Breast shaping surgery consists of a set of procedures and techniques aimed at improving the shape, symmetry, and scarring of the reconstructed breasts after the initial surgeries are complete. These procedures are individualized for each patient based on conversations with the patients and the plastic surgeon’s assessment of the patient’s needs and desires.
Dr. Jeremy Williams and Dr. Christopher Williams at The Breast Center Park Meadows Cosmetic Surgery will ultimately help you decide if additional contouring or scar revision procedures will help with the overall aesthetic outcome of the reconstruction.
These breast shaping surgeries are usually the second stage of an Autologous Breast Reconstruction, when a woman’s own tissue is used to recreate the breast mounds after a mastectomy. When a tissue expander is used in an implant-based breast reconstruction, we also perform these same breast shaping surgeries to help smooth the contour lines of your breast.
For more information about these and other reconstructive procedures, please call 720-457-4461 to schedule your initial consultation.
Ensuring Natural Results
Although there is a saying, “breasts are sisters, not twins,” we try to make the sisters match as closely as possible. Breast shaping surgery also includes “matching procedures” for the non-cancer breast in women who choose to undergo a unilateral (one-sided) breast reconstruction.
During the second or third stage, our surgeons will perform some additional shaping to help make adjustments to the reconstructed breast or the non-cancer breast in an effort to make the two breasts more symmetrical. These adjustments can include:
During these revision surgeries, whether unilateral or bilateral, fat grafting can be used to help soften the edges around the implant, if needed, and can also fill contour defects which may appear during the settling process.
When fat grafting is used for breast shaping surgeries, the patient’s own fat is harvested by liposuction techniques from donor areas such as the abdomen, flanks, and thighs, then the fat is transferred to the breast area to gain a smoother, shapelier contour. Fat grafting is normally an outpatient procedure, and often takes place at our state-licensed, The Joint Commission-accredited Park Meadows Outpatient Surgery.
Our surgeons can perform additional shaping to the breast and at the same time recreate they nipple. If no additional shaping is needed, Nipple Reconstruction can be performed alone under a local anesthetic at Park Meadows Outpatient Surgery. Three or four months after the nipple has been reconstructed, pigmentation is placed around the nipple to reconstruct the areola and the reconstruction process is then complete.
Types of Anesthesia for Surgery
At The Breast Center Park Meadows Cosmetic Surgery, you will have your surgical procedure performed in one of the only dedicated cosmetic surgery centers in Colorado that is both fully state licensed and The Joint Commission-accredited. We are proud to care for your anesthesia needs with one of our board certified anesthesiologists from South Denver Anesthesia.
Our board certified anesthesiologists will be with you from beginning to end insuring your comfort during the surgical procedure. Anesthesia choices include intravenous sedation and general anesthesia. Your doctor and anesthesiologist will recommend the best choice for you.
Preparing for Surgery
At least 1 month prior to surgery
Stop smoking at least 1 month prior to your procedure. Smoking reduces circulation to the skin, impedes healing, and can lead to serious postoperative complications.
2 weeks prior to surgery
Stop all medications that can thin the blood 1-2 weeks prior to surgery. These include drugs such as Aspirin, Coumadin, Lovenox, Ibuprofen, Vitamin E, and multiple herbal preparations. These medications may cause bleeding during and after surgery. Please see the warning about blood thinning medications on our website for a list of drugs that must be stopped.
1 week prior to surgery
Report any sign of a cold or infection that appear the week prior to your surgery. You may need to postpone your procedure to avoid unnecessary complications. Make sure you fill all of your prescriptions provided to you by our doctors prior to your surgery day; this will make the transition from the surgery center to your home as smooth as possible.
The day before surgery
Do not eat or drink anything after midnight before your surgery. This includes water, ice, or hard candy. The only exception is that you may take your blood pressure or heart medication with a sip of water the morning of surgery.
The day of surgery
What to Expect on the Day of Surgery
When you arrive, you will be escorted to a preoperative evaluation area where you will be asked to change into a gown and will be given foot covers. Your surgeon and the anesthesiologist will meet with you before you enter the operating room suite. During this time, the surgical consent form will be reviewed with you in detail and special markings may be made on your skin at the surgical site. You will have the opportunity to ask any last minute questions.
Once in the operating room, you will be transferred to our padded operating room table. A nurse will start an intravenous drip in your arm and connect you to monitoring devices. The anesthesiologist will give you medication through your intravenous drip to make you feel drowsy.
When your surgery is completed and your dressings are in place, you will be moved to the recovery room. During this period a recovery room nurse will assure your comfort and continue to monitor you closely.
Your stay in the recovery room will last approximately 1 to 1 1/2 hours. Most patients are fully awake within 30 to 60 minutes after their surgery, but they may not remember much about their time in the recovery room due to some of the anesthesia medication. Once you are ready for discharge, a postoperative appointment will be scheduled and your discharge instructions will be reviewed.
You must have a responsible adult drive you home from the surgery center. This individual should have your prescription filled at the hospital pharmacy prior to taking you home. A responsible adult must stay with you the first night after your surgery because you have been sedated.
Contact our Denver Breast Surgeons
Please contact The Breast Center Park Meadows Cosmetic Surgery using the form on this page or call 720-457-4461 today to schedule your breast reconstruction consultation. We serve patients in Denver, Lone Tree and the surrounding areas of Colorado.