Breast Reconstruction at Atlanta Plastic Surgery, P.C.

Performed at our Atlanta, Alpharetta and Cumming, GA locations.

atlanta breast reconstructionThanks to modern technology, a woman who must undergo a mastectomy (or the removal of one or both breasts in the treatment of breast cancer) can opt for breast reconstructive surgery to construct a natural looking breast that mirrors the form and appearance of their original breast.

Candidates for breast reconstruction include women who have had a mastectomy for the treatment of breast cancer, or who will be undergoing a mastectomy in the future. The reconstruction procedure is commonly undergone immediately after the mastectomy and thus is appropriately named an immediate breast reconstruction. Alternatively, a woman may opt for breast reconstruction months or even years after mastectomy, especially if radiation of the chest is needed as part of the cancer treatment.

There are many different approaches for reconstructing a new breast mound, and so the specific techniques used can be tailored to the individual needs of the patient.  Often, breast reconstruction is accomplished through the insertion of saline or silicone breast implants. Depending on the laxity of the patient’s skin and muscle, it may be possible to insert a breast implant between the layers of chest muscle and under the breast skin that is preserved during the breast cancer surgery, but where the remaining skin is insufficient, expandable implants or a tissue expander may be needed before the breast implant can be inserted safely.

A natural looking breast can also be reconstructed with a flap of living tissue taken from other parts of the patient’s own body, such as the abdomen, back, hips, thighs, and buttocks. Most commonly, this is done by forming a TRAM flap (or Transverse Rectus Abdominis Muscle flap) from muscle, tissue, and fat that has been moved from the patient’s abdominal area. Atlanta Plastic Surgery co-founder, Dr. Carl Hartrampf, Jr., originally developed the TRAM flap operation decades ago and it remains the preferred technique for natural tissue breast reconstruction in Atlanta and around the world.  A breast mound can also be formed by using a latissimus dorsi flap, which moves tissue from the lower back, and patients who are concerned about muscle loss in the abdominal area can also opt for a DIEP flap (Deep Inferior Epigastric Perforator flap), which is similar to a TRAM flap but leaves the abdominal muscle intact.

After the breast mound has been created, your surgeon can also reconstruct the nipple area with a procedure known as areolar reconstruction, using tissue taken from the newly created breast, your other nipple, the ear, eyelid, groin, upper thigh, or even buttocks. Tattooing may also be recommended to match the color of the original nipple and to create the areola.
We understand that breast cancer or other debilitating diseases can be the fight of a lifetime. That is why we are committed to advancement of the latest and safest technology in breast reconstruction surgery. In fact, every year Atlanta Plastic Surgery, P.C. surgeons participate in the annual Atlanta Breast Symposium, during which the latest innovations in reconstruction and cosmetic breast procedures are presented by surgeons from around the globe.

Frequently Asked Questions about Breast Reconstruction

Is Breast Reconstruction considered cosmetic surgery or is it covered by insurance?
According to the Women’s Health and Cancer Rights Act of 1998 (WHCRA), all insurance providers that offer mastectomy coverage must also provide coverage for certain services related to the mastectomy in a manner agreed upon in consultation with the patient and attending physician. This mandated coverage includes all stages of reconstruction of the breast on which the mastectomy was performed, surgical reconstruction of the other breast to create symmetrical appearance, necessary prostheses, and treatment of any physical complications that may result. However, the details of individual insurance plans continue to change, and Atlanta Plastic Surgery offers a number of different financing and insurance options, so it is important to discuss the specifics of your plan with your surgeon during your initial consultation.

What options are available in Breast Reconstruction?
Every patient is unique, and so there are many different options in breast reconstruction available. Usually those are divided into two categories: autologous breast reconstruction and implant breast reconstruction.  The former, which includes TRAM flap and DIEP flap procedures, uses the patient’s own fat, skin, and tissue taken from other areas of the body to reconstruct the breast, while the latter involves the use of a saline or silicone breast implant, just as would be used in breast augmentation surgery.  However this distinction is not always absolute, as smaller breast implants can sometimes be used as a part of a tissue flap procedure to give the breasts added volume and lift. During your initial consultation, one of our board certified plastic surgeons will discuss which of the several different approaches will be best for you, based on your body type, past medical history, and ultimate aesthetic goals.

When is the best time to undergo Breast Reconstruction surgery?
Breast reconstruction can either be performed at the same time as the mastectomy or months or even years later, depending on the individual needs and preferences of the patient.  Many different factors, including the patient’s general health, the stage of cancer, and the amount of available tissue, all play a role in determining which option is preferable. The surgeons at Atlanta Plastic Surgery will be able to help you determine which treatment course will be most beneficial for you.

What is Oncoplastic Breast Reconstruction?
Oncoplastic Breast Reconstruction is designed to remove cancerous cell growths and affected tissue within the breast while simultaneously refining the appearance of the remaining tissue to present the least amount of disruption physically, mentally, and emotionally following breast cancer.  By blending reconstructive and cosmetic techniques, oncoplastic surgery strives to minimize the amount of breast revision surgery necessary to reestablish a normalized appearance.

View Breast Reconstruction photos and learn more about this procedure such as costs, risks, advanced techniques and frequently asked questions. Breast Reconstruction can be scheduled at our office locations in Atlanta, Alpharetta, Cumming / Forsyth, and Northside / Sandy Springs, Georgia.
The following doctors perform Breast Reconstruction at Atlanta Plastic Surgery. Click on a doctor to learn more about their practice and to view Before & After breast reconstruction surgery photographs.

L. Franklyn Elliott, M.D.
James D. Namnoum, M.D.
Joseph Kerwin Williams, M.D.
Allyson B. Maske, M.D.
Michael Mirzabeigi, M.D.