A Breast Reconstruction Discussion with Dr. David Ciacoppo

Pink-4-Ever, Inc. and the Pink Ribbon Connection joined forces to host a breast reconstruction discussion to serve as a resource for women who are still exploring their breast reconstruction options. Women of various ages and backgrounds joined together to share their breast reconstruction experiences and concerns accompanied by Dr. Cacioppo from University Plastic Surgery Associates to share his expertise on breast reconstruction. 

Although the occasion was to bring women together to discuss breast reconstruction methods, breast cancer survivors in attendance also served as a support system for those currently battling breast cancer by sharing their experiences and offering words of encouragement. 

There is hope,” said Nadia Miller [Executive Director of Pink-4-Ever, Inc], as she encourages those currently fighting breast cancer.

Here are a few important points discussed at the breast reconstruction discussion: 

Timing: It is recommended that you undergo breast reconstruction after radiation to replace radiated skin with healthy skin. 

Types of breast reconstruction: Autologous vs. Implants 
Autologous is a reconstructive surgery that uses your own tissue to replace lost tissue.  Others chose reconstructive plastic surgery which uses silicone or saline implants. 

Silicone v. Saline: 

Silicone implants are pre-filled with silicone gel – a thick, sticky fluid and feels like human fat. Despite popular belief, silicone implants do not induce systematic diseases (systematic diseases such as brain cancer, lupus, etc.).  Saline implants are filled with saline and often times feel hard. 

Bilateral Mastectomy v. Unilateral Mastectomy: 

Bilateral [Prophylactic] Mastectomy is surgical removal of both breasts. The objective is to prevent breast cancer from occurring or (in some cases) reoccurring.  Unilateral Mastectomy is he surgical removal of one breast. 

Age: Age does NOT matter. Anyone can undergo breast reconstruction at any age and the recovery time is the same, no matter if you’re young or old. Medical conditions are an important factor in regards to breast reconstruction, not age. 

Physical Therapy: Physical therapy post surgery is very beneficial. It helps you stretch the tissue and aid in pain relief. Often times the patient must ask to receive physical therapy.  It is very important to inform your doctor if you want therapy. Dr. Cioppo recommends seeing a therapist who specializes in breast reconstruction physical therapy. 

DIEP Flap vs. TRAM Flap 

DIEP Flap is surgical removal of skin and fat from the lower abdomen and is transferred to the chest to reconstruct the breast after a mastectomy. No muscle is sacrificed which makes the recovery a lot faster.  TRAM Flap is the surgical removal of muscle from the lower abdomen and transferred to the chest to reconstruct the breast after a mastectomy. TRAM flap procedures may weaken the abdominal wall and torso strength. 

Check out pictures for the discussion below!