Breast reconstruction is a surgical procedure that restores shape to your breast after mastectomy — surgery that removes your breast to treat or prevent breast cancer.
One type of breast reconstruction uses breast implants — silicone devices filled with silicone gel or salt water (saline) — to reshape your breasts. Breast reconstruction with breast implants is a complex procedure performed by a plastic surgeon.
The breast reconstruction process can start at the time of your mastectomy, or it can be done later. The breast reconstruction process usually requires two or more operations — and several visits to your doctor — to insert, position and fill the breast implants.
Breast reconstruction won’t re-create the exact look and feel of your natural breast. However, the contour of your new breast may restore a silhouette similar to what you had before mastectomy.
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What Are The Risks?
Breast reconstruction with a breast implant carries the possibility of complications, including:
• Implant rupture or deflation
• Increased risk of future breast surgery to replace or remove the breast implant
• Changes in breast sensation
• Scar tissue that forms and compresses the implant and breast tissue into a hard, unnatural shape (capsular contracture)
Correcting any of these complications may require additional surgery. If you need adjuvant radiation therapy, you might not be an ideal candidate for breast implant reconstruction. Radiation therapy often leaves the skin and underlying tissue discolored or damaged. In such cases, doctors tend to recommend breast reconstruction with a tissue flap instead.
How You Prepare
Before a mastectomy, your doctor may recommend that you meet with a plastic surgeon. Consult a plastic surgeon who’s board certified and experienced in breast reconstruction following mastectomy. Ideally, your breast surgeon and the plastic surgeon will work together to develop the best surgical treatment and breast reconstruction strategy in your situation.
Your plastic surgeon will describe your surgical options and may show you photos of women who have had different types of breast reconstruction. Your body type, health status and cancer treatment factor into which type of reconstruction will provide the best result. The plastic surgeon provides information on the anesthesia, the location of the operation and what kind of follow-up procedures may be necessary.
Your plastic surgeon may recommend surgery on your opposite breast, even if it’s healthy, so that it more closely matches the shape and size of your reconstructed breast.
Before your surgery, follow your doctor’s specific instructions on preparing for the procedure. This may include guidelines on eating and drinking, adjusting current medications, and quitting smoking.
What You Can Expect
Breast reconstruction begins with placement of a breast implant or tissue expander, either at the time of your mastectomy surgery (immediate reconstruction) or during a later procedure (delayed reconstruction). Breast reconstruction often requires multiple operations, even if you choose immediate reconstruction.
A breast implant is a round or teardrop-shaped silicone shell, filled with salt water (saline) or silicone gel. Once restricted because of safety concerns, silicone gel implants are now considered safe.
A plastic surgeon places the implant behind the muscle in your chest (pectoral muscle). Some women are able to have the permanent breast implant placed at the time of the mastectomy. However, most women require a two-stage process, using a tissue expander before the permanent implant is placed.
Tissue expansion is a process that stretches your remaining chest skin and soft tissues to make room for the breast implant. Your surgeon places a balloon-like tissue expander under your pectoral muscle at the time of your mastectomy. Over the next few months, through a small valve under your skin, your doctor or nurse uses a needle to inject saline into the valve, filling the balloon in stages.
This gradual process allows the skin to stretch over time. You’ll go to your doctor every week or two to have the saline injected. You may experience some discomfort or pressure as the implant expands.
After the tissue is adequately expanded, your surgeon performs a second surgery to remove the tissue expander and replace it with a permanent implant. Some tissue expanders are designed to be left in place, so the second operation may be less extensive and require only local anesthesia.
You may be tired and sore for a few weeks after surgery. Your doctor can prescribe medication to control your pain.
You may have drainage tubes for a short time after surgery to remove fluids that collect in the surgical site. The drainage tubes remain in place until the amount of fluid draining substantially decreases.
You’ll also have stitches (sutures) after your surgery. They’ll probably be absorbable, though, so you won’t need to have them removed. Scarring is permanent, but the scars generally fade over time.
