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Chapter 2

Immediate Breast Reconstruction

With immediate reconstruction, the breast is removed and simultaneously reconstructed, or at least the beginnings of reconstruction will be carried out. This is done with either an inflatable medical balloon, which stretches the remaining available tissues, an internal permanent prosthesis (silicone gel or saline-filled implant) or with tissue transfer, which will be discussed later on. The main advantages of this technique, if available for you, are in the economy of time due to the reduction in the overall number of operations and its positive effect on your psychological outlook. The period of mourning and depression often experienced with mastectomy is markedly diminished once the breast restoration has begun. Likewise, the sense of loss associated with the mastectomy is shortened, and in many cases not experienced, as the substitute breast has already taken its place. The ability to get on with your life and potentially reduce the overall number of operations also makes this an attractive alternative. Additional procedures may follow to refine the breast shape, exchange implants, alter the opposite breast to give better symmetry, or to build a nipple and areola. Immediate reconstruction allows the plastic surgeon to work with the general surgeon in designing the best and most appropriately shaped breast at the time of the mastectomy.

As the reconstruction starts immediately after the mastectomy, this adds to the overall operating and anesthesia time. However, it does reduce the total number of operations. At the conclusion of these procedures your surgeons will be concerned not only with the healing of the mastectomy site, but also with the progress of the newly restored breast. Despite being a valuable option, not all women are good candidates for immediate reconstruction. Factors such as the size and extent of your breast cancer as well as your overall general health may make immediate reconstruction impractical.

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Rosenthal Cosmetic Surgery & Skin Care Center Fairfield County Connecticut ~ Ct. Plastic Surgery Ct. Cosmetic Surgery
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