Dr. Champaneria will collaborate with every member of a patient’s mastectomy treatment plan to deliver the optimal results throughout the process. This seamless collaboration and increased reconstruction options are instrumental in helping patients better deal with their diagnosis and treatment. Breast reconstruction surgery is an extremely personal choice and whether the patient decides to proceed with reconstruction immediately following their mastectomy or wait until they are more comfortable moving forward, the Manish C. Champaneria, MD, FACS team will be there to help along the way. Dr. Champaneria has vast experience in many traditional breast reconstruction techniques, as well as newer, innovative treatments.
Things to Consider
The surgical planning for a breast reconstruction typically begins at the same time as the planning for the mastectomy. There are points to consider such as how soon the patient will have the reconstruction and what type of reconstruction technique is best per the surgical case. It will need to be decided whether implants or tissue grafts are used, what type (if any) nipple and areola reconstruction will be used, and other techniques that are specific to the patient’s circumstance. The general goal is to help the patient regain a normal appearance of the breasts as part of the final phase of breast cancer treatment.
Breast Reconstruction Reviews
"I feel very lucky that I was referred to Dr. Champaneria. I was leaning toward having a lumpectomy/radiation after finding I had DCIS on my left breast. At a first consultation, he spent 45 minutes explaining every detail and answered all questions/concerns I had. By the time I left the hospital, I decided to have a mastectomy and breast reconstruction. Dr. Champ and his staff are very personable. At every appointment and at the surgery, he spent time and talked to me making sure I felt comfortable. Going through a cancer diagnosis is a heart wrenching and stressful process, but Dr. Champ made me look forward to a new life again and I feel confident with my new breast."- T. / Healthgrades / Apr 10, 2020
"I am incredibly pleased with my experience with Dr. Champaneria through my treatment for breast cancer. Dr. Champaneria is thoughtful and patient; He took the time to explain all of the options for breast reconstruction to me and my family and even went out of his way to call me when I asked him a few specific questions over email. I especially appreciate that he treated me as an individual, and he considered my situation and lifestyle when recommending the best options for me. His entire team is kind and professional, including the administrative team, nurses, and assistants. I actually looked forward to my appointments at his office, despite the fact I was dealing with breast cancer. I finished my treatment a few months ago, and not only am I healthy and cancer-free, but I am very happy with the results of my reconstruction. I actually look better now that I did before my treatment!"- B.N. / Google / Jan 06, 2020
"I feel so lucky that I was referred to Dr. Champaneria for my breast reconstruction after undergoing preventive mastectomy. At my first consultation, I immediately felt comfort/trust with him and he took plenty of time to give information and to ensure all my own questions/preferences were addressed. All appointments have been this way, never feeling rushed. He is kind, patient, and thorough in each visit. Deciding to have preventive mastectomy was tough, but knowing I had a skillful plastic surgeon certainly helped me to feel more comfortable with my decision. Before the final reconstruction surgery, I had made peace with the fact that I would probably always have slightly disfigured breasts. Dr. Champaneria proved me wrong, as the results I have are so much better than I could have EVER imagined. I feel fully restored. I would absolutely recommend Dr. Champaneria. In addition to how wonderful he is, his staff are equally attentive and appointments were always on time."- Anonymous / Healthgrades / Feb 11, 2020
"I am so pleased with my experience with Dr. Champaneria through my treatment for triple-negative breast cancer. Dr. Campaneria is thoughtful and patient; He took the time to explain all of the options for breast reconstruction to me and my family and even went out of his way to call me when I asked him a few specific questions over email. I especially appreciate that he treated me as an individual, and he considered my situation and lifestyle when recommending the best options for me. His entire team is kind and professional, including the administrative team, nurses, and assistants. I actually looked forward to my appointments at his office, despite the fact I was dealing with breast cancer. I finished my treatment a few months ago, and not only am I healthy and cancer-free, but I am very happy with the results of my reconstruction. I actually look better now that I did before my treatment!"- B. / Healthgrades / Oct 08, 2019
"Dr. Champaneria was absolutely amazing. I truly am grateful for everything he has done for me and help me through all all my ups and downs during my health issues. His staff was just as wonderful and very helpful. I couldn't have been under better care.. The results of my procedures are truly amazing and I couldn't be happier. He was able to save my nipples with his additional training and knowledge on breast reconstruction. He is a genius.."- S. / Healthgrades / Aug 07, 2017
Surgical techniques vary and today, patients are getting more options that can match their personal preferences. It is important to find a highly specialized plastic surgeon to perform breast reconstruction and one who will work with the cancer surgeon to achieve a natural result.
