This topic is very personal to Dr. Nazarian as her mother passed away from breast cancer when Dr. Nazarian was 16 years old. All patients have the right to breast reconstruction and Dr. Nazarian would be honored to help reconstruct your breast (and your life!).
Types of Breast Reconstruction
There are many options for breast reconstruction. They are typically categorized into two: implant-based and autologous (using your own tissue) reconstruction.
Breast Reconstruction Procedure
Purely implant based – Not recommended for those who have undergone radiation therapy
a. Using a tissue expander under the pectoralis muscle to create space for a permanent implant. This is the most common way of performing implant based reconstruction.
b. Placing an implant immediately after mastectomy. This surgery is typically done in women with small breasts who would like to remain small. Those with pre-existing, sub-pectoral (under the chest muscle) breast implants are also candidates as their chest muscle has already been expanded. This surgery lasts 1.5-2 hours per breast and can be outpatient based or performed with a one-night hospital stay.
A combination of implant and autologous tissue
a. For patients who have a need for extra skin (usually to match the unaffected breast), a tissue expander or implant can be used with a pedicled latissimus myocutaneous flap. What that means is that the latissimus muscle and overlying skin and fatty tissue is kept connected with its blood supply under the armpit and swung forwards to give the breast more volume and healthy skin with a good blood supply to improve wound healing conditions. This type of surgery is recommended in patients with radiation therapy. This surgery takes 3-4 hours and typically requires a 2 day hospital stay.
Autologous breast reconstruction: While there are many places to take tissue from to reconstruct the breast, the most common area is the abdominal skin and fat with or without the rectus abdominus muscle (that’s the six-pack muscle).
a. Pedicled flap – the rectus muscle, overlying skin and fat are kept connected to the superior blood supply and swung superiorly to bring volume and skin to the reconstructed breast. This surgery lasts 4 hours and requires a 2-3 day hospital stay.
b. Free flap – the abdominal fat and skin, with or without the rectus muscle, are disconnected from their blood supply. A window is made in the chest wall by removing part of the 3rd rib to allow for anastomosis between the vessels of the flap and those running underneath the ribs close to the sternum. This surgery typically lasts 8 hours and requires at least 5 days in the hospital.
For more information on breast reconstruction or to find out if it’s the right procedure for you, call Nazarian Plastic Surgery at (310) 659-0500 or Request a Consultation ». Our Beverly Hills location is conveniently located near major roads and freeways, so it’s easy to find our office.
A board certified plastic surgeon and member of the American Society of Plastic Surgeons and the University of Southern California faculty, Dr. Nazarian is the founder of Nazarian Plastic Surgery in Beverly Hills, Los Angeles. Known for her warmth and ability to put patients at ease, she helps patients explore available options to achieve their aesthetic goals.
Alexa Yontz, LE – Aesthetician and Med Spa Specialist
Alexa brings to Nazarian Plastic Surgery broad experience in the aesthetics and med spa industries. She has 25 years of industry knowledge, the last ten of which have been in medical aesthetics. Her additional five years of Coolsculpting® work, combined with her vast understanding in aesthetics, has enabled her to create an ideal, balanced treatment philosophy.
Mastaneh is certified in Coolsculpting, miraDry, Radiofrequency and Z-wave treatments Picosure, BBL, Laser Tattoo Removal, Acid peels, Botox and Dysport Injection as well as all Fillers. She loves to help her patients look and feel their best. She is known for her gentle manner and excellent results.
Sidnia is a licensed aesthetician and the first face you will see when you visit the office. A mother of two beautiful teenagers and a wife of 7 years, she brings efficiency and organization to our office. She is also a closet-makeup-aholic.
We provide high level of safety and plastic surgery care
We help achieve your aesthetic goals
Experienced and caring staff
Modern and comfortable on site out-patient treatment suites
What Our Clients Say About Us
Dr.Sheila Nazarian is the best plastic surgeon overall. I have never met such a nice, professsional and humble doctor like her.I had breast augmentation 5 days ago and I’m feeling great.Wow what a great experience with Dr . Nazarian. She is wonderful and very caring thru the whole process. Thanks Dr.for changing my appearance and helping me with every question I had. I totally recommend her to anyone who is looking for an excellent Dr. If I would of known about her before, I would of done this procedure years ago.This is my first time writing a review, but I had to share this experience because I know there are people looking for a good Dr they can trust. I am truly very happy with Dr . Nazarian. Again thank you very much for doing such a great job.
Dr. Nazarian is the a 5 star plastic surgeon! I had a growing scalp mass above my left ear, kinda like a cyst, she told me it was called lipoma. Anyway she removed the cyst in her office even when I was told by other doctors that it had to be done at a hospital which is more cost full and inconvenient for your wallet. She’s a great doctor and definitely recommend anyone to visit her office, her receptionist is on point and is very kind, helpful, and welcoming when visiting the office or calling about your appointment.
Besides being a great surgeon, Dr Nazarian carries a line for PREGNANT women called Spa Momma which is made-in-the-USA with no lead, phthalates, formaldehyde, propylene glycol, and no pregnancy-contraindicated aromatherapy oils!!!!!! I am obsessed with the body oil and the body scrub! I was having some major itching issues and I tried everything but nothing really helped. Then I tried the itchies body oil and it was the first relief I had had in months and I have no stretch marks!!!!!!!! Dr Nazarian is so up to date and science based and is willing to take time and help you out no matter what you issue is!!! I love her professionalism and recommend 110%!