Natural Breast Reconstruction

Sep 19, 2019
 Natural Breast Reconstruction
After a mastectomy, it's best to know all the options that are available to you and to make the right choice for your body and your needs. We want to see you first and talk about all of your options, of course.

After a mastectomy, it's best to know all the options that are available to you and to make the right choice for your body and your needs. We want to see you first and talk about all of your options, of course. But Natural Breast Reconstruction is one of those options that offers its own path. Let's visit all of these options together.

It is our passion to be here for you in your journey. From the very beginning we want to be here with support, care, and knowledge. Your journey, your needs, and your recovery are just as unique as you are. Helping you along this journey and keeping you informed and comfortable to the options readily available to you is your choice and our main focus. Having another choice is always important. As you've gone on this journey with your doctors, nurses, and support team, I'm sure you have researched, had questions, learned a lot, and searched for more options since your diagnosis.

Making smart, healthy, and informed choices dealing with your body through this process is incredibly important. As your journey continues, you'll also need to continue to make decisions. This could include making choices as you're possibly facing a mastectomy. There are many options out there for you, and the choice varies personally from patient to patient and what their needs are. You might be looking at hidden scar surgery, nipple-sparing mastectomy, implant reconstruction, or natural reconstruction. Know your options and what is best for your body and your needs.

As we continue our journey with these blogs, let's talk about natural reconstruction. This procedure takes tissue from your body (like your stomach, thighs, back, or buttocks) and creates the reconstructed breast. The tissue used in this procedure is called a "flap", and there are a handful of different flap surgeries available to you. One is called a Free Flap. This removes tissue from its original blood vessels and is moved to your chest. This type of flap procedure requires your plastic surgeon to be skilled in microsurgery, which allows the surgeon to attach the blood vessels from the tissue flap to the blood vessels in the chest at its new location. This allows the tissue to receive the correct amount of blood supply it needs to thrive. The tissue is then formed into the shape of a breast and is stitched into place.

Another choice is called a pedicled flap. This allows the tissue to remain attached to its original blood vessels and is moved under your skin to your chest. Once it is moved to your chest, it too is formed and stitched into place. The newly reconstructed breast will have little sensation as you find with implant surgery. One of the plus sides of a flap procedure is that the tissue used is from parts of the body that are similar to breast tissue and feels very natural.

This natural type of breast reconstruction has become very popular over the years because it usually lasts a lifetime. After 10 to 20 years implants need to be replaced. After your mastectomy, and before you make any decisions on breast reconstruction surgery, we want our patients to visit with us first before making any decision on what's next. You have time after your surgery to decide what's next for you, the decision does not need to be made right away.

Depending on where the flap tissue comes from, there are different names for each type. These are some examples.

Flap Tissue from your Belly

  • DIEP Flap
  • SIEA Flap
  • TRAM Flap

Many who choose this type of flap feel like this procedure is like getting a tummy tuck along with breast reconstruction. 

Flap Tissue from your Back

  • Latissimus Dorsi Flap

This version of flap usually requires the use of implants too, so it is not totally natural. 

Flap Tissue from the HiP/Buttocks

  • IGAP Flap
  • SGAP Flap/Hip Flap

Flap Tissue from your Thighs

  • PAP Flap
  • TUG Flap

Picking the best flap for you all depends on your body type, breast size, if you plan on getting pregnant in the future, guidance from your surgeon and doctor, and what hospitals and surgeons are available to you. This procedure and the process it takes to decide is unique to your body, your lifestyle, and what you want your life to be. We are here to help guide and support you through this decision. Please don't hesitate to explore our website to learn more or contact us for more information. Today, as always, we celebrate YOU!