Fleming Island Plastic Surgery is proud to provide compassionate care to women who have undergone breast removal surgery as part of their cancer treatment. At his Fleming Island plastic surgery facility, Dr. William Wallace offers breast reconstruction procedures to refashion a patient’s feminine shape. This reconstructive surgery is designed to uniquely contour the bustline and restore the breasts following a mastectomy or lumpectomy. Women usually begin discussing the reconstruction options in the early treatment phase prior to receiving a mastectomy. Dr. Wallace commonly works directly with a patient’s cancer surgeon to collaborate on treatment and restoration options. The goal is to provide the safest and best treatment plan to renew the patient’s physical frame.
Things to Consider
During your first consultation to discuss reconstruction surgery, it is important to disclose where you are in the treatment process and which cancer surgeon is treating you, as well as provide any necessary pathology reports. The reconstruction process may take place in multiple steps if the breast tissue needs to be stretched to make room for implants. This discovery phase will help guide the reconstruction process so patients end up with a new breast that is the size, shape and look they want.
"Dr. Wallace is one of the most caring and talented doctors I have ever met. And as a paraplegic I have worked with quite a few."- S. / Healthgrades / Jul 10, 2017
"I had a amazing experience at Fleming Island Plastic Surgery! The girls at the front are so sweet, and Dr. Wallace was awesome! He made me feel very comfortable and excited for my cosmetic surgery. He did an amazing job and I’m in love with the end results. I highly recommend Dr. Wallace & FIPS ?"- P.Y. / Facebook / Apr 17, 2018
"Very professional!! Dr. Wallace and his staff made me feel comfortable and were very kind. I had zero issues or problems and they accommodated scheduling my surgery. The surgery center was just..."- A.B. / Yahoo / Mar 27, 2018
"Very professional!! Dr. Wallace and his staff made me feel comfortable and were very kind. I had zero issues or problems and they accommodated scheduling my surgery. The surgery center was just down the road from Dr Wallace's office and the care I received after my surgery was amazing. The nurses were so kind and nurturing after I woke up. I received a breast reduction and tummy tuck and Dr Wallace did an amazing job! I'm still recovering but I can't believe it's my body when I look down!"- A.B. / Yelp / Mar 27, 2018
"From the moment I had my consultation January of 2018, I knew Dr. Wallace was the surgeon I wanted for my mommy makeover. He didn’t try to be a sales man, he wasn’t pushy or tried convincing me about what I should have done, he gave me the information I needed to make an informed decision!! I went to Dr Wallace wanting to have a tummy tuck, breast lift and vaginal tightening. Dr Wallace explained each procedure to me in full detail. He also informed me of alternative vaginal ...tightening procedures that weren’t as invasive as surgery, that’s how thorough he is. I had little knowledge of these other options, so, he told me to do some research and come back in 2 weeks to see him, so that I could have time to make sure what was right for me. By the time I went back to my 2 wk follow-up, I knew for a fact the surgery was right for me. So, I scheduled my surgery and on 3/19/18 I had my tummy tuck with lipo; breast lift and vaginal tightening and omg, am I glad that I did it!! I look absolutely amazing!!! I am 2 days post op and I stop looking at myself. I’m nit in a lot of pain, the pain meds are working great and everyone is marveling about how amazing I look!! I cant stop sending pictures to all my friends showing off my amazing new body. Oh and btw, I breast looks like I have implants in them, that’s how amazing it looks!! It’s evident that Dr Wallace loves what he does, he is very knowledgeable and takes pride in his craft!!"- T.T. / Facebook / Mar 20, 2018
Each reconstruction technique will be tailored according to the patient’s physical health, aesthetic goals, and personal preferences. There are many factors playing into the approach that will be taken. The ultimate goal is to ensure the patient is healthy and happy with their final breast results.
There are two primary categories of breast reconstruction techniques:
- Procedures that involve using a breast implant
- Procedures that are autologous (use the patient’s own body tissue to reconstruct and recreate the breast)
Reconstruction With Implants
Breast reconstruction using silicone or saline implants is a common approach that generally starts with the use of a tissue expander to help form a suitable pocket for an implant. The expander may be inserted after the mastectomy procedure or during the same operative session. Over the course of several months, the expander will slowly be enlarged using a sterile solution injected through a port residing under the skin. During the scheduled reconstruction surgery, the expanders are removed and replaced with implants.
If there is limited tissue inside the breast, or limited skin on the outside, tissue may be used from another part of the patient’s body to supplement this loss. The most common areas to support this process are the buttocks, thigh or abdomen. This is an autologous approach to breast reconstruction. The TRAM flap (Transverse Rectus Abdominus Myocutaneous), the DIEP flap and SIEA flap techniques involve taking skin and fat from the abdomen and relocating it to the breast. The Latissimus Dorsi Flap is another common method using tissue from the patient’s back.
During a mastectomy, the nipple and areola often cannot be saved. The loss of one’s nipple and areola can be as unnerving as the removal of the breast itself. However, reconstruction techniques have advanced greatly, allowing plastic surgeons the opportunity to recreate these areas of the breast to give a natural, aesthetically appealing appearance. In a separate procedure, the nipple is created using existing breast skin or from the abdominal or latissimus flap. Using a tattoo technique, the areola is recreated with a skin graft taken from the thigh, abdomen or back.
Breast reconstruction surgery is performed under general anesthesia at an accredited surgical facility. Some patients may be required to stay in the hospital to be monitored for complications. Patients who have had reconstruction using a flap technique will usually be required to stay in the hospital for 2-5 days. The recovery process can be somewhat lengthy, but many view it as the final step in their cancer journey thus the experience can be very rewarding. Most women are thankful to have had the opportunity to restore their breasts and are satisfied with their results.
Plan Your Procedure
- Average Cost
- $8,000 - $15,000
- Procedure Recovery Location
Breast Reconstruction FAQs
This is a very specialized surgery that requires extensive knowledge, skill and experience. It is very important to research and find a qualified and reputable plastic surgeon who has experience with breast reconstruction surgery.
Can I Delay This Surgery?
In many situations, it is recommended to start the reconstruction process at the same time as the mastectomy. Therefore, it is a good idea to have your breast cancer surgeon and your plastic surgeon begin communicating about the steps that will follow. An advantage of doing the procedure immediately is waking up from your mastectomy surgery with the reconstruction process in place. The soft tissue that surrounds the breast will heal simultaneously with the reconstruction, which can enhance the final results.
A reconstructed breast will not have the same sensation as the breast did before the mastectomy. However, over time, some of this sensation will return to normal. This will depend on the extent of the reconstruction process and will vary by patient.