JOSE ERBELLA, M.D., FACS
General, Oncologic & Minimally Invasive Surgeries
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MASTECTOMY AND HIDDEN SCAR SURGERY
A mastectomy may be required if a woman has a certain stage of breast cancer, or if a woman has a strong family history of breast cancer and chooses to have a risk reduction (prophylactic) mastectomy.
In a mastectomy procedure, Dr. Erbella removes the breast cancer or risk of cancer by removing all of the visible breast tissue. There are several mastectomy options: a simple (total) mastectomy, a skin sparing mastectomy, and a nipple sparing mastectomy. A nipple sparing mastectomy is a type of mastectomy procedure where Dr. Erbella removes all of the visible breast tissue, but does not remove the skin or the nipple.
With a Hidden Scar procedure, Dr. Erbella will place the incision in a location that is hard to see, so that the scar is not visible when the incision heals. As a result, you have little to no visible reminder of the surgery, your cancer, or your risk of cancer.
HIDDEN SCAR MASTECTOMY
A nipple sparing mastectomy can be performed as a Hidden Scar Procedure. This means that the incision is made in the natural crease beneath the breast, called the inframammary fold, a place that is hard to see.
In a Hidden Scar Breast Reconstruction procedure, a plastic surgeon will recreate your breast to have the natural look and feel that you desire while hiding all of your scars. In some cases, Dr. Erbella will work with your plastic surgeon during the same time of your mastectomy to begin the process of reconstruction. Depending on your goals, the process may take a few procedures to complete.
Tissue expanders are commonly used during breast reconstruction to create room for the permanent breast implant. The plastic surgeon will insert the device beneath your breast muscle after Dr. Erbella has performed the mastectomy. The tissue expander will gradually be filled with saline over several weeks or months to expand the breast skin and muscle to the desired size. You will then have a second surgery to exchange the tissue expander for a permanent implant.
Breast implants are fluid-filled sacs which are surgically implanted under your breast skin and muscle. They can help replace the breast tissue that is removed during a mastectomy procedure to produce the natural look and feel of your breast. The two main types of implants are saline and silicone. If you are having a Hidden Scar Breast Reconstruction, the plastic surgeon will use the same incision to insert your implant so your scars will remain hidden.
Hidden Scar Reconstruction After Hidden Scar Mastectomy (Scars are hidden in the inframammary fold)
Diagram of implant expander.
Diagram of implant.