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The ultimate goal of breast reconstruction surgery in Dallas is to create a breast that is the desired aesthetic shape and size. The technique used for breast reconstruction does vary according to a patient’s medical history and does depend on the condition of the remaining breast tissue and skin. Dr. Azouz recognizes the emotions and stress associated with breast reconstruction surgery and strives to ensure that breast reconstruction is as safe and as stress-free as possible for his patients. Breast reconstruction surgery by Dr. Azouz can provide patients with a natural and aesthetic appearing breast. Take the first step to restore your breasts’ shape and look; request your breast reconstruction consultation with Dr. Azouz in Dallas by calling (972) 702-8888.

Am I a candidate for Breast reconstruction surgery?

Breast reconstruction surgery in Dallas restores the breasts for patients who have undergone surgery for breast cancer (mastectomy, lumpectomy, or breast biopsy), have altered breasts from previous breast surgery, or have alterations of the breast or chest wall from trauma or congenital abnormalities (Poland Syndrome, Pectus Excavatum).

Should you get a mastectomy if you have a BRCA gene?

Many patients elect to proceed with prophylactic mastectomy if they have a BRCA1, or BRCA2 mutation. It is important to discuss the benefits of a prophylactic mastectomy with a plastic surgeon like Dr. Azouz and a surgical oncologist. Other conditions where patients consider prophylactic mastectomy include PALB2, ATM, p53 mutation (TP53), CHEK2, PTEN, CDH1, RINT1, MRE11A, RAD50, and NBN.

Breast reconstruction surgery benefits


Breast reconstruction surgery potentially helps patients to improve body image, self-esteem, and well-being. Let’s look at the different scenarios and learn how breast reconstruction surgery in Dallas can help some patients re-create an aesthetic breast.

1.After a mastectomy or after prophylactic mastectomy for genetic disorders.

Patients with genetic BRCA1 and BRCA2 mutations often choose to undergo a prophylactic mastectomy. Plastic surgeon Dr. Azouz is able to coordinate with surgical oncologists (general surgeons) to perform safe prophylactic mastectomy and immediate reconstruction in patients with genetic mutations. Dr. Azouz is committed to providing patients with a nipple areola sparing mastectomy when possible. Dr. Azouz is known for his immediate breast reconstruction technique that avoids tissue expanders and drain-less breast reconstruction.

2.After Lumpectomy

Dr. Azouz is able to perform oncoplastic breast reconstruction at the time of lumpectomy to minimize scarring and preserve native breast tissue. A breast lift or breast reduction can often be combined with breast lumpectomy for breast cancer or DCIS.

3.For Poland Syndrome of Deformity of the Chest Wall

Some women with Poland syndrome or deformity of the chest wall can have significant breast asymmetry, or tubular breast deformity.  Dr. Azouz is able to use advanced plastic surgical techniques to correct these deformities and provide a natural and cosmetic appearance to the chest.

How Breast reconstruction surgery is performed in Dallas?

picture of breast lift incisions - anchor, lollipop, donut and crescent

Dr. Azouz creates a natural-appearing breast aesthetic and well-contoured using multiple surgical techniques during breast reconstruction surgery in Dallas, including liposuction, camouflaged incisions, and drain less (no-drain breast lift, breast implants, and breast reconstruction), and direct to implant breast reconstruction.

Breast reconstruction techniques

Dr. Azouz achieves world-class results by utilizing multiple advanced liposuction modalities to contour the breast and remove lateral breast tissue and axillary breast tissue (so-called “side boob”). Dr. Azouz utilizes custom liposuction cannulas, power-assisted liposuction, and high definition body contouring techniques to provide patients with a cosmetically contoured breast and chest wall.
Camouflaged incisions

picture of camouflaged breast recounstruction incision. Transaxillary Incision pointing to armpit, Periarealor Incision pointing to nipple and Inframammary Incision pointing to breast

Patients undergoing breast augmentation generally have three options for placement of implants these include: transaxillary incision, periareolar incision, and inframammary incisions. With nipple-sparing mastectomy techniques, these camouflaged incisions are often still possible for patients undergoing mastectomy or lumpectomy. Patients with pectus deformities and Poland syndrome are almost always able to benefit from small, camouflaged incisions.
Oncoplastic Breast Reconstruction
Patients who require a breast lift with their breast reconstruction can benefit from a breast lift (mastopexy) performed at the same time as their breast biopsy or lumpectomy. Patients can also incorporate a breast lift into the correction of Poland syndrome or pectus deformity. Breast lift (mastopexy) can often be performed without the need for breast implants for many patients.