Getting back to normal activities may take six weeks or longer. Take it easy during this period.
Your doctor will let you know of restrictions to your activities, such as avoiding overhead lifting or strenuous physical activities. Don’t be surprised if it seems to take a long time to bounce back from surgery — some women report that it took as long as a year or two before they felt completely healed and back to normal.
Generally, you’ll follow up with your plastic surgeon on a yearly basis to monitor your reconstructed breast. Make an appointment sooner than that, however, if you have any concerns about your reconstruction.
Breast reconstruction may also entail reconstruction of your nipple, if you choose, including tattooing to define the dark area of skin surrounding your nipple (areola).
Future breast cancer screening
If you’ve only had one breast reconstructed, you’ll need to have screening mammography done regularly on your other breast. Mammography isn’t necessary on breasts that have been reconstructed.
You may opt to perform breast self-exams on your natural breast and the skin and surrounding area of your reconstructed breast. This may help you become familiar with the changes to your breast after surgery so that you can be alert to any new changes and report those to your doctor.
Your doctor may recommend that you have magnetic resonance imaging (MRI) done every few years on your reconstructed breast to check for signs of implant rupture.
Keep your expectations realistic when anticipating the outcome of your surgery. Breast reconstruction surgery offers many benefits, but it won’t make you look or feel exactly like you did before your mastectomy.
What breast reconstruction can do:
• Give you a breast contour
• Provide improved symmetry to your breasts so that they look similar under clothing or a bathing suit
• Help you avoid the need for an external prosthesis
What breast reconstruction may do:
• Improve your self-esteem and body image
• Partially erase the physical reminders of your disease
• Require additional surgery to correct reconstructive problems
What breast reconstruction won’t do:
• Make you look exactly the same as before
• Give your reconstructed breast the same sensations as your normal breast
To learn more about breast cancer, visit Mayo Clinic at: www.mayoclinic.org.
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100 Reasons Why I Can't Stop Looking At Blue Ivy
1. Mommy & Me
2. Blue. #May10 #NYC
3. Blue Ivy & Jay Z Sip Tea
Blue is surely the apple of Daddy's eye.
4. Blue Ivy & Beyonce Smell The Roses
Beyonce seems like the coolest mom.
5. Blue Ivy & Beyonce Soar The Big Skies
6. Blue Ivy & Mommy
7. Daddy & Me
Blue Ivy walks across mommy's at-home photoshoot, but it's the most adorable photobomb ever!
9. One Big Happy Family
The royal family, Bey, Jay & Blue are all out shopping and we're sure they spent our entire life's savings in 30 minutes or less.
10. Beyoncé, Jay Z & Blue in Beverly Hills — Nov. 11
Beyonce in these heels though?!
11. Beyoncé & Blue in NYC — Nov. 4
Look at Blue in her adorable little bow!
12. Beyoncé & Blue spotted in NYC — Nov. 4
Blue holding on to mommy for dear life.
13. Beyoncé & Blue spotted in NYC — Nov. 4
Momma Bey looking fierce with her mini me in tow.
14. Blue dressed as Michael Jackson.
15. Blue & Ivy
Just look at that face. Seriously, Jay could never deny this child! She knows how to make all his mean mugs!
16. Beyoncé, Jay Z & Blue in Beverly Hills — Nov. 11
Look at that cutie!
17. Beyoncé, Jay Z & Blue in Beverly Hills — Nov. 11
OMG Blue in a top knot? Yasss!
Blue has grown up to be an adorable toddler! We're swooning over this photo of her playing on the beach.
Looks like Blue is taking a walk in mom's shoes...literally.
20. Beyoncé & Blue
There's nothing like being cuddled up in mom's arms.
Blue is looking all kinds of adorable! Look at that left hand go! LOL.
22. Blue On The Big Screen
Bey & Jay look at Blue during a video played at an "On The Run" tour stop. How precious!