Musculocutaneous flaps take muscle from other areas of the body, like the abdominal muscles, to reconstruct the breast that has been removed. Since muscle does not grow back, muscle flaps can create weakness in the donor site that may limit actions. While muscle flap breast reconstruction may be best for some patients, others may consider microsurgical breast reconstruction techniques that use perforator flaps. These options can be reviewed on the page for microsurgical breast reconstruction.
TRAM flap (Transverse Rectus Abdominis Myocutaneous) reconstruction procedure uses donor muscle, fat and skin from a woman’s abdomen to reconstruct the breast. The flap may either remain attached to the original blood supply and then tunneled up through the chest wall, or be completely detached, and then formed into a breast mound. This breast reconstruction technique is beneficial because the tissue and skin transferred from the abdomen is very similar in softness and look to the breast. Additionally, due to the removal of abdominal skin and tissue, the patient will also receive a tummy tuck, resulting in a tighter stomach.
MS (Muscle Sparring) TRAM uses less muscle than a standard TRAM to create the new breast. The needed muscle, skin, and fat will still be removed from the lower abdomen, but much less muscle is taken. The surgical procedure is similar to a standard TRAM flap surgery.
Latissimus Dorsi Flap
A latissimus dorsi flap procedure uses the skin, fat, muscle, and blood vessels from an area on the back, just below the shoulder. The latissimus dorsi flap breast reconstruction often looks very natural and it is best for women with small to medium sized breasts. If needed or wanted, an implant can be added to the latissimus dorsi flap for additional size and an improved shape.
Reconstruction With Implants
A breast implant can be an addition or alternative to flap techniques. Saline and silicone implants are available for reconstruction. Dr. Champaneria will help each patient decide their best treatment plan. Reconstruction with an implant alone usually requires tissue expansion. Reconstruction with tissue expansion allows an easier recovery than flap procedures, but it is a lengthier reconstruction process. It requires many office visits over 4-6 months after placement of the expander to slowly fill the device through an internal valve to expand the skin. A second surgical procedure will be needed to replace the expander if it is not designed to serve as a permanent implant.
AlloDerm® Regenerative Tissue
AlloDerm Regenerative Tissue Matrix is made from carefully screened donor tissue to help provide extra support that may be needed during breast reconstruction. AlloDerm can be used in a one-stage implant reconstruction or in a two-stage implant reconstruction with tissue expansion. The use of AlloDerm during breast reconstruction helps the new breasts look more natural and feel comfortable. The added framework allows the plastic surgeon more control when forming the breast shape and size.
Breast reconstruction uses general anesthesia, and the patient is often required to stay in a hospital if done simultaneously with the mastectomy. Patients who have flap surgeries sometimes stay up to 5 days for monitoring. There will be discomfort and pain within the first week, and the patient may feel disoriented with the newly formed chest. Temporary drain tubes and bandages are placed to assist in healing. It can be unnerving to go through a major body change; however, patients find it gratifying and relieving that they are able to once again look and feel normal as they start their new journey towards becoming a cancer survivor.
Plan Your Procedure
- Recovery Time
- 2-3 Weeks
- Average Procedure Time
- 2-3 Hours
- Post-op Follow-up
- Procedure Recovery Location
Breast Reconstruction FAQs
With breast reconstruction, a plastic surgeon will work alongside the cancer surgeon and be primarily involved and responsible as it pertains to restoring the appearance. It is a highly specialized surgery so it is critical to choose a plastic surgeon that has years of successful experiences in this type of surgery.
If a patient knows she will want to restore her breasts with a reconstruction procedure, it is recommended that this process begins at the time as the mastectomy. During the breast removal portion, the tissue expanders can be put into place, which eliminates a new surgery. This ultimately decreases the risk for complications.
Because the breast is completely removed and a new one is formed, there will be a loss of sensation. Over time, there is a possibility that this sensation can be slowly regained. This is different for every patient. While some patients regain their sensitivity, there is no guarantee that this will be the case for everyone.