Types Of Breast Reconstruction

Federal law requires that breast reconstruction, including aesthetic changes to the unaffected breast, be covered by insurance. It is important that all women understand that they are entitled to this often life-changing procedure. If only one breast is affected, it alone may be reconstructed. A breast lift, breast reduction, or breast augmentation may be recommended for the opposite breast to improve symmetry between both breasts. It is important to consider all of the reconstruction options available before making a decision.

Tissue Expander & Breast Implant Reconstruction

A tissue expander followed by a breast implant is typically the simplest and quickest form of breast reconstruction utilized in San Luis Obispo County. In this procedure, a tissue expander is placed under the skin, either at the time of the mastectomy or after healing from the mastectomy is complete. Saline solution is then added every few weeks to the expander, stretching the skin as it expands.

When the skin has been sufficiently stretched, the tissue expander is removed at a second surgery and replaced by a permanent silicone or saline breast implant. This second procedure can also include nipple reconstruction and surgery to the unaffected breast to improve symmetry.

Banner media
Women tan top

Latissimus Flap Reconstruction

A latissimus flap is a breast reconstruction procedure that uses muscle and skin from the upper back to create a new breast mound after a mastectomy. An ellipse of skin and the latissimus dorsi muscle is tunneled from the upper back to the mastectomy site to create a reconstructed breast. A tissue expander is then placed under the flap, and saline is added weekly to the expander, stretching the skin as it expands.

When the skin has been sufficiently stretched, the tissue expander is removed at a second surgery and replaced with a permanent silicone or saline breast implant. This second procedure can also include nipple reconstruction and surgery to the unaffected breast to improve symmetry. The advantages of this procedure include less visible scarring on the breast, more protection after radiation, and more soft tissue padding over the implant.

Transverse Rectus Abdominis Myocutaneous (TRAM) Flap Reconstruction

The Transverse Rectus Abdominis Myocutaneous Flap (TRAM flap) is a more involved method of breast reconstruction in San Luis Obispo County that utilizes extra skin and soft tissue (fat) from the lower abdomen, along with one of the rectus abdominis muscles, to create a breast mound. Since this is living tissue, an adequate blood supply must be maintained. The blood supply is contained within the rectus abdominis muscle. A synthetic mesh is placed over the area where the muscle was removed. This strengthens the abdominal wall and minimizes the chance of bulges.

Nipple reconstruction can be performed at a second procedure, along with any surgery to the unaffected breast to improve symmetry.

Patients wishing to have this procedure must stop smoking six weeks prior to and six weeks following the surgery. Failure to comply may result in the death of the flap since it is living tissue.

Your Own Tissue, Naturally Restored

For some patients, breast reconstruction using your own natural tissue may be the preferred option. This approach uses tissue from another area of your body, such as the abdomen, back, or thighs to recreate a natural-looking breast mound. Reconstruction with your own tissue can provide long-lasting, natural results that move and feel like a real breast, and may be a good option for patients who prefer to avoid implants or who are not ideal candidates for implant-based reconstruction.

Dr. Chalekson will discuss whether autologous reconstruction is right for you based on your anatomy, overall health, cancer treatment plan, and personal goals.

tree in a vineyard

Free Muscle Sparing TRAM

A free muscle-sparing flap is constructed with abdominal skin, fat, and a small portion of the rectus muscle. The flap is disconnected from its own blood supply and reconnected to the arteries in the chest.

Background media

Schedule a Consultation

Contact Us

Free Deep Inferior Epigastric Perforator Flap (DIEP)

The DIEP flap is constructed with abdominal skin and fat. The flap is disconnected from its own blood supply and then reconnected to the blood supply in the chest using the deep inferior epigastric artery, vein, and its perforators.

Not only does the skin and fat removed at the time of surgery reconstruct a natural appearing breast, but San Luis Obispo County patients can also benefit from the "tummy tuck" effect it provides.

Consider A San Luis Obispo County Breast Reconstruction After Undergoing A Mastectomy

Every woman who has battled with breast cancer deserves the opportunity to regain a sense of normalcy and confidence in their body. Breast reconstruction in San Luis Obispo County can help this part of the recovery process. Proudly serving patients throughout San Luis Obispo, Templeton, and Paso Robles. If you are considering having a reconstructive procedure, contact Chalekson Plastic Surgery | MedSpa today to speak with our compassionate team of aesthetic experts about your options.

Take the Next Step Schedule a Consultation

If you are considering plastic surgery in San Luis Obispo County, our team can help you understand your options and move toward the outcome that feels right for you. We welcome patients from across California and the United States, including Paso Robles, Atascadero, Templeton, Arroyo Grande, Pismo Beach, Cambria, Santa Barbara, and Santa Maria.

Contact Us
Contact us media
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at +1 805 998 7993.
Contact Us