Rebuilding Shape and Symmetry

Dr. Fazilat has specialized training in oncoplastic microsurgery to offer his patients the best options for breast reconstruction, including free-flap breast reconstruction using the patient’s tissue from elsewhere in the body. He strives to create a new breast and nipple that resembles your natural breasts as closely as possible in shape, size, and position.

Dr. Fazilat passing a breast implant to patient

Our Approach to Breast Reconstruction

During your breast reconstruction consultation with Dr. Fazilat, he will discuss the options and alternatives in great detail, providing you with all the information you need to make an informed decision about breast reconstruction. Prior to your consultation, Dr. Fazilat will usually have discussed the specifics of your case with breast / oncologic surgeon. Before your surgery, Dr. Fazilat will discuss a number of important decisions to make when planning your breast enhancement surgery. He will personally walk you through your options and share recommendations based on the latest research, advances in the field, and what’s best for your particular case.

The SF | Bay Area Plastic Surgery Difference

Once you have booked your surgery, Dr. Fazilat’s office will coordinate the location and time of your breast reconstruction surgery with you and your breast surgeon. You will receive a pre-operative appointment, which is typically two weeks before your surgery. During this appointment, you will be given instructions for your surgery, as well as any medical request forms for necessary blood work at nearby labs, and or any other related medical testing. Dr. Fazilat will also take any pre-operative photos and review your planned procedure(s), so you can ask any final questions. Our office will contact you by phone or by email to review your instructions and your health history.

Typically, first stage breast reconstruction surgery is performed in an in-patient setting under general anesthesia with a board certified anesthesiologist and your breast surgeon; surgical times vary, depending on the technique. Typically, most patients spend one to two nights recovering.

Most patients require a second, and in some cases, a third procedure to complete their breast reconstruction surgery. These procedures are performed in an in-patient setting under general anesthesia with a board certified anesthesiologist. During these subsequent procedures, if one side of the breast reconstruction is performed, modifications to the opposite breast are also addressed. These procedures can include breast reduction, breast augmentation, or breast lifts to achieve symmetry with the reconstructed breast.

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Recovering from Breast Reconstruction at SF | Bay Area Plastic Surgery

It is typical for our patients to feel tired and sore; however, this soreness usually passes in a day or two with many patients returning to work within a week, though strenuous activity should be avoided for up to four weeks. The patient should also have an adult stay with them for 24 hours following the surgery to monitor their recovery.

Stitches are removed a week to 10 days after breast enhancement surgery. Any post-operative pain, swelling, and/or sensitivity will commonly diminish over the first few weeks. Finally, scars from your breast reconstruction in Mountain View, Los Gatos, & Morgan Hill begin to fade in a few months and continue to fade for months or years to come.

Dr. Fazilat will schedule a follow-up post-recovery office visit in Morgan Hill or Mountain View, California to discuss your progress. In some cases, when post-operative chemotherapy and/or radiation is needed, he will work closely with your oncologist and radiation oncologist to coordinate the scheduling of those procedures.

Breast Reconstruction FAQs

Can breast reconstruction restore sensation?

While some sensation may return over time, most reconstructions do not fully restore natural feeling. Newer nerve-sparing and nerve-grafting techniques may help improve sensation.

Will my reconstructed breast look and feel natural?

Modern techniques can create a natural appearance and shape, but the feel may be different from a natural breast, especially with implants.

Can both breasts be reconstructed if I have a double mastectomy?

Yes. Both breasts can be reconstructed, and your surgeon will work to ensure symmetry and balance in size and shape.

Is nipple and areola reconstruction possible?

Yes. Nipple-areola reconstruction can be performed with surgical techniques, medical tattooing, or a combination of both after the breast mound is created.

How does radiation therapy affect reconstruction?

Radiation can increase the risk of complications and affect the final cosmetic result. Your surgeon will discuss timing and technique options to minimize risks.

Is breast reconstruction a one-time procedure?

Not always. Many reconstructions are completed in stages, with follow-up surgeries for nipple reconstruction, symmetry adjustments, or refinements.

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