BreastRecontruction

Breast cancer is the most common cancer in women, affecting one in eight women. Improvements in breast cancer screening have led breast cancer being detected at an earlier stage. The most advanced cancer treatment today embraces interdisciplinary care and relies on a team of specialists. The breast cancer team most often includes the radiologist, breast surgeon, oncologist and plastic surgeon, as well as the radiation oncologist when necessary. There are greater surgical options for women today, including breast conservation with radiation, or mastectomy and reconstruction. Over the last 30 years, there has been a tremendous push by plastic surgeons towards an emphasis on breast aesthetics, that is, maintaining or creating a soft, realistic, and aesthetically appealing breast. Post-mastectomy reconstruction continues to be a safe and effective option, and the possibility of a beautiful cosmetic outcome should be a realistic expectation.

Dr. Glicksman’s Training and Experience

Dr. Glicksman completed her plastic and reconstructive surgical training in breast reconstruction at Memorial Sloan-Kettering Hospital in New York. Although she has extensive training in the various techniques for breast reconstruction, her area of expertise is breast reconstruction with the use of tissue expansion either as a staged procedure or as a “Direct to Implant Reconstruction”.

Breast Reconstruction Planning and Patient Education

The first encounter with a plastic surgeon after a woman receives a diagnosis of breast cancer is often very stressful. During this initial consultation, decisions are made with respect to the timing of surgery and the type of breast reconstruction. In the case of unilateral cancers, (one breast affected), decisions need to be made about the opposite breast. Patient education and the management of expectations are the hallmark of an experienced reconstructive surgeon, assuring that there are no surprises after breast reconstruction has been initiated. As a specialist in breast reconstruction and revision breast reconstruction, Dr. Glicksman believes that a well-educated patient will make better long-term decisions. Dr. Glicksman also has vast experience with all currently available breast implants including the shaped highly cohesive gels and new round silicone gel implants with increased gel fill.

Breast Reconstruction Surgery

Vectra-Imaging

Careful tissue-based planning helps to avoid oversized breast implants and many of the complications that are the causes of unnecessary revision surgery. Based on her years of experience, Dr. Glicksman spends considerable time with her pre-operative patients obtaining detailed measurements, photographs, and 3D simulations when possible. Pre-operative planning for unilateral breast cancers may be slightly more involved. Breast reconstruction aims to create two symmetric breasts. The patient should consider if she is happy with her remaining breast, or would like to consider a lift, reduction, or possibly an augmentation to achieve better symmetry with her reconstructed breast. Most often a tissue expander is placed at the time of the planned mastectomy, followed by several weeks of expansion. This first stage is then followed by a second procedure to replace the tissue expander with a long-lasting gel implant. All of the currently available implants will be offered, but usually Dr. Glicksman prefers the newest generation of form stable highly cohesive gel implants, also known as “Gummy Bears” for breast reconstruction. She is uniquely qualified, as she has been using the highly cohesive shaped breast implants for breast reconstruction since 2005. Finally, additional procedures may complete the breast reconstruction such as fat grafting, nipple-areola reconstruction, and minor scar revisions.

Your Rights to Breast Reconstruction Education and Surgery

Since 1991, Dr. Glicksman has been a leading force in the fight to mandate insurance coverage for all stages of breast reconstruction. Although reconstructive surgery following mastectomy is a federal law, as detailed in the Women’s Health and Cancer Rights Act of 1998, individual policies vary and patients may encounter many difficulties obtaining reimbursement. Our office staff is extremely knowledgeable in assisting patients through the process.

 

See breast reconstruction photo gallery.

More information: