Stoneleigh MediSpa
 
Before and After

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The below photographs are of Dr. Loomis' actual patients, but do not guarantee your results by him or other surgeons. Individual results vary.
Patient who had bilateral mastectomies years earlier. Shown in stages of reconstruction.
Patient of Dr. Loomis' shown following a right TRAM Flap breast reconstruction and a left breast lift. The flap is formed into the new breast at the first operation. Later stages then revise the flap's shape, reduce or lift the opposite breast and create the nipple.
This patient of Dr. Loomis' underwent a right TRAM Flap breast reconstruction following a skin-sparing mastectomy. The left breast was reduced slightly and lifted, and the right nipple was reconstructed from flap skin and then tattooed. The abdominal scar is similar to a tummy-tuck scar.
Patient of Dr. Loomis' shown following a right TRAM Flap breast reconstruction. The flap reconstruction avoids the use of implants, but is a much longer surgery with more recovery time. Not everyone is a candidate for a flap reconstruction; whether or not you are is determined during your consultation. All types of breast reconstruction require several stages, with the first stage generally being the most involved.
This patient of Dr. Loomis' underwent a left TRAM Flap breast reconstruction following a skin-sparing mastectomy, and left nipple reconstruction and right breast reduction at a second stage.
Patient of Dr. Loomis' who underwent a left tissue expander reconstruction following a mastectomy. The transverse scar is from the mastectomy and the nipple was reconstructed from skin on the chest wall and then tattooed. The tissue expander is filled with weekly injections in the office over the course of about 6-8 weeks.
Patient of Dr. Loomis' who underwent a left tissue expander breast reconstruction following a mastectomy and subsequently a right breast lift and a left nipple reconstruction. The tissue expander is placed at the time of the mastectomy adding only about 45 minutes to the surgery time, and does not involve surgery in any other part of your body.
Patient of Dr. Loomis' following a bilateral breast reconstruction following skin-sparing mastectomies.
 
 

Breast Reconstruction

Breast reconstruction can be done at the same time as your mastectomy, or at any time thereafter. It can be done with saline filled implants or with a "TRAM flap" which is your own skin and fat taken from the lower abdomen. There are pros and cons to each of these types of reconstruction, and not all patients are candidates for the surgery. This movie describes "What it was like..." to have a breast reconstruction in a patients own words.

Tissue Expanders and Implants:
The expander and implant surgery is simpler because it involves a shorter operation and does not require surgery on the abdomen. It may require surgery on the opposite breast to improve symmetry unless the reconstruction is bilateral. However, since the implants have only skin and a thin layer of muscle over them, the breast will have a rounder, less natural appearance and feel than the TRAM flap reconstructions. The entire implant reconstruction process takes place over a number of months, with two to three operations.

TRAM Flap Reconstruction:
The TRAM flap (Transverse Rectus Abdominis Myocutaneous Flap) reconstruction can be done at the same time as the mastectomy or at any time thereafter. It has been called the "tummy-tuck" flap, because the flap is taken from the lower stomach and when the flap is closed it gives you the effect of a tummy tuck as well. The TRAM flap does not require the use of implants and may provide a more natural looking and feeling breast which can match the opposite breast more closely than an implant could. As with an implant reconstruction, this surgery is followed with a second stage where modification of the mound are made and a third stage where the nipple is reconstructed. While the tissue expander will take about an hour, a TRAM flap will take about four and a half hours or more and involves surgery on the abdomen as well as the chest. Since the surgery is more involved, there are additional risks and a longer recovery associated with the flap surgery.

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What to expect before, during and after breast reconstuction surgery.

 

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