Breast Reconstruction

Breast reconstruction is a procedure designed to restore the breast’s shape and volume. Breast reconstruction is a procedure typically performed after mastectomy or trauma to the breast. It is also a procedure that is beneficial for women with tuberous breast disease. There are several methods to achieve successful and natural breast reconstruction. Reconstruction can be performed using tissue expanders, breast implants, and flaps (tissue from your own body). Dr. Aboutanos will discuss these techniques with you and answer all of your questions.

How long will the procedure take?

The length of the procedure depends on the type of breast reconstruction chosen. Dr. Aboutanos will discuss this with you at length during your consultation.

Where will the incisions be?

An attempt is made to hide all incisions, regardless of the type of reconstruction, discretely within the outlines of undergarments or swimsuits.

What will recovery be like?

Immediate recovery from breast reconstruction is typically two weeks. Full recovery can take anywhere from four to six weeks, depending on the type of breast reconstruction performed and the need for adjunct therapies, such as chemotherapy. Dr. Aboutanos will be with you every step of the way to help make this process the smoothest possible.

What else should I know about breast reconstruction?

Breast reconstruction is a deeply personal and emotional process. Dr. Aboutanos cares about your concerns and will help restore your breast's appearance in the safest means possible.

Breast Reduction

Breast reduction surgery, also called reduction mammaplasty, is a procedure performed to reduce breast volume and size. The benefit of reducing breast size is to decrease the weight placed on your neck, shoulders, and back. It can also help with your posture and to help you fit better in your clothing. A routine mammogram may need to be obtained before the procedure.

How long will the procedure take?

A breast reduction is a procedure done under general anesthesia. It can take about three to four hours and is done on an outpatient basis.

Where will the incisions be?

The incisions are usually around the areolas, down the center of the breast, and across the base. This is called an "anchor" or "inverted T" incision. Most of the time, this scar can be hidden under your bathing suit or bra. An enlarged areola will be reduced to match the smaller breast.

What will recovery be like?

Typically, the immediate recovery is about two weeks. This can vary from person-to-person depending on the size of your reduction. A follow-up appointment will be scheduled for you one day later for drain removal. You should be able to shower about two to three days after the procedure. You can transition to a soft bra without an underwire two weeks after the surgery.

Initially, you should plan to avoid strenuous exercise, heavy lifting, and housework. You will need to walk and keep your legs moving after surgery to avoid complications.

You'll be given a prescription for pain medication and an antibiotic. Most of your sutures will be dissolvable and scar care will be discussed with you at the appropriate time. Dr. Aboutanos and her staff will review all of these instructions with you. A full recovery can take about six weeks. Dr. Aboutanos will be there every step of the way to ensure the best results.

What else should I know about breast reduction?

Usually, one drain per breast is left to collect any excess fluid overnight. You will get detailed instructions on how to care for these drains. You will go home with a surgical bra that we place after your surgery to let the area heal properly. You will need a responsible adult to drive you home and stay with you for at least 24 hours after the surgery.

Skin Cancer

Skin cancer surgery is a procedure performed to eliminate skin cancer and prevent recurrence. In some cases, reconstruction may be needed to restore your appearance. There are several types of skin cancer. The most common types are basal cell cancer, squamous cell cancer, and malignant melanoma.

How long will the procedure take?

Some of these procedures can be done in the office setting. However, some will require anesthesia and will need to be done in the operating room. This can determine the length of time necessary to complete the procedure. Factors that determine where the procedure takes place include location of lesion, size of the lesion, and serious medical conditions or medications. Dr. Aboutanos will discuss all of these important factors with you during your consultation.

Where will the incisions be?

The location of the skin cancer will determine where the incision will be located. If possible, the incisions are hidden within a crease or made such that the scar is thin and flat. If reconstruction is necessary, a skin flap or graft may be used.

What will recovery be like?

Typically, the immediate recovery is about one to two days if the skin cancer is removed in the office setting. It can be longer if a more extensive procedure is required. You will receive instructions on how to care for the repair afterwards. You should be able to shower the day after the procedure. The stitches will be removed in seven to 14 days.

Initially, you should plan to avoid strenuous exercise, contact sports, swimming, heavy lifting, and housework.

What else should I know about skin cancer procedures?

If you have been diagnosed with a skin cancer, it is important to get routine screenings and to use sunscreen on a regular basis. Dr. Aboutanos will go over these critical points during your visit.

Ear Reconstruction

Ear reconstruction surgery is a procedure performed to treat microtia. Microtia is a congenital condition that results in an underdeveloped or missing ear. Ear reconstruction is typically a series of three surgeries that build upon each other to create the appearance of a normal external ear. The first surgery is creating the framework of a normal ear with a rib cartilage graft. The second surgery goes toward restoring the appearance of a normal earlobe and eliminating excess skin. The third surgery creates the sulcus behind the ear framework. Children older than six years of age are candidates for ear reconstruction.

How long will the procedure take?

The first surgery is typically the longest of the three procedures, lasting about three to four hours. The second and third surgeries are usually about two hours each. The surgeries are usually spaced three months apart from each other.

Where will the incisions be?

The incisions are placed in front and behind the ear.

What will recovery be like?

Recovery is typically one to two weeks after surgery. You will receive instructions on how to care for the reconstruction afterwards. Often a head wrap is placed to protect the surgery site and for comfort.

Initially, you should plan to avoid strenuous exercise, contact sports, swimming, heavy lifting, and housework.

What else should I know about this procedure?

Microtia typically affects hearing in the affected ear. Microtia can also occur as part of a larger, more complex condition such as hemifacial microsomia, Goldenhar Syndrome, or Treacher Collins Syndrome. Dr. Aboutanos will help coordinate your child's care with other craniofacial specialists as part of a multidisciplinary team approach.