23. Pardon Blue's Back
She's growing up so fast! We're loving the top knot. Take that Blue Ivy hair critics!
24. Jump Around
Bey & Blue share an adorable moment on the trampoline. Hello summer!
25. Rocking Some Cute Ponytails
Blue Ivy was spotted with a new 'do! Bey & Jay's mini-me was holding on to her father during a little day stroll.
26. Strolling With Mom & Dad
Blue, Jay and Bey all spotted in East Hampton.
27. Blue Has A Manicure Day With Mama Bey
"Me and my Blue, and my Blue Blue, riding🐝"
28. Hanging Out With Mom
Baby Blue is walking to the door, and it looks like Bey is trying to keep up!
29. Trying On Some Heels
Will Blue be slaying a performance in the near future?
30. Holding On To Mom
Blue looks like she has something to say to Bey.
31. Playing A Game Of Tennis
Blue walks on the tennis court.
32. Cuddling With Mom
Blue & Beyonce have some much-needed cuddle time.
33. Blue Ivy
"The blueprint 🐝"
34. Bey & Blue Take A Stroll
Doesn't Blue look adorable with her colorful dress and cute hair ribbon?
35. The Carter Lounge Together
The family was seen out and about.
36. Jay Z Carries Blue While Bey Looks On
Jay carries Blue in his arms.
37. Leading The Way
Blue Ivy looks too cute with her bowler hat and Mama Bey watching from behind. She's really growing up!
38. Out On The Town
Blue Ivy & Momma Bey enjoy some much deserved time off in Spain.
39. Traveling With Mom and Dad
Blue is used to traveling with Mama Bey and Poppa Jay, but she also looked a little flustered at some moments. It's ok, baby Blue!
40. A Day At The Park
Poppa Jay Z lets Blue Ivy have her way with the bouncy horse.
41. It's A Family Affair
Beyonce, Jay and Blue jetsetting in Dublin.
Blue dressed up like a hipster and plays a quick game of peekaboo! How adorable!
43. OMG It's Blue's Beautiful Face!
FINALLY! We get to see how beautiful Blue is! Look at the adorable headband! "Blue 💙"
44. Blue Ivy
Life's a beach!
45. Brooklyn Stand Up!
"Beyonce & Blue"
46. Blue Ivy's Got Her Own iPhone
"Momma, what's your password?"
47. Beyonce's Lazy Day With Blue
"Momma, I asked you for your password!"
48. When Blue Ivy Takes Your Phone, Beyonce Be Like...
"Fine, I'll go ask Daddy!"
49. Blue Ivy On Tour
"Bey & Blue"
50. It's Playtime
Beyonce & Blue take some time out to play.
51. A Chilly Day In NYC
"Beyoncé, Jay Z and Blue Ivy in NYC - Jan. 19"
52. All Bundled Up
The royal family makes their way to their fancy car.
53. Kisses From Dad
Blue's all bundled up, getting love from Daddy.
54. Blue At The White House
Blue Ivy's taking after mommy and writing a letter.
55. Blue Loves Bo
The White House pup, Bo is showing Blue Ivy some love.
56. The Carters At The White House
Check out the royal family checking out the scene at the White House.
57. It's Christmas Time Again
Blue and Bey checking out the White House Christmas tree.
58. Blue Lovin' Bo
Blue Ivy, dressed like a Princess, showing Bo some love.
59. Like Father, Like Daughter
Blue playing dress up with Daddy's hat.
60. Fun Times With Mommy
Blue Ivy spends some QT with mommy.
61. Mommy & Me
Blue and Bey take a break for some snacks.
62. Silvery Blue
Beyonce carries Blue, while the adorable toddler rocks a metallic jacket that we want and need.
63. The Holy Grail
Blue, Bey & Jay
64. One Big Happy Family
"#miami #newyear #2014"
"Beyoncé & Blue 💙"
66. Blue & Daddy In A Blue Jacket
"Jay and Blue 💙 #NewYear #2014 #Miami"
67. Hold On To Me
"Happy New Year Mommy!"
