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What is a Direct to Implant Breast Reconstruction?


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by Dr. Steven Wallach

When it comes to breast reconstruction following mastectomy, there are many available techniques. One technique, direct to implant reconstruction, can be done for some patients who desire to have breast implants inserted directly after their mastectomy. Read on to learn more about how this procedure is done.

The Procedure

A direct to implant reconstruction is done in one procedure, at the same time as a mastectomy. The implant is inserted directly following the removal of breast tissue. During a traditional breast reconstruction following mastectomy, a tissue expander is used to create a pocket in the chest for the breast implant. An acellular dermal matrix (ADM) is often added to provide coverage over the implant.  This eliminates the need for a tissue expander.

Who is a Good Candidate?

There are some women who have enough skin and soft tissue left that is not removed during the mastectomy. In this situation,  a direct to implant reconstruction may be performed. This is commonly done in a skin-sparing or even a nipple-sparing mastectomy. A very select group of patients who also don’t have significant sag or drooping of the breast can sometimes undergo a direct to implant reconstruction. This option enables them to have a very similar shape to what they had before they had the mastectomy.

If you are interested in direct to implant breast reconstruction in New York, contact Dr. Wallach today to schedule a consultation.

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