Introduction

Breast plastic repair is a significant medical need for many women, whether it's due to cancer - related surgeries like mastectomies or for cosmetic reasons. In New York City, there are several public hospitals that offer top - notch breast plastic repair services. This article will introduce three of these institutions, detailing their services, expertise, and the unique features that set them apart.

1. Mount Sinai - Dubin Breast Center

Overview of Breast Reconstruction Services

Mount Sinai's Dubin Breast Center is renowned for its comprehensive breast reconstruction services. Some women who have had a breast removed through a mastectomy often desire breast replacement, and this center provides expert assistance in this regard. The plastic surgeons at the center collaborate closely with breast surgeons and oncologists, ensuring seamless and advanced treatment with a focus on both medical and aesthetic outcomes.

Types of Reconstruction

Implant Reconstruction

During implant reconstruction, at the time of mastectomy, a tissue expander is placed in the breast. The tissue expander is a temporary inflatable implant that is inflated in the plastic surgeon's office shortly after the surgery. Patients typically stay in the hospital for one or two days. Return to work may be possible within two to three weeks. Approximately three months after the initial surgery, a second ambulatory surgery is performed to remove the tissue expander and place a permanent implant. Permanent implants can be filled with silicone or saline.

Autologous Reconstruction

There are different types of autologous reconstruction that use the patient's own body tissue. One such type is the DIEP flap (also known as TRAM), where skin and fat from the lower abdomen, similar to a “tummy - tuck,” are used to reconstruct the breast. Another is the latissimus dorsi flap, which uses skin and muscle from the back. The initial surgery for autologous reconstruction is generally longer than that for implant reconstruction, but more can be accomplished in the first procedure. The hospital stay is typically five days, and patients may be able to return to work four to six weeks after the surgery.

Benefits of Choosing Mount Sinai

• Multidisciplinary approach: The close collaboration between plastic surgeons, breast surgeons, and oncologists ensures that patients receive well - coordinated care from different specialties.
• Advanced techniques: The center uses the latest surgical techniques for both implant and autologous reconstruction, offering patients state - of - the - art treatment options.
• Experience: With a long - standing history in breast reconstruction, the surgeons at Mount Sinai have the expertise to handle a wide range of cases.

2. Weill Cornell Medicine

Commitment to Patient Well - being

Weill Cornell Medicine's breast reconstruction program is dedicated to improving the emotional well - being of patients who have undergone mastectomies. The goal is to make patients feel whole and complete again and allow them to continue their lives without constant reminders of their treatment.

Reasons to Choose Weill Cornell Medicine

Exemplary Surgeons

The plastic and reconstructive surgeons at Weill Cornell Medicine are leaders in their field. They are equipped with the skills and knowledge to provide high - quality care throughout the breast reconstruction process, ensuring patient comfort at every step.

Individualized Reconstruction

Recognizing that each patient's body is unique, the surgeons customize the breast reconstruction to meet the specific wishes of each patient. This personalized approach helps patients achieve results that are in line with their expectations.

Multidisciplinary Care

The plastic and reproductive surgeons are part of the Weill Cornell Medicine Breast Center, a multidisciplinary group that includes oncologists, geneticists, and nurses who specialize in breast cancer care. This comprehensive approach ensures that patients receive optimal health and well - being support.

Breast Reconstruction Options

Almost all breast reconstructions at Weill Cornell Medicine are performed on the same day as the mastectomy. The breasts can be reconstructed using the patient's own skin tissue or breast implants. Most patients leave the hospital within 24 hours of having implant - based reconstruction or 48 to 72 hours after completing a flap reconstruction. The center also offers breast reinnervation procedures during both autologous and implant reconstruction to improve sensation in the reconstructed breast, which is associated with an improved patient quality of life.

3. Columbia University - Columbia Breast Cancer Reconstructive Surgery Program

Comprehensive Plastic Surgery Services

Columbia University's plastic surgery department is one of New York's best, and its breast cancer reconstructive surgery program is a prime example of its excellence. The program aims to empower individuals who have undergone breast cancer surgery to reclaim their physical and emotional well - being.

