One-Stage Implant Reconstruction
Immediate Results for Renewed Confidence
One-stage implant reconstruction is a highly effective procedure completed during the same surgery as the mastectomy. With immediate reconstruction, the final breast implant is placed at the time of mastectomy, eliminating the need for multiple surgeries and providing immediate results. Dr. Yau is committed to providing exceptional outcomes with a streamlined approach that prioritizes both aesthetics and patient comfort.
However, not all patients are candidates for this type of reconstruction. Factors such as the type and stage of breast cancer, tumor size, lymph node involvement, and the need for radiation influence eligibility. Patients who have received or will receive radiation therapy are often better candidates for flap reconstruction due to the adverse effects of radiation on implants. For those deemed suitable for implant reconstruction, Dr. Yau favors the one-stage procedure for its ability to preserve the breast skin, leading to excellent aesthetic results with fewer surgeries.
The One-Stage Implant Reconstruction Procedure: Precision and Expertise
Dr. Yau takes a highly skilled approach to the one-stage implant reconstruction procedure, ensuring optimal results. Surgery typically lasts 2.5 to 3.5 hours, including mastectomy time.
The procedure involves the following steps:
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Mastectomy: The general surgeon performs the mastectomy, removing the nipple and underlying breast tissue.
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Elevating the Pectoralis Major Muscle: The pectoralis major muscle is carefully elevated to create a pocket for the implant, covering the top portion of the breast implant.
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Implant Coverage: Based on the patient's breast shape and excess skin availability, the lower portion of the implant is covered using one of the following two techniques:
Option 1 (For Non-Droopy Breasts):
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This is for patients with non-droopy breasts without much excess breast skin. In this case, the bottom portion of the implant is covered with a regenerative tissue matrix. One commonly used matrix is called Alloderm. Alloderm is donated human skin that has been treated to remove the cells and the top layer of the skin (called the epidermis). Once in the body, the tissue matrix develops a new blood supply and is repopulated with your own cells.
Option 2 (For Droopy Breasts with Excess Skin):
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This technique is suitable for patients with droopier breasts and excess breast skin. In these cases, the lower portion of the implant is covered using the patient's own skin after the top layer (epidermis) is removed. This approach is not viable for non-droopy breasts, as they lack sufficient excess skin. However, in larger, droopier breasts, the excess skin at the lower breast can be effectively utilized to cover the implant.
Each technique is selected based on your specific anatomy and needs, ensuring an optimal, natural-looking breast reconstruction.
Recovery After One-Stage Implant Reconstruction: Compassionate Care for a Smooth Recovery
Following surgery, patients are admitted for an overnight stay to ensure proper post-operative care. Drains will be placed to manage fluid buildup and are typically removed within 10 to 14 days. Scars will vary based on pre-existing breast scars and the size of your breast, though Dr. Yau always strives for minimal and inconspicuous scarring.
Patients typically resume regular activities within 10 days and can engage in strenuous exercise after four weeks. Nipple reconstruction, if desired, usually occurs three months after the initial surgery.