Copyright © 2021 Somenek + Pittman MD. All rights reserved.
Many of the advances in Oncoplastic breast reconstruction were developed here at Georgetown University Hospital. If you are considering lumpectomy or breast conservation surgery, there are reconstructive options to improve the cosmetic result of your surgery. The removal of part of the breast tissue may leave an indentation, like a dimple, in your breast. This dimple may not been seen initially, but could appear after radiation therapy if you need this additional treatment. To prevent to occurrence of this dimple, Dr. Pittman can arrange the breast tissue at the time of your cancer removal to appear more natural, called oncoplastic surgery. If there is a question that all of the cancer may not be removed in your initial surgery (this is called a positive margin) your mastectomy surgery and your reconstruction may take place in two different operations. If this is not an option at the time of your cancer surgery, reconstruction can occur later using other choices such as the latissimus dorsi or nearby (local) tissue flaps.
Often, oncoplastic surgery leaves you with a smaller breast than your natural breast. Dr. Pittman will then perform breast reduction to make your natural breast smaller and match the breast which had cancer surgery. This is a good option for patients who are candidates for breast conservation therapy, or lumpectomy, and are also candidates for breast reduction. This procedure generally involves three incisions:
Sometimes difficulty preserving blood supply to the nipple in surgery requires the nipple to be removed from the breast and then placed back on, also called a free nipple graft. Benefits of doing the bilateral breast reduction at the time of the lumpectomy include:
This surgery may require the use of drain tubes to be inserted at the time of surgery which will be removed in approximately 5-7 days. The surgery may be outpatient or possibly one night in the hospital. The recovery time is approximately 4-6 weeks, but most people usually feel better and are able to return to work in 3-4 weeks.
Dr. Troy Pittman is an internationally recognized expert in aesthetic and reconstructive surgery of the breast and body. Dr. Pittman is Board-Certified by The American Board of Plastic Surgery and practices the full spectrum of Plastic Surgery procedures. He has specific interest and expertise in aesthetic surgery of the breast, including complex revision breast surgery.
Michael Somenek, M.D., is a facial plastic surgeon in Washington, D.C. whose practice offers specialized cosmetic and reconstructive services. In addition to his high levels of experience and talent, Dr. Somenek is also a compassionate and warm surgeon who finds personal fulfillment in helping patients rejuvenate their appearances and their confidence. Request a consultation online to meet personally with Dr. Somenek, or call our office to schedule a consultation.