Dr. Bidic and Dr. Gundlapalli specialize in breast reconstruction for New Jersey women who have undergone mastectomy to treat or prevent breast cancer. The disfigurement of a mastectomy can be emotionally devastating, but modern breast reconstruction techniques help women to be whole again. If you have undergone or are planning on having a mastectomy, our surgeons can help restore your breasts, your femininity, and your self-esteem.
A Consultation That's All About You
Our cosmetic surgeons are sensitive to the unique emotional and cosmetic needs of women requiring breast reconstruction. During a consultation, the surgeon usually spends about 45 minutes to an hour to make sure he understands your goals, concerns, and individual breast reconstruction needs. He will patiently guide you through the process and your decisions to ensure that you feel satisfied with your results. And the American Surgical Arts medical team will provide respectful, compassionate, and experienced support throughout your care.
Your Breast Reconstruction Procedure
For breast reconstruction after a mastectomy, the breast surgeon will discuss a number of options with you. These include immediate versus delayed reconstruction of one or both breasts, using your own skin and fat versus using implants, creating new nipple mounds or not, tattooing new areolas (pigmented areas around the nipple) or not.
Immediate or Delayed Breast Reconstruction
New Jersey breast reconstruction specialist Dr. Bidic and Dr. Gundlapalli can begin the reconstruction process immediately after a mastectomy as part of the same operation. This is called immediate reconstruction. If reconstruction is performed at a later time, often after chemotherapy or radiation treatment, then this is called delayed reconstruction. Studies have shown that women who undergo immediate breast reconstruction undergo less psychological stress than those who undergo delayed reconstruction.
Skin Options or Flaps
We offer advanced flap procedures for breast reconstruction such as:
Latissimus dorsi flap / DIEP flap / TRAM flap
These techniques use a flap of tissue from another area of the body, such as the abdomen or back, to reconstruct the breast. The transplanted tissue either remains attached or is detached and reattached to blood vessels near the area of reconstruction.
To make room for an implant, temporary, saline-filled implants called tissue expanders are inserted.
These are gradually filled over several months, expanding the tissue to accommodate a long-term silicone or saline implant. Dr. Bidic and Dr. Gundlapalli offer many kinds of breast implants at our Mullica Hill practice.
- Direct-to-implant: For women who have a B-cup breast or smaller, are happy with their breast shape, and are within a certain weight group, the surgeon offers a direct-to-implant reconstruction option. This is a one-step surgery for the patient that adds only 45 minutes per side to the mastectomy operation. Dr. Bidic is one of the few plastic surgeons in the United States who offers this procedure. The results have been phenomenal.
- Matching procedures: If only a one-sided mastectomy is performed, the surgeon will attempt to have your insurance cover a matching procedure on the non-cancer breast. He can perform a breast lift (mastopexy), breast reduction, or breast augmentation based on the dimensions of the breast reconstruction previously performed.
Through liposuction, the doctor can harvest fat from other areas to enhance the results of breast reconstruction. It is usually done in conjunction with nipple reconstructions or matching procedures.
All breast cancer reconstructive procedures mentioned above are covered by health insurance. The surgeons and staff will support you to help you understand your rights and options regarding health insurance for breast reconstruction.
Advanced 3D imaging lets you see the possibilities.
We use VECTRA to help evaluate your needs and better assess the expectations that are possible with surgery. You and the surgeon will be able to review the 3D outcomes for the same procedure you seek.