68. Dora Dora Dora The Explorer
"Beyoncé, Blue and Dora the Explorer"
69. Daddy & Bey
"Look over there Blue, you own that too."
70. Blue's Big B-Day
"Mommy make sure they can only see the back of my head."
71. Painted Faces For Blue's Bday
"Let me get down Mommy, I wanna play!"
72. Kisses From Mommy
Beyonce and Blue prepping for Momma Tina's Masquerade Ball
73. Talk To The Hand!
Beyonce, Jay Z and Blue Ivy were spotted leaving Joey's restaurant in Miami, on January 8th, and Blue had a message for the paps! Talk to the hand!
74. Me & My Daddy
While Beyonce's arm rested, Jay carried Blue from Joey's restaurant, in Miami on January 8th.
75. Blue's First Words
"I'm ready to slay right along with you, Ma!"
76. Imagine The Sound Of This Lullaby
A newborn Blue Ivy gets serenaded by her superstar mother.
77. Don't Mess With Blue!
Every now and again, Blue Ivy reminds you...she is her father's child!
78. All Gold Everything
Blue Ivy takes after her dad's swag. The inseparable duo were spotted in South Beach, Miami illuminating the streets outside their hotel with their yellow luster!
79. All Of The Lights!
"Mommy! All the pretty colors are so blinding! I'm...just..so..overwhelmed! When's my shot coming?! When's my shot coming?!" Blue plays on set with Bey at her 'Blow' video shoot.
80. Hey Blue!
"I can be happy sometimes, see?"
81. Blue Ivy With Daddy
"Why are we clapping, again? I'm not in the shot."
82. Jay Z Tries To Get Blue To Listen To "Magna Carta Holy Grail"
"Daddy, I'm more of a Nas fan."
83. Stepping With Mom
"Wait, Ma. I want the camera to see all angles of this sick dress!"
84. Splashin' & Playin'
"Mom, this water is clean, right? Because I'm not trying to splash in water I can't trust."
85. Beyonce Discusses Important Matters
"Mommy, I completely get it. Yes, I promise to watch the throne."
86. Mommy's Hugs
"Ok, Ma. I love you to pieces, but I like oxygen too." Bey may be the Queen, but this scene from her video "Blue" makes it look as if she can't get enough of being Mom.
87. Blue Ivy Twirls
"Aaaahh, I'm having so much fun not thinking about anything...wiippeee...oh, wait...getting a little sick."
88. Just So You Know...
"I run things. Don't get it twisted."
89. Mommy & Me Loungin'
"Oh, Mommy, I'm so tired of seeing the wigs you snatched last night all on our floor. It's so exhausting. Like, when're they getting picked up? Not now? Oh. Ok."
90. A Kiss For Blue
"Mommy, let me sleep, dang!"
91. Slurpin' On That Milk...Slurpin' Slurpin' On That Milk
"Mommy, gimme that bottle!"
We could watch this adorable GIF of Blue Ivy nonstop forever!
93. Jay Sneaks In Kisses
"Dadddd! Get..Away!..I don't want...No, ugh..No kisses!"
94. Blue Stares Back...
"Hey! Who's that?!"
95. Blue Still Doesn't Get Why Anyone's Here
"No, really, who are you? You're getting to close."
96. Blue and Bey Out For Lunch
"I'm over this now. People just won't let us be. Mom, why can't we just be?!"
97. Blue Is One Tough Cookie
"Ma, please let me just kick them in the face. Like, please, I can't see through all these lights."
98. Blue Jetsets With Jay
"Dad, do we own this boat? I just figured we owned everything, so..."
99. Beyonce Keeps Blue Covered
"Mommy, I think you forgot my feet. I'm cold right now. Are we inside?"
100. Beyonce LOVES Her Blue
Look at that face, how could you not kiss it?!