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Breast Reconstruction Surgery in Dallas
Breast reconstruction after mastectomy is a surgical operation that aims to restore the form and appearance of the breast following breast cancer treatment. This transformative procedure not only restores physical form but can also boost emotional well-being, giving patients a new sense of confidence. With advanced procedures available, breast reconstruction is now a viable option for many people. 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. Board-certified plastic surgeon 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 aesthetically 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.
Candidate for Breast Reconstruction
Breast reconstruction would be ideal for people who have had a mastectomy to treat breast cancer or who are thinking about getting one as a preventative measure to lower their risk of developing cancer in the future. Surgery for breast reconstruction may be done immediately following the mastectomy or delayed until after other treatments, such as chemotherapy or radiation therapy, have been completed. During your consultation, Dr. Azouz will evaluate your overall health and smoking status and discuss personal preferences and goals for developing a personalized surgical treatment plan.
Prophylactic Mastectomy
Individuals with a high risk of developing breast cancer, such as those with BRCA1 or BRCA2 gene mutations, may benefit from a prophylactic mastectomy with reconstruction. This method greatly minimizes cancer risk while also providing aesthetic options via reconstruction. Many people with a BRCA1 or BRCA2 mutation choose to have a preventive mastectomy. It is critical to explore the advantages of a preventative mastectomy with a plastic surgeon, such as Dr. Azouz, and a surgical oncologist. Other conditions for which patients may choose prophylactic mastectomy include PALB2, ATM, p53 mutation (TP53), CHEK2, PTEN, CDH1, RINT1, MRE11A, RAD50, and NBN.
Benefits of Surgery
Breast reconstruction has various benefits,
including:
- Restores the breast’s natural shape and symmetry.
- Improves self-esteem and body image.
- Creates a long-term solution that eliminates the need for external prostheses.
- Allows clothes to fit more comfortably.
Breast Reconstruction Surgery Options
Breast reconstruction after mastectomy includes a variety of solutions to accommodate individual needs and preferences. To create a personalized treatment plan, Dr. Azouz considers multiple factors, such as the patient’s anatomy, medical history, and personal preferences. Reconstruction may be performed immediately following the mastectomy or delayed until after additional cancer therapies.

- Uses saline or silicone implants to restore the breast form.
- Tissue expanders are frequently used to prepare the chest area for permanent implants.
- Suitable for patients who desire a minimally invasive procedure and have enough skin and muscle coverage.

- Uses skin and fat from the lower abdomen while keeping the abdominal muscles intact.
- Provides a natural appearance and reduces the danger of abdominal weakness following surgery.
- Suitable for patients with enough abdominal tissue who choose a more natural repair alternative.

- Using tissue from the inner thighs preserves the muscles in the donor area.
- Provides a natural reconstruction option for people who do not have enough abdominal tissue yet want to avoid implants.
- Ideal for people with limited abdominal tissue or who have had previous abdominal procedures.
“No Drain” breast reconstruction avoids painful and bothersome drains and prevents unnecessary scarring.
Breast Reconstruction without Drains
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 compression 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 measure 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.
Anesthesia
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.
Recovery
The recovery time for breast reconstruction varies between patients. This is dependent on a number of factors such as the 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 and 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 do 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:
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.
Insurance Coverage for Breast Reconstruction in Dallas
Breast reconstruction after mastectomy is frequently covered by health insurance coverage since it is deemed a medically necessary surgery under statutes such as the Women’s Health and Cancer Rights Act (WHCRA) of the United States. Patients are recommended to check with their insurance company to confirm coverage for the operation, including any accompanying surgeries such as nipple reconstruction or symmetry adjustments.
Dr. David Azouz is an in-network physician for Cigna, making it easier for individuals covered by this plan to receive high-quality care. By selecting an in-network surgeon, patients can reduce out-of-pocket payments while receiving complete care.
Schedule your Consultation with Dr. Azouz
Breast reconstruction will help to recreate 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.
“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.”
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Frequently Asked Questions
Breast Reconstruction
Breast reconstruction can be performed at the same time as a breast lumpectomy. A breast lift, breast reduction or breast augmentation can be performed at the same time that a breast lumpectomy is performed.
There is no one best breast reconstruction. Some patients do best with fat transfer, others with breast implants and still others with free flaps. There are even patients where no reconstruction is actually the best reconstruction. Dr. Azouz works to provide his patients with the best breast reconstruction for their specific medical history and needs.
Belly fat can be used for breast reconstruction in the form of a free flap or in the form of fat grafting. Breast implants remain an excellent option for many patients.
Nipples can be kept after a mastectomy. Dr. Azouz works with breast oncologists who perform a nipple-sparing mastectomy. Dr. Azouz is able to assist breast surgical oncologists in providing a safe and effective cancer operation with natural-appearing, aesthetic and cosmetic breast reconstruction.
Breast reconstruction is a day surgery for patients undergoing breast implants and fat transfer. Some patients who undergo free flaps where the abdomen is taken on its blood supply. In the case of free flaps patients generally stay in the hospital for several days.