Surgeon Expertise

The plastic surgeons at Columbia are proficient in multiple areas of specialization, ranging from routine non - surgical cosmetic procedures to complex reconstructive operations. They are world leaders in reconstructive care for breast cancer patients. For example, Dr. Christine Rohde, the chief of the division of plastic surgery, is highly skilled in microsurgery, abdominal wall reconstruction, and breast reconstruction. Other surgeons, such as Dr. Jeffrey A. Ascherman, have extensive experience and numerous publications in the field.

Research and Innovation

The plastic surgery research laboratory at Columbia is actively involved in numerous research studies. This includes research related to stem cells, tissue engineering, and the application of gene therapy to wound healing. The findings from these studies can potentially be translated into better treatment options for breast reconstruction patients.

Available Reconstructive Procedures

Factors to Consider When Choosing a Breast Plastic Repair Hospital

Surgeon Experience

The experience of the plastic surgeons is crucial. Surgeons with a long - standing history of performing breast plastic repair surgeries are more likely to have encountered a wide range of cases and developed the necessary skills to handle complex situations. Look for surgeons who are board - certified and have received recognition in the field, such as being listed in top doctor lists.

Multidisciplinary Approach

A hospital that offers a multidisciplinary approach, with plastic surgeons working closely with oncologists, radiologists, and other specialists, is beneficial. This ensures that patients receive comprehensive care from different perspectives, leading to better treatment outcomes.

Available Reconstruction Techniques

Each patient's situation is unique, and the hospital should offer a variety of reconstruction techniques, including both implant - based and autologous methods. This allows patients to choose the option that best suits their body type, preferences, and medical condition.

Patient - Centered Care

Consider a hospital that prioritizes patient comfort and well - being. This includes providing clear information about the procedure, answering patients' questions, and offering support during the recovery process. A patient - centered approach can significantly enhance the overall patient experience.

Preparing for Breast Plastic Repair Surgery

Consultation

Before the surgery, it is essential to have a detailed consultation with the plastic surgeon. During this consultation, the surgeon will evaluate your medical history, anatomy, and goals for the reconstruction. They will also explain the available options, the procedure itself, the potential risks, and the expected recovery process. Be open and honest about your expectations and concerns.

Medical Preparation

You will likely be provided with instructions on eating, drinking, smoking, and taking or avoiding certain vitamins, iron tablets, and medications before the surgery. You may also need to obtain pre - operative clearance from another doctor, depending on your medical history. Make sure to follow these instructions carefully to ensure a successful surgery.

Recovery Planning

Since the recovery process can be challenging, it is important to plan ahead. Arrange for someone to escort you home after the surgery and provide assistance during the initial few days. You may need to take time off work, so discuss this with your employer in advance. Also, set up a comfortable recovery area at home with all the necessary supplies.

Common Questions about Breast Plastic Repair

Is breast plastic repair safe?

Like all surgeries, breast plastic repair has some risks, such as bleeding, infection, poor wound healing, and adverse reactions to anesthesia. However, choosing an experienced, board - certified surgeon and a reputable hospital can significantly reduce these risks. Reconstruction generally does not affect the recurrence of breast cancer and usually does not interfere with chemotherapy or radiation treatment if needed.

What is the recovery time?

The recovery time varies depending on the type of reconstruction. Implant - based reconstruction usually has a shorter recovery time compared to flap reconstruction. While you may be able to return to normal daily activities within weeks, it can take months to fully heal. Your surgeon will provide a more accurate timeline based on your specific case.

Will the reconstructed breast feel the same as the natural breast?

A reconstructed breast will not have exactly the same sensation and feel as a natural breast. However, techniques such as breast reinnervation can be used to improve sensation. Over time, most patients adapt to the new breast and find that it improves their appearance and quality of life.

Conclusion

New York City is home to several outstanding public hospitals that offer high - quality breast plastic repair services. Mount Sinai - Dubin Breast Center, Weill Cornell Medicine, and Columbia University's breast cancer reconstructive surgery program each have their own unique strengths, including experienced surgeons, a multidisciplinary approach, and a wide range of reconstruction techniques. When considering breast plastic repair, it is important to take the time to research these hospitals, consult with the surgeons, and carefully evaluate your options. By making an informed decision, you can achieve the best possible outcome for your breast reconstruction.

If you or someone you know is considering breast plastic repair in New York City, we encourage you to reach out to these hospitals for more information. You can schedule a consultation to discuss your specific needs and goals with the experts. Share this article with others who may find it helpful, and explore more about breast health and reconstruction to stay informed.