413 Lakehurst Rd,  Ste 301, Toms River, NJ 08755
1301 Rt. 72 West, Suite 260, Manahawkin, NJ 08050

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Breast Reconstruction

Dr. Small has the privilege to care for patients in some of their most trying times. At Ocean Plastic Surgery, P.A. we offer comprehensive reconstructive options and work with your breast surgeon to give you the best possible result. Depending upon your treatment, reconstruction can be done at the time of your mastectomy (immediate reconstruction) or later (delayed reconstruction).

We also perform many revision reconstructions and procedures to correct changes in your breast shape if you had a lumpectomy and radiation therapy.

Oftentimes, patients are referred to us by their breast surgeons but if you have breast cancer or have been treated you can come in for a consultation to discuss your options.

Breast Reconstruction Procedures

There are many approaches to breast reconstruction but the two main options are using a tissue expander and subsequently a breast implant or autologous reconstruction which is using skin and muscle from one area of your body to make a new breast.

Either procedure can be performed at the time of your mastectomy or after your mastectomy. Additionally, all breast reconstructions take into account the size and shape of your other breast and sometimes a procedure is necessary on the opposite breast to give you the best symmetry.

Expander-breast implant reconstruction is a process where a temporary implant (expander) is initially placed. This surgery usually takes about an hour and is often a same day surgery. If this procedure is done with the mastectomy most patients stay in the hospital overnight. Once the expander is placed your new breast is created by placing sterile saline solution into the expander. This is essentially a painless procedure done in the office which takes about 15 minutes. After your breast shape is created with the expander, usually 3-5 months, you are ready for the second procedure which is to place a permanent implant. This procedure is done in the hospital as a same day surgery and usually takes about an hour. At this point your breast reconstruction is almost complete. The last part of breast reconstuction is recreating a nipple and the areola (the pigmented area around the nipple). There is many ways to make a new nipple and areola and Dr. Small will discuss these with you.

Autologous breast reconstruction is often the option necessary for patients who are anticipating needing radiation treatment with their care or for women who have very large and droopy breasts (called breast ptosis). The areas commonly used for this type of reconstruction are the abdomen (TRAM reconstruction) or the back (Latissimus reconstruction). This type of reconstruction is performed in the hospital and takes about 4-6 hours. Most patients stay in the hospital 2-3 days. Sometimes even with this type of reconstruction a tissue expander or implant might be necessary.

Breast Reconstruction Recovery

Recovery from either procedure is about 2 weeks. Full recovery were you are starting to resume normal activities is about 4-8 weeks depending upon the procedure. An expander-implant reconstruction take about 1 year for all three stages to be complete. The autologous reconstruction usually is complete after the first procedure or around 6 months if there is a second procedure scheduled. Throughout your reconstruction Dr. Small keeps in close contact with your breast surgeon, medical oncologist and radiation oncologist to ensure your care is coordinated to give you the best possible outcome.

If you are considering breast reconstruction give our practice a call so we can give you the best options which are right for you.

What Real Patients Say

  • "Thank you for being such a terrific surgeon and doing such a great job with my surgery... I waited a while before I spent the money on myself... putting it off because of the expense or not being sure how I felt about the surgery, but also because I didn't want to have to justify spending money on myself, it's so vain and pretentious but it's not. You can't put a price on how different I feel now... It's life changing. If people don't thank you enough they should."

    - N.S.
  • "I just wanted to thank you for making my first experience with surgery a comfortable and pleasant one. I can not thank you enough. You are an amazing doctor but an amazing person who cares greatly for his patients... You did an absolutely phenomenal job. I could not have asked for a better surgeon and I am so happy that I chose you."

    - C.U.
  • "Thank you for such an amazing job. Thank you for my smile."

    - Janice
  • "Thank you very much-you have been so accommodating... you did a great job."

    - U.J.
  • "Thank you for the excellent care you gave me and for doing a great job. You are the best."

    - A.L.

Plastic Surgeon Dr. Stephen E. Small, serving Toms River, Manahawkin, Stafford Township, Barnegat, Lacey NJ, Berkeley NJ, Dover Township , Brick NJ, Little Egg Harbor, Manchester NJ, Jackson NJ, Howell, Wall NJ, Freehold, Manalapan, Point Pleasant, Colts Neck, Ocean, Eatontown, Long Branch, Red Bank, Middletown and the surrounding area.

Ocean Plastic Surgery P.A.
413 Lakehurst Rd
Suite 301
Toms River, NJ 08755

Ocean Plastic Surgery P.A.
1301 Rt. 72 West
Suite 260
Manahawkin, NJ 08050

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