Breast reconstruction after a mastectomy creates a new, natural looking breast to replace one that has been removed to treat or prevent breast cancer. Losing a breast is a difficult experience, but it does not have to be permanent. If you have lost a breast to cancer or other causes, breast reconstruction may provide a way to restore your look and help you regain confidence in your body and improve self-esteem.
Skilled in breast reconstruction, Dr. Hovsepian has worked for years with patients and patient support groups as an advocate for offering them the choice of breast reconstruction. He has worked with general surgeons, oncologic breast surgeons, medical oncologists, and radiation therapists in creating a team approach to individualized breast care.
He has the technological devices, the operations, and the concepts that comprise "Oncoplastic Breast Surgery" as a means of improving patient outcomes. Moreover, he has years of experience in performing some of the most challenging breast reconstruction procedures. To learn more about your options and how Dr. Hovsepian can support you in your breast reconstruction goals, request your consultation online or by telephone.
Breast Reconstruction can:
- Maintain a natural appearing breast despite mastectomy
- Reshape breasts having an abnormal or unflattering shape due to genetics
- Enhance confidence in your appearance, body contour, and self esteem
Planning Your Procedure
In his consultations for breast reconstruction, Dr. Hovsepian offers a personalized understanding of each patient's unique situation, cancer treatment needs, and personal desires. Careful planning and a custom-tailored surgical approach is Dr. Raffi Hovsepian’s assurance. A natural look and feel is absolutely essential for good results, so he designs each procedure to ensure that your new shape not only looks and feels very natural, but also meet the desires most important to you personally. Breast Reconstruction can be performed:
- Immediate: the same time as the mastectomy
- Delayed: weeks, months, or years following mastectomy
- Revision: correcting or improving another surgeon's result
Dr. Hovsepian carefully analyzes every individual patient's unique history, including type of cancer or "pre-cancer," as well as current breast size and shape, lifestyle, and desires before recommending a specific type of breast reconstruction technique.
Among the many reconstructive options Dr. Hovsepian recommends, some of the most frequent approaches include:
Reconstruction Using Breast Implants
Today, every effort is made to minimize incisions (scars), as well as, the extent of the surgery itself. Two-stage tissue expander / implant breast reconstruction entails two relatively straightforward procedures. Dr. Raffi Hovsepian uses a specific process, "Biodimensional Reconstruction," where he uses a tissue expander, which is filled with saline and placed at the time of the mastectomy; a silicone gel or saline breast implant is used in the second procedure. In striving for a natural-appearing result, Dr. Hovsepian may utilize a dermal regenerative material and in some cases fat grafting to further enhance the patient's result. These combined techniques have distinguished Dr. Hovsepian in breast reconstruction.
Dr. Hovsepian utilizes microsurgery, the latissimus flap, and TRAM flap procedures. Highly skilled and experienced in these advanced procedures, he may suggest one of these operations as an option for your breast reconstruction. These procedures reconstruct the breast mound using the patient's own tissue. Typically, this tissue is taken from the abdominal area, offering the benefits of a tummy tuck, if needed, along with breast augmentation.
Working with oncologic breast surgeon, Dr. Hovsepian is a strong advocate of the "Oncoplastic Approach" to breast reconstruction. Frequently, a patient's nipples can be preserved (as well as the breast skin) even while treating breast cancer with mastectomy. The minimal incisions used for this are the same as for aesthetic breast procedures. Incisions can frequently be hidden in the breast crease, and the reconstructed breast result looks and feels very natural, similar to the result of a cosmetic breast augmentation or augmentation with mastopexy (breast lift).
Revision Breast Reconstruction
Raffi Hovsepian, M.D., is proficient in revising unsatisfactory results from previously performed reconstructions, whether resulting from radiation, scarring, healing problems, or other causes. As these procedures must be carefully individualized, breast revision may involve a combination of some of the previously described techniques. He will carefully analyze your situation and recommend treatment options.
When you plan your breast reconstruction with Dr. Hovsepian, he will explain his approach thoroughly and outline what you can expect in terms of healing and recovery.
Breast Reconstruction Surgery
Before your procedure, Dr. Raffi Hovsepian and his highly trained aesthetic team will answer all your questions, and make sure you understand your procedure and recovery thoroughly. Safety, privacy, education, respect, comfort, and excellence in treatment with trusting compassionate care are the benefits of Dr. Hovsepian’s patient experience. Prior to your procedure you will need to begin fasting 8 hours before coming into the Beverly Hills or Newport Beach surgical center, this means you cannot eat or drink anything at all during this period, including chewing gum or drinking water. If you have been instructed by Dr. Hovsepian to take any medications in the morning, this is permitted with a few sips of water.
Breast reconstruction surgery is performed under general anesthesia, meaning you will be completely asleep and feel nothing during surgery. The surgery takes a few hours, although you should expect to spend extra time in the operating room if your procedure will focus on multiple areas. The surgery may be performed as an outpatient procedure depending on its extensiveness, but some patients prefer an overnight stay. Out-of-town patients may stay in a nearby hotel or aftercare facility, where a "private duty" nurse is available if required. Afterward, you will return to your home, hotel, or aftercare facility conveniently located a short distance from the surgical center.
Schedule a Consultation
A skilled plastic surgeon, Dr. Hovsepian’s goal is to provide you with the best possible care while utilizing innovative advancements in plastic surgery to help you reach your breast reconstruction goals. Meet with Dr. Hovsepian in his Beverly Hills or Newport Beach office to discuss how he can support you in achieving your aesthetic goals. Request your consultation online or by telephone.