Breast reconstruction is a physically and emotionally rewarding procedure both for the woman
who has lost a breast due to cancer and for the physician as well. The creation of a new breast
can dramatically improve your self-image, self-confidence and quality of life. Although surgery
can give you a relatively natural-looking breast, a reconstructed breast will never look or feel
exactly the same as the breast that was removed. In most cases, the reconstructed breast does not
have sensation, and in the cases of unilateral (one sided) mastectomy, one or more procedures may
need to be performed on the opposite breast to obtain the best symmetry. Breast reconstruction is a
process which may last from months to one year, therefore, a good relationship between the plastic
surgeon and patient is essential. Breast reconstruction can begin at the same time as mastectomy
(immediate reconstruction) or may be delayed until you heal from mastectomy and recover from any
additional cancer treatments (delayed reconstruction). Dr. Lu has a special interest in breast
reconstruction and participates in the Overlake Hospital and Swedish Hospital Multidisciplinary
Breast Conferences and will discuss your plan of care with you, your oncologist and breast
cancer surgeon to jointly determine the optimal timing for your reconstruction. Multiple
options for breast reconstruction exist, including reconstruction with your own tissue (TRAM
or latissimus flap) or implant reconstruction. Many factors, such as general health, weight
and body shape, prior surgeries or scars, planned radiation and personal preferences will
influence your decision regarding type of reconstruction. Dr. Lu prefers to see you prior to
your cancer surgery so that all options can be discussed with you and a coordinated plan made
prior to any intervention.
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