One and Done Breast Reconstruction

Overview

The term ‘one and done’ refers to a type of breast reconstruction that is performed in one surgery. This type of procedure is often preferred by patients as it reduces the number of surgeries they need to undergo for reconstructing their breasts. It is also much less expensive than multiple surgeries, and the recovery time is shorter.

There are two main types of ‘one and done’ breast reconstruction: implant-based reconstruction and flap-based reconstruction. Implant-based reconstruction involves inserting an implant into the chest wall. Flap-based reconstruction involves using tissue from other parts of the body, such as the abdomen or back, to create a new breast mound. Depending on the patient’s needs, either approach can be used in a single surgery.

Both implant-based and flap-based reconstructions have some advantages and disadvantages. In both cases, there is a risk of complications such as infection or bleeding. Furthermore, if radiation therapy is required after the surgery, it may affect how successful the procedure is in creating a natural looking breast shape. It is important to discuss these risks with your doctor before deciding which type of procedure is right for you.

Implant-Based Reconstruction

Implant-based reconstruction is a popular option for many women seeking ‘one and done’ breast reconstruction, as it is typically less invasive than flap-based reconstruction. This type of reconstruction involves placing a silicone implant in the chest wall to create a new breast mound. It can be done at the same time as the mastectomy or later on during a separate procedure.

Nipple-Sparing Mastectomy

In some cases, a nipple-sparing mastectomy may be recommended prior to implant-based reconstruction. This type of mastectomy preserves the nipple and areola, allowing them to remain intact when the new breast is created. Not all women are candidates for this procedure, so it is important to discuss with your doctor if this is an option for you.

Tissue Coverage

The implant itself does not provide enough coverage on its own, so tissue from elsewhere in the body must be used to cover it. This can be done using either a pedicle flap or free flap technique, depending on the patient’s needs and preferences. The advantage of using flaps over skin grafts is that they provide better coverage and more natural results.

Radiation Therapy Considerations

If radiation therapy will be part of your treatment plan, it is important to discuss this with your doctor prior to undergoing implant-based reconstruction. Radiation can cause significant damage to implants, so other options such as flap-based reconstruction may need to be considered instead.

Revision Surgery

In some cases, revision surgery may be necessary after implant-based reconstruction has been completed. This could include additional tissue coverage or changing out old implants for newer ones that are more suited for your body shape and size. Revision surgery should always be discussed with your doctor before proceeding with any further treatment plans.

Flap-Based Reconstruction

Flap-based reconstruction is a type of breast reconstruction that uses the patient’s own tissue to create a new breast mound. This technique involves transferring tissue from one part of the body, such as the lower abdomen or back, to the chest area. The transferred tissue can be used either in a single-step approach or a staged approach.

Single-Step Approach

The single-step approach involves transferring all of the needed tissue in one surgery. During this procedure, an incision is made on the donor site and the tissue is removed with its accompanying blood vessels intact. The tissue is then reattached to the chest wall with sutures and/or surgical clips. This method of reconstruction is beneficial because it requires only one surgery and typically results in less visible scarring than other techniques.

Staged Approach

The staged approach involves two separate surgeries: an initial surgery to remove and transfer the tissue, and a second surgery to shape and contour the new breast mound. During the first surgery, an incision is made on both the donor site and recipient site, and the flap of tissue is removed from its original location along with its accompanying blood vessels. The flap is then transferred to its new location on the chest wall where it is secured with sutures or clips. In some cases, additional fat may be added for volume during this stage as well. During the second surgery, any excess skin or fat will be removed and sculpted into a more natural shape and size.

Flap-based reconstruction can provide excellent results for patients who wish to use their own tissues for breast reconstruction following mastectomy or lumpectomy procedures. This technique offers several benefits including improved symmetry between breasts, minimal scarring due to fewer incisions, and improved overall aesthetic outcomes compared to implant-based reconstructions methods.

Flap-based reconstruction uses patient’s own tissue to create new breast mound, with single-step or staged approach; minimal scarring and improved symmetry.

Final Thoughts

The decision to undergo breast reconstruction is ultimately up to the patient, and there are many factors to consider. One and done breast reconstruction can be a good option for some patients, but it is important to understand the potential risks and benefits of each technique. Implant-based reconstruction offers minimal scarring and recovery time, but flap-based reconstruction may provide more natural results.

It is important for patients to speak with their doctor about their individual needs and preferences in order to make an informed decision. The doctor should be able to provide information on both techniques and discuss any additional considerations such as radiation therapy or revision surgery that may be necessary. Patients should also be aware that any procedure carries risks, including infection, implant failure, or tissue necrosis.

Overall, One and done breast reconstruction can provide excellent results for the right patient. It is important for patients to understand the different types of reconstructive surgery available in order to make an informed decision about their care.

Conclusion

One and Done Breast Reconstruction can provide excellent results when performed by an experienced surgeon, but it is important for patients to understand the potential risks and benefits of each technique in order to make an informed decision about their care. With proper planning and consideration of individual needs and preferences, these procedures can help restore a patient’s quality of life after breast cancer treatment.

Conclusion

The ‘One and Done’ approach to breast reconstruction has seen a rise in popularity in recent years due to its promise of providing a more natural-looking outcome with fewer surgeries. It is important for patients to understand the various techniques available and the advantages and disadvantages of each. Implant-based reconstruction can be performed using a nipple-sparing mastectomy, tissue coverage, or revision surgery, while flap-based reconstruction can be done as a single-step or staged approach. Ultimately, the decision of which approach is best should be made between the patient and their surgeon based on individual needs and goals.

In conclusion, the ‘One and Done’ approach to breast reconstruction is an attractive option for many women due to its potential for achieving a more natural-looking breast shape with fewer surgeries. However, it is important for patients to understand all available options in order to make an informed decision that best meets their individual needs and goals.

Book your Free Consultation. Imagen consultations are free and can be initiated virtually via text 402-395-0511, or through our virtual consultation. Otherwise, you can schedule an in-person appointment with one of our board-certified cosmetic surgeons to discuss breast reconstruction options. 

Our experienced team of professionals will provide you with the latest information on the procedure, its risks and benefits, as well as any other questions you may have. During your consultation, the doctor will conduct a thorough exam and present you with the best options for you – Even if it means getting your procedure somewhere else.