No Drain Breast Reconstruction

Originally, breast reconstruction surgery was performed with the use of surgical drains. These drains help to let excess fluid escape from the treatment area. They require special attention and care during the recovery period. Now, a drainless breast reconstruction uses advanced surgical techniques including tissue glue, quilting sutures, and compressions garments to eliminate any space where fluid could possibly accumulate. Drains can contribute to scarring, pain, discomfort, and possible infection if not cared for properly. No drain breast reconstruction eliminates the need to frequently empty and measures the drain outputs.

Dr. Azouz is able to perform the vast majority of breast reconstruction surgery in Dallas, breast lift, and breast augmentation procedures without drains. Dr. Azouz is also able to remove broken and ruptured breast implants without drains.

“No Drain” breast reconstruction avoids painful and bothersome drains and prevents unnecessary scarring.

Direct To Implant Breast Reconstruction

Patients undergoing breast reconstruction can benefit from the same techniques that Dr. Azouz offers to those undergoing cosmetic breast augmentation. Dr. Azouz is able to achieve even significant increases in the size and improvements in the shape of the breast without using tissue expanders. This means patients can avoid frequent visits for tissue expander fills and avoid exposing the implants to unnecessary infection risks.

Anesthesia for Breast Reconstruction

The breast reconstruction procedure is typically done under twilight sedation. This means that Dr. Azouz uses local anesthesia with intravenous sedation so that you are completely comfortable and relaxed but do not have the complications associated with general anesthesia. Some patients desire or require general anesthesia. Dr. Azouz utilizes highly trained Anesthesia providers who make the patient as comfortable as possible during their surgery and give the patients specialized medications to avoid pain and nausea. Dr. Azouz will lay out all of the anesthesia options with you during your consultation.

Breast Reconstruction surgery recovery

The recovery time for breast reconstruction varies between patients. This is dependent on a number of factors such as type of breast reconstruction, quality of the breast tissue, history of radiation, and the health of the patient. Patients will wear a compression garment for several weeks following their procedure to manage swelling, bleeding, and accelerate the healing process. Most patients will be able to return to work and light activities within two weeks. Dr. Azouz will let you know when you can return to full exercise and sporting activities.

Does Breast Reconstruction look natural?

Breast reconstruction is meant to give you natural-looking breasts after a mastectomy, lumpectomy, trauma, or in the correction of a congenital breast deformity (Poland syndrome, pectus deformity). The breasts can still have a natural feel, and appearance. Often the reconstructed breasts can have an improved aesthetic appearance than the prior breasts.

How long does breast reconstruction results last?

Breast reconstruction results tend to last for many years. Some patients will decide to have a breast lift later in life. Other patients may wish to change the size of their breast implants over time. Typically it is recommended for breast implants to be “switched out” after ten years however, many patients elect to keep their implants for longer periods of time.

Combination of a Breast Reconstruction surgery with other plastic surgeries in Dallas

Patients who undergo breast reconstruction surgery might also be interested in getting other plastic surgeries in Dallas, such as:

  • Fat Transfer/Fat Grafting
  • Mommy Makeover
  • Liposuction
  • Breast Lift (mastopexy)
  • Tummy Tuck
  • Breast Implant removal and replacement
  • Eye Lid Surgery (Blepahroplasty)

Breast Reconstruction surgery cost

The cost of a breast reconstruction surgery in Dallas differs between patients depending on their individual needs. Dr. Azouz will determine the cost of your surgery through a physical evaluation as well as an evaluation of your medical history. Dr. Azouz provides each patient with a customized cost. Financing options are available, and, at times, partial insurance coverage may be possible.

Schedule your consultation with Dr. Azouz

Breast reconstruction will help to re-create natural breasts or enhance the breasts. Dr. Azouz will work with you to make sure that your desired goals are reached. Request your breast reconstruction consultation with Dr. Azouz by calling (972) 702-8888 or contacting us online.

Frequently Asked Questions

Breast Videos

Breast Reconstruction patient review for Dr. Azouz

“I cannot express my gratitude enough for Dr. Azouz! He is absolutely wonderful both as a surgeon but as a person as well. Unfortunate circumstances in life brought me to Dr. Azouz but I am eternally thankful that our paths crossed. He has shown me nothing but compassion, honesty and truly wants the best results for me. I urge others to meet him and find out for themselves. Thank you Dr. Azouz.”

Read more patient reviews for Dr. Azouz

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