About Breast Reconstruction
At Dr. Jerry Chidester's, or Dr. Chiddy, office in Draper, UT, surgical breast reconstruction can be performed to rejuvenate one or both of the breasts. This procedure is used to reshape and resize the breast(s) after a lumpectomy or mastectomy. It also helps patients who have damage caused by trauma or a birth defect. Advanced technologies in reconstructive surgery make it easier for you to feel fully healed and have breasts that look natural after a mastectomy. This surgery can include several procedures during your breast cancer treatment, or you can delay it until a later date. With compassion and respect, Dr. Chiddy creates a unique treatment plan that can help you enhance your physical appearance and confidence.
Breast Reconstruction Reviews
"Dr. Chidester is the best! I had a breast lift with some reconstruction and implants (Mentor 350cc SRHP). My before and after is unbelievable. My breasts look and feel amazing now thanks to Dr. Chidester. Not only is he a phenomenal surgeon, he was so easy to work with throughout the whole process. He helped me decide what I wanted and talked me through what he would do to get me there. After surgery he was always happy to answer my questions and concerns. His facilities are gorgeous and the staff treated me like family. I had dreamed about getting the work done for so long. I’m so glad I finally did it and that it was such a great experience! Thank you Dr. Chidester!"- N.P. / Google / Jan 30, 2020
Is Breast Reconstruction For You?
Reconstruction of the breast(s) is an extremely customized procedure. Each patient will have a thorough consultation with Dr. Chiddy to create their treatment plan. Your treatment plan is based on your needs, concerns, and available procedure options. If you want to undergo breast reconstruction surgery, Dr. Chiddy will help you set and understand realistic expectations. While Dr. Chiddy strives to create an attractive, natural appearance, your reconstructed breast(s) may not have the same look, sensations, or feel like your original breast(s). You should receive approval from your oncology team to have surgery and talk to Dr. Chiddy about other conditions that could affect your recovery.
Dr. Chiddy offers a variety of surgical techniques to help reconstruct the breast. When it comes to deciding what works best for you, Dr. Chiddy assesses several factors, including your cancer diagnosis, reconstruction timing, and whether you plan on using natural tissue or implants. He will also determine if you need nipple-sparing or nipple reconstruction as part of your treatment plan. In order to rebuild the breast, you must have enough tissue that can adequately cover the breast mound. Flap procedures accomplish this by using your own skin, fat, and muscle to build and cover the mound. The most frequent flap techniques include:
- TRAM Flap
This method uses muscle, fat, and skin from your abdomen to create the breast. The tissue selected to create the new breast may be removed from the stomach. In some cases, Dr. Chiddy may move the muscle and tissue but have it stay attached to the donor location. This will help maintain the original blood supply.
- DIEP Flap
Similar to a TRAM flap, a DIEP flap takes skin, fat, and blood vessels from the lower stomach; however, it does not use the muscle. The DIEP (deep inferior epigastric perforator) flap moves fat and skin from the stomach to form the breast mound, then uses microsurgery to attach the transferred blood vessels to the chest wall.
- Latissimus Dorsi Flap
This technique uses muscle, fat, and skin from your back. During this procedure, the tissue is moved from the back to the mastectomy site through a surgically created path and stays attached to the donor location, which keeps the original blood supply in place.
- PAP Flap
Another flap is the PAP (profunda artery perforator). This method takes skin, fat, and muscle tissue from your inner thigh to reconstruct your breast(s).
- LTP Flap
While the TRAM flap is one of the most common methods used for breast reconstruction, sometimes there isn't enough muscle, fat, and skin that can be taken from the abdominal area. In these situations, the LTP flap technique may be performed, which uses tissue from the lateral thigh area.
- Composite Flap
Also called a composite stacked flap, this technique takes flaps from several areas on your body to reconstruct the breast.
- Fat-Transfer Reconstruction
Also known as an autologous fat transfer, this technique removes fat from other parts of the body, such as the thighs, tummy, and buttocks, to reshape and rebuild the breast.
Although flap procedures are usually successful and a common method used in breast reconstruction surgery, you may want to recreate your breast(s) with tissue expansion. This technique involves placing a tissue expander below the breast wall and then gradually fills it with saline over 4 – 6 months to stretch the skin naturally. After a flap has been created or the skin is stretched through an expander, you may then decide whether you want to use breast implants or a fat transfer to create the shape and volume of the breast(s). After your reconstruction mammoplasty, you may want to further improve the appearance with nipple and areola reconstruction. Dr. Chiddy can discuss numerous methods that help restore the nipple and areola so they appear more natural.
What to Expect
Breast reconstruction surgery is performed in several stages. During some phases (such as the flap creation, tissue expansion, or implant placement), general anesthesia is often used. Some patients may need an overnight stay — this is based on the phase of your treatment. When the final step is completed in the breast reconstruction process, you will wear a supportive bra and receive prescribed medication to help control bleeding, swelling, and discomfort. Over time, the breast(s) will appear more normal so you can feel more comfortable. After your surgery, you will still need to attend breast exams and mammograms for long-term health.
Reclaim Your Self-Confidence
While breast reconstruction is a lengthy process, it's probably one of the most beneficial procedures for our Greater Salt Lake City patients. It can help decrease the physical and emotional impact of breast cancer treatment while also allowing you to improve your figure and self-confidence. Dr. Chiddy will take the time to answer any questions you may have and discuss your treatment options. Once you and Dr. Chiddy have discussed what works best for you, he will develop a tailored treatment plan. Our team will help you determine the cost and review financing plans through Prosper, CareCredit, and Mountain America Credit Union. If you have received a breast cancer diagnosis, suffered from an injury to the chest, or inherited a defect that affects the shape of your breasts, we invite you to call our Draper, UT office and schedule your consultation with Dr. Chiddy.