There are several techniques to reconstruct a breast after mastectomy. In preoperative consultations Dr. Fater will work with you to develop a plan to meet your needs and expectations. Reconstruction can be performed immediately, in conjunction with mastectomy, or delayed, after the mastectomy and postoperative care are completed. The timing of the reconstruction is determined prior to the mastectomy. Breast reconstruction is a major procedure requiring general anesthesia and a postoperative hospital stay at Cape Cod Hospital for 2-3 days.
Techniques for breast reconstruction have evolved over the years. Common techniques may involve breast implants, usually silicone with or without a period of tissue expansion to “create” skin. Autologous flaps can also be used from the patient’s body – abdominal or back tissue – to create a breast. Occasionally fat grafting is used to fabricate a breast or to complement another technique.
Fat injection is a useful technique to augment certain areas of the body using the patient’s own fat. First a cannula or harvesting tool is inserted into the donor area to collect some of the patient’s excess fat. The collected fat is then injected into the desired area to help create a more youthful or curvaceous look. Fat injections can be used to increase volume in breast reconstruction or as a technique in breasts or buttock augmentation. Fat injections procedures are performed inside our accredited and comfortable medical facility and may require sedation.
A panniculectomy can be an insurance approved procedure to remove the abdominal pannus or apron that hangs down from the lower abdomen over the mons pubis after massive weight loss. With a large pannus, it is not unusual to experience subpannicular fungal or bacterial infections. Frequently, the only solution is to remove the excess skin surgically which often results in the loss of the belly button. The procedure is performed under general anesthesia at Cape Cod Hospital with a one night hospital stay.
At Cape Cod Plastic Surgery, we offer a variety of laser surgery services to help you achieve your ideal look. Whether you want to eliminate painful varicose veins or remove stubborn fat, our modern medical facility has the right laser surgery option for you.
A wide variety of plastic surgery procedures utilize skin, tissue, muscle, or fat from one part of your body and transfer them to other areas to enhance form or function.
Tissue expansion is a procedure in which the team at Cape Cod Plastic Surgery is able to cultivate your own skin to use in additional reconstructive procedures, such as breast reconstruction and corrective surgeries for birth defects and accidents.
Dr. Marc Fater will insert a small silicone implant between the layers of skin and muscle. Based on the amount of skin needed for the procedure, the silicone implant will slowly be filled with a saline solution. As the implant expands your skin will naturally begin to expand with it to accommodate the growing size. Once the desired amount of skin has been grown, a permanent implant will be inserted or the skin can be removed for reconstructive surgery.