Michael H. Moses, MD, FACS

Breast Reconstruction New Orleans, LA

The breast is a powerful symbol of femininity. Losing a breast to cancer is a threat to a woman’s life and identity. Breast reconstruction after mastectomy with compassionate board certified plastic surgeon Dr. Moses is achieved through several reconstructive plastic surgery techniques that attempt to restore your breast to near normal shape, appearance, and size.

About Breast Reconstruction – New Orleans, LA

Tissue Expanders

Post-mastectomy breast reconstruction with a tissue expander and implant requires a staged approach. Dr. Moses will use a tissue expander as a temporary device placed on the chest wall, deep to the pectoralis major muscle. Dr. Moses may place the tissue expander at the same procedure your mastectomy, or later, called a delayed procedure. The expander is designed to create a space to contain your permanent breast implant. Tissue expanders are available in a variety of shapes and sizes.

TRAM Flap Breast Reconstruction following Mastectomy

A TRAM flap breast reconstruction procedure with Dr. Moses relies on using your own tissues, taken from your abdomen, to build a new breast. TRAM stands for Transverse Rectus Abdominus Myocutaneous flap. Dr. Moses will use the rectus abdominus muscle to carry the lower abdominal skin and fat up to the chest wall. He will then create a breast shape using this tissue. In order to transfer the flap to the chest, the muscle is tunneled under the upper abdominal skin. The result of using your own skin is a natural-appearing breast reconstruction. The TRAM flap can be used for reconstructing one or both breasts. If you are undergoing unilateral reconstruction, the TRAM flap can potentially offer better symmetry with the remaining breast than using an implant.

Recovery from Breast Reconstruction

Following your breast reconstruction surgery with Dr. Moses, gauze or bandages will be applied to your incisions, and you will wear an elastic bandage or support bra. These offer compression of the surgical area and should minimize swelling while supporting the reconstructed breast. Dr. Moses may insert a thin tube under the skin to drain excess blood or fluid. This tube will be removed within a few days. He may recommend that you use a pain pump and/or prescribe medication to relieve you of any post-surgical pain.

Healing will continue for several weeks. Localized swelling should decrease. Over time, your reconstructed breast shape should improve. Most breast reconstructions involve multiple stages including eventual nipple and areolar reconstruction.

Breast Reconstruction Results

Dr. Moses is a board certified plastic surgeon who knows the importance of feeling self-assured in your appearance and femininity. Once you have survived the traumatic ordeal of cancer, and you deserve to enjoy your victory with natural and shapely breasts. The process of reconstruction helps you put the cancer behind you and allows you to move on.