Before & After

BREAST RECONSTRUCTION

     ● Immediate or Delayed 

       Breast Reconstruction

     ● Reconstructive Timeline

     ● DIEP Flap

     ● PAP Flap

     ● Tissue Expanders & Implants

     ● Direct to Implant

     ● Lumpectomy Reconstruction

 

ADDITIONAL PROCEDURES

     ● Nipple Reconstruction

     ● Symmetry Surgery

     ● Breast Fat Grafting

     ● Revision Surgery

     ● Lymphedema Surgery

 

SPECIAL CONSIDERATIONS

     ● Choosing Not to Have

       Reconstruction

     ● Young Women with Breast

       Cancer

     ● Patients with High BMI

     ● BRCA 1 & BRCA 2

     ● Advanced Breast Cancer

 

BREAST CANCER

     ● Lumpectomy or Mastectomy

     ● Skin Sparing Mastectomy

     ● Nipple Sparing Mastectomy

     ● Prophylactic Mastectomy

     ● Radiation Therapy

     ● Chemotherapy

     ● Hormone Therapy

 

 

 

BRCA 1 & BRCA 2

Mutations in the BRCA 1 and BRCA 2 genes impair your body’s ability to repair DNA and put you at a higher risk for developing breast and ovarian cancer.  Following a discussion with your geneticist, gynecologist, and breast surgeon you may elect to undergo a bilateral prophylactic mastectomy and removal of ovaries.  Although the technical aspect of performing breast reconstruction in women with BRCA 1 and BRCA 2 mutations are similar to those without the mutation, there are special considerations when planning the timing of the breast reconstruction with the timing of removing the ovaries.  In many instances the procedures can be combined to decrease the total number of operations that you will need to undergo.

Copyright © Wojciech Dec, M.D.    |   100 East 77th Street • New York, NY 10075    |    (212) 390-8400