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Breast reconstruction is a surgical procedure designed to rebuild the shape and appearance of the breast following mastectomy or other breast surgery. For many women, reconstruction is an important step in restoring physical form and supporting emotional recovery after breast cancer treatment. Modern techniques allow for natural-looking results that can be tailored to each patient’s anatomy and preferences.
Dr. Arnold S. Breitbart, MD , performs breast reconstruction for patients in Long Island and Manhattan, NY, with a focus on individualized care and thoughtful surgical planning. His background includes advanced fellowship training in breast reconstruction at Memorial Sloan-Kettering, providing experience in both implant-based and tissue-based techniques. This allows for a comprehensive approach that prioritizes both outcome and long-term comfort.
What Is Breast Reconstruction?
Breast reconstruction is performed to recreate the breast mound after mastectomy using either implants or the patient’s own tissue. The procedure can be done at the time of mastectomy or delayed until a later stage, depending on the patient’s treatment plan and personal preference.
Reconstruction may involve multiple stages, including shaping the breast and later refining details such as the nipple and areola. The goal is to restore a natural contour that aligns with the patient’s body.
Breast Reconstruction Options
There are several approaches to breast reconstruction, each suited to different needs and medical considerations.
Implant-Based Reconstruction
This method involves placing a tissue expander to gradually stretch the skin and create space for a permanent implant.
- A tissue expander is placed during the initial procedure
- The expander is gradually filled over time during office visits
- A second procedure replaces the expander with a permanent implant
- Implants may be saline or silicone
Tissue-Based Reconstruction (TRAM Flap)
This approach uses the patient’s own tissue, typically from the abdominal area, to form a new breast.
- Tissue is transferred from the abdomen to the chest
- The tissue is shaped to create a natural breast contour
- No implant is required
- May be appropriate for patients seeking a more natural feel
Nipple and areola reconstruction are typically performed in a later stage to complete the process.
Who Is a Candidate for Breast Reconstruction?
Breast reconstruction may be considered for patients who have undergone or are planning a mastectomy.
You may be a candidate if you:
- Have had or will undergo breast removal due to cancer
- Are in good overall health
- Want to restore breast shape and symmetry
- Are prepared for a staged surgical process
A consultation helps determine the most appropriate timing and method based on medical history and treatment goals.
Reconstruction Procedure
For implant reconstruction, a tissue expander balloon is first placed in order to stretch the tissues to allow for later placement of an implant. After adequate filling of the balloon during subsequent office visits, a second outpatient surgery is performed, where the tissue expander balloon is removed, and replaced with a permanent implant. Implants can be either saline or silicone.
For reconstruction using a patient’s own tissue, the tissue usually comes from the abdominal region. This procedure, known as the TRAM flap, involves moving tissue from the abdomen to the chest, where it is sculpted to create a new breast. Dr. Breitbart can discuss with you which breast reconstruction option is most appropriate. Nipple and areola reconstruction are performed at a later date to complete the breast reconstruction.
Recovery from Breast Reconstruction
For implant reconstruction, a tissue expander balloon is first placed in order to stretch the tissues to allow for later placement of an implant. After adequate filling of the balloon during subsequent office visits, a second outpatient surgery is performed, where the tissue expander balloon is removed, and replaced with a permanent implant. Implants can be either saline or silicone.
For reconstruction using a patient’s own tissue, the tissue usually comes from the abdominal region. This procedure, known as the TRAM flap, involves moving tissue from the abdomen to the chest, where it is sculpted to create a new breast. Dr. Breitbart can discuss with you which breast reconstruction option is most appropriate. Nipple and areola reconstruction are performed at a later date to complete the breast reconstruction.
Breast Reconstruction FAQs
Why Choose Dr. Arnold S. Breitbart for Breast Reconstruction?
Dr. Arnold S. Breitbart, MD, is a double board-certified plastic surgeon with specialized training in breast reconstruction techniques. His fellowship at Memorial Sloan-Kettering Cancer Center provided extensive experience in both implant-based and autologous tissue reconstruction. He performs procedures in an AAAASF-accredited surgical facility that supports a high level of safety and clinical care. Dr. Breitbart has been recognized by Castle Connolly and Newsday for his work in plastic surgery and maintains active involvement in leading professional organizations. His approach to breast reconstruction focuses on careful planning, coordination with oncology care when needed, and creating results that restore form while respecting each patient’s individual circumstances.
Breast Reconstruction Consultation Long Island, NY
Breast reconstruction can restore breast shape and improve overall balance following mastectomy through a range of surgical options. A detailed consultation allows for evaluation of timing, technique, and individual goals to develop a personalized treatment plan. Patients can explore reconstruction approaches designed to provide natural-looking results through a staged and carefully planned process. To learn more about breast reconstruction with Dr. Arnold S. Breitbart, MD, in Long Island and Manhattan, NY, call (516) 365-3511 to schedule a consultation.
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