Breast Reconstruction

Breast reconstruction is a restorative surgery designed to recreate a breast's shape, appearance, and volume after it has been removed or altered due to cancer treatment. At EmilMD, the focus is on helping patients regain their sense of self and physical symmetry following a mastectomy or lumpectomy. This process can involve using synthetic implants, the patient's own natural tissue, or a combination of both techniques. Dr. Emil Kohan works closely with each individual to develop a surgical plan that aligns with their oncological treatment and personal aesthetic goals.

Reconstruction can be performed either \"immediately\" during the same operation as the mastectomy or \"delayed\" until after the patient has completed additional treatments like chemotherapy or radiation. The experts at EmilMD coordinate extensively with the patient's general surgeon or oncologist to determine the safest and most effective timing. Immediate reconstruction often offers a significant psychological benefit and can result in fewer total surgeries. However, delayed reconstruction may be recommended if the skin requires time to heal or if radiation therapy is anticipated. Dr. Kohan evaluates the patient's overall health and treatment roadmap to provide the best recommendation.

The choice of technique depends on the patient's body type, the amount of available donor tissue, and their long-term lifestyle preferences. Implant-based reconstruction at EmilMD often involves a two-stage process using a tissue expander followed by a permanent silicone or saline implant. Flap reconstruction uses the patient's own skin and fat, typically harvested from the abdomen or back, to create a softer and more natural-feeling breast. While flap surgery is more complex and requires a longer initial recovery, it often ages more naturally with the rest of the body. Dr. Emil Kohan discusses the pros and cons of each method to help patients make an informed decision.

Recovery varies depending on the complexity of the procedure, with implant-based cases generally requiring a shorter healing period than tissue flap surgeries. Most patients at EmilMD should plan for several weeks of reduced activity and may need assistance at home during the first ten to fourteen days. It is common to have surgical drains in place temporarily to manage fluid buildup as the tissues heal. While initial soreness and swelling subside within the first month, the final shape of the breast continues to settle and refine over several months. Dr. Emil Kohan monitors every stage of the recovery to ensure the reconstruction is healing securely and beautifully.

The final stage of the reconstructive journey often involves the creation of a new nipple and areola to complete the natural look of the breast. The experts at EmilMD can utilize local skin flaps to create a projection or employ advanced medical tattooing (micropigmentation) to simulate the color and texture of an areola. This final touch often provides a significant sense of closure and satisfaction for patients who have undergone the entire process. These minor procedures are typically performed after the main breast mound has fully healed and settled. Dr. Kohan ensures that the placement and appearance of the nipple-areola complex are symmetrical with the opposite side.

Achieving balance is a high priority, and it often involves performing a \"balancing procedure\" on the unaffected breast. At EmilMD, this may include a breast lift, reduction, or a small augmentation to ensure that both sides match in size and position. Without addressing the natural breast, the reconstructed side may appear significantly different in shape or height. The surgical team carefully plans these adjustments to create a cohesive and proportional chest profile. Dr. Emil Kohan utilizes precise measurements to maximize symmetry and help the patient feel comfortable in clothing and swimwear.

As with any major operation, there are risks such as infection, healing delays, or changes in sensation; however, these are minimized through meticulous surgical techniques. In implant-based cases, there is a small risk of capsular contracture, while flap procedures carry a risk of tissue loss if blood flow is compromised. The clinical team at EmilMD prioritizes patient safety by conducting thorough preoperative screenings and providing detailed aftercare instructions. Dr. Emil Kohan and his staff remain highly accessible during the recovery period to address any concerns and ensure the safest possible outcome.

Most breast reconstructions are \"staged,\" meaning they involve two or more procedures to achieve the final, refined result. The first stage creates the primary breast mound, while subsequent minor operations focus on fine-tuning the symmetry, shape, and nipple reconstruction. Patients at EmilMD are provided with a clear timeline of what to expect throughout their journey. While the process requires patience, the gradual approach allows the surgeon to make adjustments as the body heals for a more superior aesthetic outcome. Dr. Kohan guides each patient through every step, ensuring they feel supported from the initial consultation to the final reveal.