Breast Reconstruction Surgery

Davinci plastic surgery | Washington dc | steven p. davison, md

BREAST RECONSTRUCTION CAN BE dONE WITH DIFFERENT TYPES Of FLAPS OR IMPLANTS. Dr. DAVISON ALSO DOES RECONSTRUCTION FOR PATIENTS THAT ARE BRCA POSITIVE.

BREAST RECONSTRUCTION CAN BE dONE WITH DIFFERENT TYPES Of FLAPS OR IMPLANTS. Dr. DAVISON ALSO DOES RECONSTRUCTION FOR PATIENTS THAT ARE BRCA POSITIVE.

IMPLANT BREAST RECONSTRUCTION

Breast Reconstruction is a surgical procedure that creates a new breast after mastectomy…It may or may not involve “implants”…and it can be done immediately after your mastectomy under the same anesthesia - or it can be delayed & be performed at a later time.

Breast Reconstruction won’t recreate the exact look and feel of your natural breast – but using today’s advanced and refined techniques along with new and improved implants – Dr. Davison can reconstruct a breast that looks and feels attractive and natural.

Breast Reconstruction Before and After Photos

Use of implants in Breast Reconstruction is an option chosen by thousands of women every year who undergo a mastectomy.  Today’s breast implants allow for breast reconstruction that can be done under the same anesthesia as your mastectomy – using either silicone or saline implants – so that you wake up with a breast in place. This process usually requires two or more surgeries, but the wonderful results are well worth it for those who choose Breast Reconstruction with Implants.

BENEFITS OF IMPLANT BREAST RECONSTRUCTION:

  • IMPLANT Reconstruction gives you a contoured breast
  • IMPLANT Reconstruction avoids the need for an external prosthesis
  • IMPLANT Reconstruction improves breast symmetry
  • IMPLANT Reconstruction improves self-esteem/body-image for many women
  • IMPLANT Reconstruction can help erase physical reminders of your disease
  • IMPLANT Reconstruction can be done immediately or delayed
  • IMPLANT Reconstruction provides breasts that look & feel natural

WHO IS A GOOD CANDIDATE?

Implant Breast reconstruction is an excellent choice for many patients, but it is not suitable for every patient. Dr. Davison will discuss your options in depth and will what’s best for you during your personal consultation. Typically submuscular implant is suitable for women with early stage cancer, those at high risk for developing cancer and who choose prophylactic surgery and also for small breasted women.  You should also be in otherwise good health and have realistic expectations.

During your consultation -Dr. Davison listens carefully - as this time is critical to developing a clear understanding of your concerns & building a relationship with you.

IMPLANT PROCEDURE:

Implant Breast Reconstruction has variations in techniques and stages of reconstruction. They include:

  • One-Stage Immediate Breast Implant Reconstruction – This may be done at the time of your mastectomy.  After the breast tissue is removed an implant is placed submuscularly to create a new breast mound.  Nipple reconstruction is done 90 days later.
  • Two-Stage (Immediate or Delayed) Implant Breast Reconstruction – occurs as a two-stage procedure starting with the temporary placement of a “tissue expander” which is replaced in a few months with a permanent breast implant. The tissue expander can be put into place immediately after your mastectomy – or the process can be delayed until you are healed and ready to move ahead.
  • Some women are able to undergo One-Stage reconstruction – however most women require Two-Stage Implant Reconstruction – using a tissue expander.

THE PROCEDURES:

