Who Are Not Ideal Candidates for Immediate Breast Reconstruction Surgery?

Introduction

Breast reconstruction surgery can be a transformative procedure for many women who have undergone mastectomy. However, not all patients are suitable candidates for immediate reconstruction. Dr. Effie Politis, a renowned plastic surgeon in Tampa, FL, discusses the factors that may lead to a patient being deemed unsuitable for immediate breast reconstruction surgery. Understanding these factors can help patients and their surgeons make informed decisions about their reconstruction options.

Skin-Sparing Mastectomies and Large Breasts

One of the main reasons a patient may not be an ideal candidate for immediate breast reconstruction surgery is if they have large breasts. In such cases, a skin-sparing mastectomy may be necessary. A skin-sparing mastectomy involves the removal of the breast tissue while preserving as much of the breast skin as possible. This approach can help create a more natural-looking reconstructed breast. However, patients with larger breasts may require additional procedures to reduce the skin envelope, which can make immediate reconstruction more challenging.

Sagging Nipple Areolar Complexes or Breasts

Another factor that can impact a patient’s suitability for immediate breast reconstruction is the presence of sagging or ptotic nipple areolar complexes or breasts. Ptosis refers to the drooping or sagging of the breast tissue, which can occur due to factors such as aging, weight fluctuations, and pregnancy. In cases where the patient’s breasts are significantly ptotic, immediate reconstruction may not be possible, as the surgeon may need to address the sagging skin and tissue first

Implant-Based Reconstruction in Stages

Although some patients may not be ideal candidates for immediate breast reconstruction, Dr. Effie Politis emphasizes that they can still undergo implant-based reconstruction. However, this type of reconstruction will need to be performed in stages. This staged approach allows the surgeon to address the specific challenges posed by large or sagging breasts and ensure optimal results for the patient.

Politis Plastic Surgery: Your Partner in Breast Reconstruction

If you are considering breast reconstruction surgery, trust the expertise and compassionate care of Dr. Effie Politis and her team at Politis Plastic Surgery in Tampa, FL. With years of experience in reconstructive and cosmetic surgery, Dr. Politis will work closely with you to create a personalized treatment plan that addresses your unique needs and goals. Whether you are a candidate for immediate breast reconstruction or require a staged approach, Politis Plastic Surgery will be there every step of the way to ensure you achieve the best possible outcome.

TRANSCRIPTION:

Hi, my name is Dr. Effie Politis with Politis Plastic Surgery.

The patients who are not candidates and sometimes require skin sparing mastectomies are ones again with larger breasts where you have to really reduce that skin envelope or tautic

which means sagging nipple areolar complexes or breasts and we still are able to offer

them implant-based reconstruction, it’s just done in stages.

REFERENCES:

• “Breast Reconstruction Surgery – American Cancer Society.” https://www.cancer.org/cancer/breast-cancer/reconstruction-surgery.html.
• “How to Fix Sagging Breasts – North Raleigh Plastic Surgery.” https://www.northraleighplasticsurgery.com/how-to-fix-sagging-breasts/.
• “Who is a good candidate for breast reconstruction? | Jacob Bloom, MD.” https://www.bloomplasticsurgery.com/who-is-a-good-candidate-for-breast-reconstruction/