few procedures and different stages that may be done at the same time as your breast cancer treatment or delayed until the treatment is complete. New Orleans, LA plastic surgeon Dr. Jules Walters creates an individualized surgical plan with compassion as we help you and your cancer team to restore your appearance and confidence. We work with leading breast oncologic surgeons in the area and are intimately involved from the beginning to help plan the best treatment option for your reconstruction. We also perform advanced Vectra 3D imaging to help us in the planning stages to achieve the best outcome for your newly reconstructed breasts.

Ideal Candidates

Aesthetic breast reconstruction is an extremely personalized surgery. Each patient will be required to have an in-depth consultation appointment with Dr. Walters to create their surgical plan from their concerns, needs, and appropriate techniques. If you are planning to have breast reconstruction surgery, it's vital that you are emotionally prepared for reconstruction and understand realistic expectations for results. While Dr. Walters aims to give you an attractive, natural appearance, your reconstructed breast(s) may not have the same sensations, look, or feel as your original breast(s). You should get approval from your oncology team to undergo reconstruction surgery and talk to Dr. Walters regarding other factors that may impact your recovery.

HIDDEN SCAR TECHNIQUE

There are a variety of surgical techniques available to reconstruct the breasts, mainly utilizing either implants or autologous tissue (flap surgery). Dr. Walters uses the SPY Elite system, imaging technology used during breast reconstruction, to guide him to the most healthy tissue for the best results possible. There are also multiple factors that Dr. Walters looks at when deciding on the technique that will give you your best results. A few of these factors are your specific cancer diagnosis, when the reconstruction is performed, whether you will use implants or natural tissue, and if nipple reconstruction or nipple-sparing is a part of the treatment plan. Scars certainly do matter, and Dr. Walters closely works with the breast oncologic surgeon in deciding the incisions utilized for your breast cancer surgery. Dr. Jules Walters is the FIRST plastic surgeon in the New Orleans area to be a Hidden Scar Breast Reconstruction provider.

Hidden Scar Breast Reconstruction Surgery is an advanced approach to reshaping your breast after a mastectomy procedure. During Hidden Scar Mastectomy and Hidden Scar Breast Reconstruction procedures, the breast surgeon and Dr. Walters will work together to hide your scars. As a result, you have little to no visible reminder of the surgery, your cancer, or your risk of cancer.

In a Hidden Scar Breast Reconstruction procedure, Dr. Walters will reshape your breast to have the natural look and feel that you desire while hiding all of your scars. Your surgeon will use the same incision in the natural crease beneath your breast (inframammary fold) that your breast surgeon used to perform the Hidden Scar Mastectomy procedure. If Dr. Walters and your breast surgeon cannot keep your incision in the natural crease beneath your breast, then a vertical incision or anchor type incision is utlized (all incisions used in cosmetic breast surgery). Horizontal scars on the breast commonly used in reconstructions by other surgeons are not utilized by Dr. Jules Walters. These principles make up the concepts of Aesthetic Breast Reconstruction offered by Dr. Walters.

If microsurgical autologous tissue reconstruction is chosen (flap surgery), Dr. Jules Walters and Dr. Kamran Khoobehi work as a team as these advanced surgeries require two highly skilled reconstructive microsurgeons. With meticulous planning and attention to detail, the goal is to provide you with an Aesthetic Breast Reconstruction.

THE MOST FREQUENT FLAP TECHNIQUES WE OFFER ARE:

  • DIEP Flap

DIEP flap breast reconstruction uses the skin and fat from the lower abdomen in order to shape the new breast. Because muscle tissue is spared in DIEP flap breast reconstruction, the procedure is not as invasive as older methods, and it involves a recovery period similar to a tummy tuck. The DIEP acronym stands for deep inferior epigastric artery perforator and is the most advanced reconstruction performed worldwide. What makes a DIEP flap different with Dr. Walters is low, hidden abdominal incisions, and abdominal results that resemble cosmetic tummy tucks. When performing a DIEP flap, Dr. Walters and Dr. Khoobehi perform equal attention to both the breasts and abdomen to truly give you a transforming result.

  • PAP Flap

Another flap is the profunda artery perforator flap (PAP). This method uses skin and fat from your inner thigh to create your breast(s). The incisions in your thigh will resemble a cosmetic thigh lift.

  • GAP Flap

The GAP (gluteal artery perforator) technique uses skin and fat from the buttocks (either lower buttocks or from the hip area) to reconstruct the breast. This is performed when there is not enough fat or skin in the abdominal or thigh area to be used.

  • Hybrid Stacked Flap

This muscle-sparing technique takes flaps from different sections of your body for breast reconstruction, typically used for women who don't have adequate donor tissue in a single area of their body. A hybrid stacked flap can also be utilized with a small breast implant at the same time to give the flap more projection.

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Hidden Scar

PrePectoral TEchnique

Although flap procedures are a common and highly successful method for breast reconstruction surgery, you may want to rebuild your breast(s) with implants utilizing the most ADVANCED TECHNIQUES.  This technique places a tissue expander above the pectoralis muscle (prepectoral technique) and then gradually fills it with air or saline solution over the next few weeks to stretch the skin naturally. In certain patients, Dr. Walters will perform a Direct-to-Implant technique (DTI) in the prepectoral position, where the breast implant is placed immediately instead of requiring an additional tissue expander step. 

ADVANTAGES OF PREPECTORAL IMPLANT RECONSTRUCTION:

Because the chest muscle isn’t cut:

  • Potentially shorter recovery time
  • Potentially less pain or side effects caused by cutting the chest muscle

Because the implant is placed over the muscle:

  • Surgeon has greater control of shape and form of the breast
  • Flexing your chest muscle will not make the breast implants move in unpleasant, unnatural ways
    • No Animation Deformity

 

ADDITIONAL CONSIDERATIONS

Surgical breast reconstruction is done in several steps. In all phases (like the flap creation, tissue expansion, or implant placement), general anesthesia is always used. Flap surgeries usually require a 3 day stay in the hospital whereas implant or tissue expander placement requires just an overnight stay. Flap surgeries usually involve a 2-4 week recovery where implant reconstruction is much less.  A second stage reconstructive surgery, which is outpatient), is usually performed 3-4 months after your first surgery where the final shaping of your breast(s) is performed.  Fat grafting is utilized in almost all second stage surgeries.  You can further improve the look of your breasts by having areola and nipple reconstruction if you were not able to have a nipple sparing mastectomy. There are several procedures to restore the nipple-areola complex so that it appears more attractive, including 3D nipple tattooing if an additional surgical procedure is not desired. In time, the reconstructed breast(s) should appear more normal so you can feel whole again. Regular check-ups with breast exams with both your breast cancer surgeon and Dr. Walters are important and highly recommended for long-term health.

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Reclaim Your Self-Confidence

Although the process of breast reconstruction can take time, it's probably one of the top beneficial surgeries for our New Orleans, LA patients. Remember it's not just breast reconstruction in our practice; it is Aesthetic Breast Reconstruction. We aim to help improve the physical and emotional impact of breast cancer treatment while also allowing you to boost your figure and self-confidence. If you have breast cancer or have a high risk of developing breast cancer, we encourage you to contact our New Orleans or Metairie, LA office and make an appointment with Dr. Jules Walters.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.