  • Mastectomy surgery removes skin and breast tissue – leaving the chest tissues flat and tight. To create a pocket for the permanent implant – a tissue expander is placed under the remaining chest tissues.  This is a balloon like device made from silicone elastic rubber.
  • It is inserted “empty” and over time is slowly filled with sterile saline fluid. This gradual filling (expansion) causes the chest skin to expand and stretch – similar to the abdomen during pregnancy. Often a Biologic tissue barrier is used within the skin to create an internal Bra to cradle the expander.
  • In a few months a pocket has been created into which the permanent implant is placed.
  • This procedure is performed under general anesthesia and takes 1-2 hours.
  • Recovery takes several days.
  • Repeated fillings are done periodically and each expansion filling causes a little tightness and soreness which subsides as the tissue expands – but may last for a week or longer.
  • Implant Placement – is done when the tissue expander is removed in about 3-4 months. 
  • The implant is typically placed submuscularly, through the same incision as used for the expander.  This is done under general anesthesia. Drainage tubes are inserted and left in place until fluids are substantially reduced.
  • Recovery and healing takes time. You may be tired and sore for a few weeks post-surgery, and this can be managed with oral medication.  Sutures are usually absorbable but scarring is permanent. Scars do fade over time.  
  • Activities will be restricted for several weeks while healing takes place.  You must avoid all strenuous activity – including overhead lifting.
  • Follow-Up Appointments are important – make them and keep them!

ABOUT IMPLANTS:
Implants are silicone devices filled with either silicone or saline and are used to reshape your breast or help to create a new breast.  Implants come in different sizes, shapes and have either smooth or textured surfaces.  They have been so improved over the last decade that many women now choose to have older style implants replaced with the newer ones.  For reconstruction following mastectomy or other chest trauma there is an excellent selection from which to choose – and be sure that the implant is right for your needs and goals.

FREQUENTLY ASKED QUESTIONS:

Where Is Implant Breast Reconstruction Surgery Performed?
Dr. Davison performs surgeries in several local hospitals including Georgetown, Sibley and Virginia Hospital – the location of the latest NBCS breast cancer center.

Will Insurance Pay For Implant Breast Reconstruction Surgery?
Most breast reconstruction surgeries are covered.  Symmetry operations on the other breast for prophylactic surgeries are also usually covered.

How Long Does Surgery Take?
This varies with each patient – but it typically takes about several hours and depends on which procedure you’re having done. Dr. Davison will be able to give you a time frame during your consultation. Surgical recovery takes about 1 week and most patients are able to return to full normal activities within 2 weeks.  Complete healing and full recovery occurs over 3-6 months.

What Is Recovery Like After Implant Breast Reconstruction?
Recovery time varies with each patient also – but typically takes 6-12 months.  It is important that you have a responsible adult stay with you after your surgery, and for several days when you get home.

Will I Look Different After Implant Breast Reconstruction Surgery?
You will wake up with breast mounds in place.  Healing takes time – but you will look very natural when healing is complete.  Our goal is to make the post mastectomy transition as smooth as possible.

What Kind Of Implants Will Be Used If Implants Are Needed?
Dr. Davison will help you determine whether saline or silicone implants are the best choice for your lifestyle and needs.

Is Dr. Davison Well Qualified To Do Breast Implant Reconstruction Surgeries?
Dr. Davison is exceptionally experienced, skilled and comfortable in performing the latest – most advanced - microsurgical techniques for autogenous (your own tissue) or implant breast reconstruction.  Dr. Davison has performed hundreds of  breast reconstructions during his career – and he performs them regularly.

WHY CHOOSE A BOARD CERTIFIED SURGEON?
When considering any surgery it is most important to know and trust your surgeon. Dr. Davison is triple board certified and fellowship trained – which means he has specialized training and experience in three subspecialties, and he has met and exceeded the rigorous standards set forth by each board.  To be fellowship trained means that, in addition to his med-school training and residencies, he has had several additional years of specialized surgical training for reconstructive plastic surgery procedures.

At DAVinci – Dr. Davison strives to provide a “patient centric” experience,
combining the supreme elements of art and surgical science.

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Steven P. Davison, MD

Steven P Davison - board certified plastic surgeon

Breast Reconstruction
Plastic Surgeon
Washington, DC and Northern Virginia

Dr. Davison is board certified and fellowship trained with a special interest in breast cancer reconstruction.  His unique and desirable skillset places him in a special league of surgeons who can provide unequaled expertise in full-spectrum plastic and reconstructive surgery.  He is able to effectively deal with other cancers as well, including melanoma and successfully manages many  surgeries of the body, both cosmetic and reconstructive.  Dr. Davison’s interest in breast and body contouring facilitates in his creation of a natural, aesthetic breast that is pleasing to the patient and grants him hundreds of happy patients.