Arturo Aguillon, MD
Specialty: Plastic/reconstructive Surgery
Location and Office HoursPlastikka
Sturbridge, MA 01566
- monday: 8:30AM - 5:00PM
- tuesday: 8:30AM - 5:00PM
- wednesday: 8:30AM - 5:00PM
- thursday: 8:30AM - 5:00PM
- CIGNA HealthCare
- Fallon Community Health Plan
- Great-West Healthcare CIGNA
- HMO Blue (BC/BS of MA)
- Harvard Pilgrim Health Care, Massachusetts
- Health New England
- Neighborhood Health Plan
- Oxford Health Plans/United Healthcare
- Tufts Health Plan
- United Healthcare
- Baystate Mary Lane Hospital
- Harrington Memorial Hospital
- Wing Memorial Hospital & Medical Center
How can I avoid getting a rippled look when I have my breasts done?
Stuart Linder, MD, Plastic/reconstructive Surgery, answeredPatients who have thin, ectomorphic or minimal amounts of breast tissue, normally do well with silicone gel implants. Smooth silicone gel implants ripple significantly less than textured implants. Saline implants are notorious for palpability and visibility of the implant edge which can be seen especially on the outer lateral third of the breast as there is no muscle coverage along the lateral third covering the implant. To reduce rippling in thin women, we normally consider high profile or moderate-plus smooth silicone gel implants placed in the dual plane technique with two thirds of the implant behind the muscle.
How are inverted nipples corrected?
Arthur Perry, MD, Plastic/reconstructive Surgery, answeredMany different methods have been tried to correct inverted nipples. Devices that provide suction on the nipple can be tried before surgery to correct the inverted nipples, although I am not sure the correction holds up over time. Surgical techniques cut tethering breast ducts and support the nipple with sutures. Breast-feeding is impossible afterward, so the operation shouldn't be done if you may want to breast-feed. Sensation also may be ruined. A new technique doesn't cut the ducts but requires a skin graft on the areola. With this operation, you're trading one deformity for another.
Find out more about this book:Straight Talk about Cosmetic Surgery (Yale University Press Health & Wellness)
What should I think about if I have a DIEP flap surgery?
If you will need to have radiation therapy after mastectomy for breast cancer, your surgeon may want you to wait and have reconstruction after your treatment. Radiation can affect the success of tissue flap surgery.
If you can choose when to have surgery, be sure to discuss the pros and cons of having it at the same time as mastectomy and the pros and cons of waiting until later. Some women want to get started with reconstruction right away. Others may feel overwhelmed by a cancer diagnosis, so they put off the decision to have reconstruction until they feel ready to deal with it. Be sure you understand your options.
Getting a breast implant is easier and quicker to recover from than tissue flap surgery. Some women choose to get a breast implant first and have tissue flap surgery later, when they feel stronger or have more time.
It is important to know that your breasts will look different after surgery. Your new breast may feel firmer and look rounder or flatter than your other breast. Some women have surgery on the other breast to make them look as much alike as possible.
Breast reconstruction can be a long process. It may take several months for your breast to heal. And it may be a year before you can see the final result.
The incisions will leave scars on your breasts and wherever the tissue was taken. These will fade with time. The surgeon will try to make incisions that leave as few scars as possible.
Federal law requires insurance companies that cover mastectomy for breast cancer to also cover breast reconstruction. Check with your insurance company to find out what your costs will be.
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