Dr. Gottenger's dedication to breast reconstruction is directed to restore one or both breasts to near normal shape, appearance, symmetry, and size following mastectomy, lumpectomy or other trauma.
Breast reconstruction often involves several procedures performed in stages and can either begin at the time of mastectomy or be delayed until a later date.
Surgical approaches for breast reconstruction includes implant/tissue expanders based reconstruction to help form a new breast or flap reconstruction using the patient's own tissue from another part of the body to form a new breast.
Dr. Gottenger is always on top of the latest techniques for breast reconstruction including last generation implants, PREVENA™ Incision Management System, ALLODERM SELECT™ Regenerative Tissue Matrix and AeroForm tissue expander system, bringing his patients full expansions without needles in the comfort of their home with a single touch of a button.
How Is The Procedure Done?
The reconstructive procedure is performed under general anesthesia and patient usually stays in the hospital one to three days depending on the type of reconstruction.
Under or above the muscle?
There are several methods of breast reconstruction including under or above the muscle. Traditionally, breast cancer patients who undergo a mastectomy and desire breast implant reconstruction would have their implants or tissue expanders placed under the chest muscle or pectoralis major muscle. However, in the last few years new and progressive advances have been made in breast reconstruction surgery. This new technique involves placing implants/expanders above the pectoralis muscle. Dr. Gottenger is one of the pioneers doing this surgical approach in South Florida with a very positive experience and reliable results.
BENEFITS OF PRE-PECTORAL (ABOVE-THE-MUSCLE) BREAST RECONSTRUCTION:
• No muscle fatigue or chronic pain
• No muscle animation or pull on skin
• Quicker recovery, less pain, less downtime
No every patient is a candidate for this surgical approach. If you are considering pre-pectoral breast reconstruction, Dr. Gottenger specializes in this area and can offer you individualized care. We have found that many patients who have previously had under-the-muscle reconstruction are candidates for the above-the-muscle procedure as well.
Dr. Gottenger is very proud to be a part of a forward-thinking movement of using the newest technologies and techniques for breast reconstruction as long as it is beneficial for the patient.
We offer the latest implants and tissue expanders of the most reputable companies such as Natrelle, Mentor, Sientra and AeroForm.
Breast Reconstruction is covered by insurance?
Breast reconstruction surgery after breast cancer is considered a reconstructive procedure and should be covered by health insurance under federal law. However your coverage may only provide a part of the total fee, you should discuss further with your insurance company.
What is the role of fat grafting on breast reconstruction?
Fat transfer is a common part of breast reconstruction. After permanent implants have been placed or a flap has been performed, fat transfer can smooth out irregularities or soften transitions from implants to the native chest. This procedure it should also be covered by health insurance.
The nipple/areola reconstruction is an outpatient procedure that is usually done under general anesthesia, the average time for this is about 1-2 hours. The goal of the surgery is to create a new nipple/areola complex that has a natural appearance in a three-dimensional way; another option is to do only tattooing under local anesthesia.