Maryland's Health Matters - Upper Chesapeake - Fall 2013 - (Page 5)
OPTIONS AFTER MASTECTOMY
Breast reconstruction at UCH—choose
the surgery that’s right for you
W
omen facing breast cancer today have more options to
choose from when it comes to reconstructive surgery.
“Breast reconstruction is not a required part of breast
cancer treatment, but many women feel that it helps their body
image and self-esteem,” says Ramon DeJesus, MD, a specialist
in reconstruction, hand and plastic surgery at Upper Chesapeake
Health (UCH).
After a mastectomy, in which the natural breast tissue is removed, reconstruction restores the breast to as
near a normal shape as possible. The choices in
breast reconstruction fall into two categories:
implant and autologous, each with its own
benefits and challenges, and both beginning
immediately following mastectomy.
Ramon
DeJesus, MD
IMPLANT RECONSTRUCTION
The implant option is usually a one- or twostage operation with a faster recovery. In most
cases, a tissue expander is inserted in a pocket
created in the chest wall. The expander is
slowly inflated postoperatively, and eventually
exchanged for a saline or silicone breast implant, similar to breast augmentation surgery.
Mathew
The option of implant reconstruction may
Thomas, MD
result in a less natural look and may be a less
desirable option in the setting of radiation therapy.
AUTOLOGOUS RECONSTRUCTION
Women wanting a more natural look can opt for autologous reconstruction. This surgery uses the woman’s own natural tissue.
This does require surgery at a donor site (usually the abdomen)
and may involve a longer procedure and recovery time. These
options take advantage of extra skin and fat in the abdomen
which are transferred to the chest to re-create the breast. This
may result in a more “natural” look and feel, with the added
benefit of a tummy tuck in the process.
FIND OU
NEED TT WHAT YOU
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Recent advances
in autologous
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recon ncer trea structive
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s
struc
to pr
tion t ent? Ou urgery
employ microo
more viding hi eam is de r breast
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surgical techdica
info
point rmation uality car ted
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m
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569abdominal tissue
p5155
.
to the breast. These
advances can lessen the
impact on the muscles of
the abdominal wall. These cuttingedge procedures are being performed at Upper Chesapeake
Medical Center in Bel Air. In this type of surgery, the abdominal skin and fat are detached and moved to the chest, where
tiny blood vessels are meticulously reconnected. Dr. DeJesus
and his partner, Mathew Thomas, MD, are currently the only
surgeons in Harford County who offer microsurgical breast
reconstruction, in addition to the complete array of reconstructive techniques.
Breast reconstruction needs to be individualized to the patient,
but it’s good to know that many reconstructive options are available right in our own community to women facing the disease.
Breast cancer
survivor Jennifer
Grady Maddock
lives life to the
fullest after having reconstructive
surgery.
uchs.org | Fall 2013
5
http://www.uchs.org
Table of Contents for the Digital Edition of Maryland's Health Matters - Upper Chesapeake - Fall 2013
Maryland's Health Matters - Upper Chesapeake - Fall 2013
Contents
A Healthy Start
Options After Mastectomy
Strength and Courage
A Winning Trial
At a Glance
Foundation Focus
News and Events
Maryland's Health Matters - Upper Chesapeake - Fall 2013
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