Breast reconstruction is a highly individualized procedure that is customized to accommodate the particular needs of the patient. There have been some remarkable advancements in implant technology. Various densities, shapes, sizes, and surface treatments provide an endless number of options that can be selected. Experience is required to choose the right implant that will provide the optimal result. Reconstruction surgeries may be a single-stage direct to implant procedure, or a two-stage treatment with initial breast tissue expander placement followed by implant placement in a second procedure. Frequently, an acellular dermal matrice is used as part of the reconstruction surgery to add support to the new breast. Dr. Holzman has traveled and undergone specialized training with some of the nation’s leading experts in implant-based breast reconstruction. He has perfected the pre-pectoral approach to implant-based breast reconstruction.
Currently, the vast majority of breast reconstruction surgeries are breast-implant based. This method utilizes tissue expanders, silicone implants, and acellular dermal matrix (ADM) in the reconstructive process. Although there are tissue-based options that are appropriate in selected circumstances, most women have a very satisfactory result from the use of implants without extended operative procedures and long hospitalizations. Dr. Holzman has opted to concentrate his reconstructive practice on the techniques that can work well for most women undergoing single or double mastectomy. Dr Holzman’s experience with breast reduction, breast lift, fat grafting, and other techniques allow him to plan and execute the best reconstructive procedures needed to achieve balanced, proportionate results with favorable outcomes. If you are a better candidate for tissue-based reconstruction, such as the DIEP, Dr. Holzman will help guide you to the appropriate referral.
The breast reconstruction process begins with a full consultation with Dr. Holzman and includes a detailed interview concerning the plan of the breast cancer surgeon and how that will influence the reconstructive approach. Other factors, such as health issues, previous surgeries, scars, breast size, dimensions, and desires of the patient, will be discussed at length. At that point, Dr. Holzman will develop a plan that works best depending on these elements. He will also interact closely with the rest of the cancer team to help deliver the best choices and outcome. Underneath all of that is Dr. Holzman’s firm belief that he would not recommend anything for a patient that he would not suggest for his own family members.
Many women who have had breast reconstruction are happy to regain the size and shape of their original chest. Sometimes, patients choose to make their new shape even better than before by either enlarging or reducing their size. The most difficult aspect of the reconstruction is to make an breast implant look and feel natural. This is achieved using advanced techniques such as fat grafting. Fat grafting removes fat from a donor site on the patient (usually the abdomen) and transfers it to the breasts to add softness and contour to the reconstructed breasts. In addition, breast reduction, breast lift, and scar revisions are tools and procedures used by Dr. Holzman to help achieve symmetry of the two breasts.
Contact us today for more information about breast reconstruction, breast enlargement, breast reduction, or any other treatments that we offer.