Interview with a Plastic Surgeon Regarding Breast Reconstruction: Part 2
KG: There are various methods of reconstruction after a mastectomy. Is there a specific method you use more often, and if so, why?
DK: I perform numerous types of reconstruction, but far and away, the most common type of reconstruction that I perform is implant based. Over the years, I have found that reconstructing the breasts with implants is a very safe and reliable way to reconstruct the breasts with less risk, less recovery and more control over the final breast mound size than with several of the other methods available. I have had much success with using the implants. Therefore, I have gradually increased the number of cases of implant reconstruction that I perform each year. When complications do occur with autologous tissue reconstruction, such as TRAM flap reconstruction, they can be devastating. I also find that by starting with the more “basic” type of reconstruction with implants, one can always return to the more advanced techniques of reconstruction if for some reason the implant-based reconstruction is unsuccessful.
KG: What are the most important things that a patient should know about how she may look after reconstruction?
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