As discussed in previous blogs, nipple sparing mastectomy has been shown to be an excellent option in carefully selected patients. This option can be combined with a single operation that rebuilds the breast at one time. Many teams are not experienced in this combined technique and have a higher complication risk when compared to experienced teams. Newer technology can help,but improper dissection and patient selection can add problems. This results in increased complications and longer recovery with more time off work.
Many patients who opt for implant type of reconstruction have a staged approach. This is commonplace now. Women have a mastectomy and temporary expander placed initially. They have to return for a permanent implant which adds another surgery,time away from work and family activity. This adds expense and more recovery, but is an excellent option when added risk is present or when teams are not experienced in a single stage operation.
Fortunately, many experienced teams are training others. However,experience matters. Your surgeon should be able to show you similar cases and allow you to talk to women who have walked this unique path. I understand privacy issues,but these women want to share their experience. We have many women who will share their experience and have had the pleasure of helping many women over the past 10 years. Ask your team hard questions. Can they perform these advanced techniques? Are you a candidate for one stage operation? Why not? If you do not get satisfactory answers,seek another consultation with an experienced plastic surgeon.www.abcsurg.com
