Breast Reconstruction

Breast reconstruction plastic surgery is usually recommended to patients who have cancer and want to retain a natural, feminine look after any cancer-related operation. After your cancer treatment is complete, Dr. Alexandre Charão can offer various options to rebuild the breasts. Since Dr. Alexandre Charão regularly performs breast surgeries, receiving this procedure under his care is very safe. He has a proven high success rate among patients and works hard to understand each patient’s individual needs and aesthetic goals. If breast reconstruction is possible, pre-operative consultations are necessary to determine the type of treatment most suited for you.

Your Initial Consultation

BOOK AN APPOINTMENT

As you are researching breast reconstruction procedures, it is important for you to define your expectations. During your initial consultation, you can discuss various options which will work for your goals and current situation. To help give Dr. Alexandre Charão a clear idea of your desired results, you should send photos of how you would like your breasts to look.

When to Receive Breast Reconstruction

Dr. Alexandre Charão recommends a breast reconstruction procedure as soon as possible. It is important that all chemotherapy and radiation treatments are completed before seeking a breast reconstruction surgery. Usually, patients receive this procedure two years after the cancer is removed. It is important for Dr. Alexandre Charão to have good communication with your doctor to ensure you are ready for the procedure. He will only treat patients with no traces of cancer.

Ideal Patients

Any patient who has discussed breast reconstruction surgery with their oncologist and is cleared to receive it is ready to take this next step. Both the oncologist and Dr. Alexandre Charão will take into consideration the size of the tumor removed, any need for additional extractions, and overall health. Breast reconstruction can be performed immediately after the tumor is removed, which is referred to as immediate reconstruction. As mentioned, some patients decide to wait months or years (late reconstruction) to ensure the cancer is completely gone. The appropriate time will be decided by both the patient and oncologist. You should follow all advice carefully. If there is a chance of tumor recurrence, then this surgery is not recommended. Patients with less tumor aggression will benefit more from receiving a breast reconstruction procedure due to the chance of being fully cured.

How Many Procedures are Necessary?

It is very common to receive three breast reconstruction procedures. The amount of surgery needed all depends on whether or not the areola is removed, and if the breasts are asymmetrical. Other factors include the amount of work needed to produce desired results, and how much material is removed during tumor extraction. The goal of a breast reconstruction surgery is to create two similar breasts. Dr. Alexandre Charão does everything he can to make the breasts look almost identical. If the reconstruction surgery is only performed on the non-treated breast, it is important to consider how radiation affects coloration and elasticity of the treated breast. This breast will more than likely age differently than the non-treated breast. Any patient receiving a breast reconstruction surgery should be aware of these factors which are beyond the surgeon’s control.

Do Both Breasts Need Surgery?

If only one breast receives cancer treatment, the other breast can benefit from a mammoplasty procedure. The work needed on the non-treated breast depends on the volume, sagging, and drooping of the non-treated breast. Again, this is all up to your needs and goals. If a patient’s breasts are overly large, it is not recommended to receive a mammoplasty on the healthy breast. Instead, Dr. Alexandre Charão advises these patients to undergo a breast reduction. For patients who have good size, shape, firmness, and proportions, it is generally not necessary to receive any additional surgery. Dr. Alexandre Charão will use this breast as a model to re-shape the treated breast.

Techniques

There are four methods used for performing a breast reconstruction procedure:

  • Large dorsal (back) muscle: With this technique, part of the skin and back muscle is moved to the mammary region for breast reconstruction. If there is not enough volume in this region, a silicone implant can be used to create a more natural shape to the breasts.
  • Abdominal rectal muscle flap (TRAM): This option consists of removing fat and muscle from the abdomen region which is connected to the breast. Normally there is no need for a silicone implant with this method.
  • Breast Tissue Expander: For placing a long-lasting silicone implant, the region around the implant needs to be expanded. The additional volume is necessary because breast tissue is usually removed turing tumor extraction. Expanding the breast tissue with a serum to gradually stretch the skin. After the ideal size is reached, the expander is removed before placing the silicone implant.
  • Permanent Breast Tissue Expander (BECKER Expander): This device uses a small tube and injection dome and is placed close to the silicone implant. Over time, saline is injected to expand the silicone implant and breast tissue. When the desired size is reached, the tube and dome are removed. The silicone implant remains in place.

Total Cost and Before & After Photos

Congratulations, if you have read this far, then you are really committed to receiving a breast reconstruction procedure. Your next step should be to schedule an initial consultation with Dr. Alexandre Charão. During this 1 hour meeting, he will disclose further details, including total cost. Most international patients can save 50-70% by traveling to Brazil for surgery.

If you would like to see how your body can improve with this procedure, Dr. Alexandre Charão is happy to send you past patient before and after photos via e-mail. You can contact him at alex@plasticrio.com.

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