Breast Reconstruction

For many women, breast reconstruction plays an important role in the recovery process. Recreating the breast(s) after cancer is helpful to restore both positive body image and a sense of feeling “whole” again.

Dr. Anshu Gupta is honored to be part of the emotional journey of his breast reconstruction patients. Widely known for his reconstructive expertise, Dr. Gupta offers advanced procedures, including oncoplastic surgery, fat transfers and perforator flaps (DIEP and SGAP flaps). Women seeking breast reconstruction have many choices to make, including when to have surgery and what type of surgery to have, and Dr. Gupta is pleased to share his expertise throughout the entire process.

Dr. Anshu Gupta is a gifted surgeon. When I underwent my surgeries with him, I knew he was passionate about his profession. I had a free flap breast reconstruction with breast implants and a flatter tummy. He made it a very pleasant experience. He takes his time explaining everything. His smile is comforting. I don’t mind the wait because he spends the time with me when I need more time, so I don’t mind waiting if he needs to spend more time on his other patients. I did have plenty of questions. His staff are all very friendly and professional and fun to work with.

Dr. Gupta can reconstruct one or both breasts with saline or silicone implants, which look and feel very similar to natural breast tissue. Prior to implant placement, a tissue expander will be used to gently and gradually prepare the skin. Over time, the tissue expander is slowly filled through an internal valve. Then, the tissue expander is replaced with the implant.

In addition to tissue expander and implant-based breast reconstruction, Dr. Gupta offers the following options:

Oncoplastic Approaches

Oncoplastic surgery combines tumor removal with immediate breast reconstruction, often in a single stage. Through an incision similar to those used in breast lift and breast reduction, the entire tumor can be removed and the breast immediately reconstructed. If needed, the other breast can be augmented, lifted or reduced to match the size and shape of the reconstructed breast (by placing a breast implant, removing tissue or repositioning the existing tissue higher on the chest for a lift).

Because the oncoplastic approach typically involves single-stage reconstruction with a single recovery, the patient has the opportunity for faster treatment and a more rapid return to her normal lifestyle. In fact, most of the time, the reconstructed breasts will have an optimal contour and size, as desired by the patient.

Fat Transfer

Fat transfer breast reconstruction creates the desired breast shape and size using surplus fat from another area of the body. Fat is removed from the abdomen or buttocks through liposuction techniques, purified and strategically injected into the breast. This provides the appearance and feeling of a normal, healthy breast. One of the greatest advantages of fat transfer is that it doesn’t require major invasive surgery. The fat is harvested and injected using minimally invasive techniques. Also, the donor area will look slimmer after treatment. A drawback of fat transfer is that not all of the fat will survive; some of it may be reabsorbed by the body over time and the breasts may become smaller. To compensate, Dr. Gupta may “overfill” the breasts at first.

Breast reconstruction surgeons have seen good results when patients wear an external tissue expander device called Brava prior to, and after, fat grafting. The Brava device, which looks like a bra, puts gentle suction on the breast area to gradually expand the tissue and form a framework for the fat. Studies have shown that fat transfer breast reconstruction patients that wore the Brava device maintained greater breast volume after fat transfer than patients that did not wear the device.

Perforator Flaps

State-of-the-art flap procedures involve transferring a flap of tissue from another area of the patient’s body (e.g., the abdomen, back, buttocks) and using it to reconstruct the breast mound.

The advantage of this approach is that the flap includes tiny blood vessels (perforators) that supply nutrients to the tissue. Also, unlike traditional tissue reconstruction techniques, perforator flap techniques preserve the underlying musculature. This is helpful in reducing post-operative discomfort and maintaining long-term muscle strength. Active women are especially good candidates for reconstruction with perforator flaps.

Perforator flaps and our other reconstruction options require the experience and specialized training of Solana Beach plastic surgeon like Dr. Gupta.

Contact Dr. Gupta

To schedule a personal consultation with leading breast reconstruction surgeon Anshu Gupta, please contact Verve Plastic Surgery today. Call (760) 436-7600 to book an appointment.

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