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Breast Reconstruction Surgery in Dallas, TX

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Reconstruction Surgery

Breast Enhancements

Dr. Morales provides breast reconstruction procedures to patients in Dallas who have had one or both breasts removed due to accident, injury, or disease.

He can restore your breast contours and help you feel more comfortable with your appearance.

David E Morales, MD, board certified plastic surgeon Dallas Texas

What Is Breast Reconstruction Surgery?

Breast reconstruction surgery is a highly individualized procedure performed to restore one or both of a patient’s breasts, most commonly after a mastectomy.

Breast reconstruction is both physically and emotionally rewarding. It may help lessen some of the distress after losing a breast to cancer.

Why Choose Breast Reconstruction?

Restore Your Breast Contours

After a mastectomy, you may be unhappy with your new breast contours. Breast reconstruction can rebuild the breast mound and adjust your breast contours to meet your desires.

A reconstructed breast may not match your pre-mastectomy breast, but Dr. Morales can provide you with new satisfactory breast contours.

Wear Comfortable Clothing Again

It can be difficult to find clothing that feels comfortable when your body is imbalanced. Finding comfortable and stylish shirts is hard enough, let alone bras and dresses. Some women may feel awkward or uncomfortable wearing clothes that emphasize their lack of breast tissue or cleavage.

Breast reconstruction can help you feel more comfortable wearing regular clothing again.

Reclaim Your Sense of Femininity

Many women struggle with feeling completely feminine and whole after losing one or more breasts.

Breast reconstruction can help you reclaim your feminine appearance and feel more comfortable in your own skin.

How Is Breast Reconstruction Performed?

Consultation

There is not usually enough tissue on the chest to hold a breast implant after a mastectomy. Several mastectomy reconstruction techniques can reconstruct a breast mound or provide sufficient tissue to support an implant.

Dr. Morales will evaluate your needs and desires during your consultation to determine which type of breast reconstruction will be best for you.

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Tissue Expander Technique

For this technique, a tissue expander is surgically placed beneath the breast tissue and over the muscle. The expander is gradually filled with a saline solution through an internal valve over four to six months.

As the expander gets larger, it stretches the breast tissue until there is enough to support an implant. A second surgery is then performed to replace the expander with a permanent breast implant.

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Tissue Flap Techniques

Flap reconstruction techniques use the patient’s own tissue to recreate a breast mound or breast tissue coverage for an implant. Muscle, fat, and/or skin are taken from a donor site on the patient’s back, abdomen, or buttock and attached to the chest wall.

Some flap reconstruction techniques may also require tissue expanders and implants, but the abdominal flap techniques generally do not.

The various tissue flap techniques include:

  • Transverse rectus abdominis muscle (TRAM) flap
  • Latissimus dorsi (LD) flap
  • Deep inferior epigastric artery perforator (DIEP) flap
  • Superficial inferior epigastric artery (SIEA) flap
  • Gluteal free flap

Unilateral Reconstruction

If only one breast needs reconstruction, a breast lift surgery, breast reduction surgery, or breast augmentation surgery may be performed on the opposite breast to improve breast symmetry.

“My goal is to help patients look the way they feel inside—to take that youthful energy and confidence they already have, and bring it to the surface.”

— Dr. David Morales

What to Expect After Breast Reconstruction

What Is Recovery Like After Breast Reconstruction?

After the procedure, your incisions will be wrapped with gauze or bandages. You will need to wear a compression garment to minimize swelling and support your reconstructed breasts.

Dallas breast reconstruction patients should limit their upper body and chest movement for at least one week to reduce any strain on the operated area. They should also avoid strenuous activities and exercises for a minimum of four weeks. Swelling will resolve over six to eight weeks as the new breasts heal.

Breast reconstruction patients should sleep on their back for at least two to four weeks after their operation. This is to prevent their new breasts from deforming due to implant malposition or tissue damage.

Dr. Morales will provide you with specific instructions based on your circumstances to ensure a safe and effective recovery.

Will My Breasts Look Natural After Breast Reconstruction?

A skilled plastic surgeon like Dr. Morales can make your reconstructed breasts look very close to a natural breast. The biggest challenge is ensuring that your breasts match after your reconstruction. There will always be subtle differences between a natural and reconstructed breast (as there are also subtle differences between natural breasts), but these are usually not noticeable.

The biggest differences between natural and reconstructed breasts usually appear on the areola, nipple, and breast crease.

Results

When Will I See My New Breast Contours?

Initial results will usually be visible within six to eight weeks as the swelling resolves and your breast tissue and breast implant (if one was used) settle into place.

Your breast contours may continue to change over the next year or two as you resume normal activities.

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Frequently Asked Questions About Breast Reconstruction

Breast Reconstruction Procedure

How much does breast reconstruction cost?

The cost of breast reconstruction will vary depending on the type of reconstruction you select. Please note, we no longer work with insurance providers due to severe restrictions for our patients and their care.

Am I a candidate for breast reconstruction in Dallas, Texas?

Anyone who has had one or both breasts removed is a potential candidate for breast reconstruction. Ideally, patients should be finished with any breast cancer treatments before undergoing breast reconstruction.

Can I combine my breast reconstruction and mastectomy?

The reconstruction process can be started at the same time as the mastectomy. However, some patients may need to delay their reconstruction until they recover from their mastectomy or other cancer treatments.

Even immediate reconstructions often require more than one surgery to complete the process.

How can I prepare for my breast reconstruction?

Breast reconstruction is a surgical procedure, so you should prepare for it similarly to how you would for other operations.

These preparations include:

  • Consulting your surgeon regarding the medications you take
  • Stop taking blood-thinning vitamins and herbal supplements several weeks before surgery
  • Prepare your recovery area and make a recovery plan ahead of time
  • Do not smoke or drink alcohol for two to four weeks before your surgery

Will I experience changes in breast sensation?

Most reconstruction patients will feel some degree of numbness on their new breasts. This is because the reconstruction procedure cannot rebuild or reconnect the nerves originally connected to your breast. Some patients may recover some breast sensation over several years if the nerves regrow, but there are no certainties.

How long does breast reconstruction take?

Breast reconstruction alone can take between one and six hours depending on the type of reconstruction performed. If combined with a mastectomy, the procedure may take longer.

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