Breast Surgery Revisions by Mercy Plastic Surgeons

Autologous fat grafting is a procedure for soft tissue augmentation in the reconstructed breast. Used for making revisions to a reconstructed breast that needs additional contouring, fat grafting is a simple and safe treatment option. Fat, which is removed from the abdomen or flanks, is used to augment or refine the shape of the breast.

Typically, 8 to 12 weeks after the initial breast reconstruction, revisions or shaping of the breast reconstruction are performed and include any additional procedures necessary to restore symmetry to the breasts. The timing of the breast revision surgery is determined in consultation with both the patient’s breast surgeon and breast reconstruction surgeon with consideration to the patient’s progress and recovery. Often a symmetry procedure, such as a breast lift or a breast reduction, is required for balance.

Nipple reconstruction occurs once the reconstructed breast is completely healed so that placement of the nipple is natural looking. During nipple reconstruction, which is performed in the breast reconstruction surgeon’s office, the patient is awake and is given a local anesthesia to numb the areas involved. Patients can drive to and from the office unless they feel anxious and would like to take a medication before the procedure. Since there are a variety of ways to accomplish nipple reconstruction, our doctors will explain the procedure completely and answer any questions at the pre-operative appointment.

A nipple tattoo is the final step of the breast reconstruction process. A nipple tattoo adds a natural-looking colored areola to the reconstructed breast and is performed under local anesthesia in the breast reconstruction surgeon’s office.