What happens during the procedure?
The patient will be operated under general anesthesia during mastectomy and immediate reconstruction. Dr. Monika will make an oval-shaped incision over the nipple area. In some people with early breast cancers, the nipple can be preserved on the breast (nipple-sparing mastectomy), in which patient’s own nipple may be preserved. This is done by using incisions at the bottom of the breast or near the nipple.
Sometimes, surgeon perform flap surgery to reconstruct the breast where a piece of tissue comprising of skin, fat, blood vessels, and occasionally, muscle is taken from elsewhere in a woman’s body (mostly from abdomen, back or thigh) and used to reshape the breast.
In some cases, the patient and the surgeon might choose to reconstruct the breast using implants. Most mastectomies are performed using a procedure called skin-sparing mastectomy, in which much of the breast skin is saved for use in reconstructing the breast. Implants are inserted below the skin or chest muscle after the mastectomy.
After the chest heals from reconstruction surgery and the position of the breast mound on the chest wall has had time to stabilize, a surgeon can reconstruct the nipple and areola.