{"version":"1.0","type":"rich","provider_name":"Acast","provider_url":"https://acast.com","height":250,"width":700,"html":"<iframe src=\"https://embed.acast.com/$/6a73a5a42578a0c7e2afbf80/6ae1782ee57912cf6fc9b9f6?\" frameBorder=\"0\" width=\"700\" height=\"250\"></iframe>","title":"Breast Reconstruction After Mastectomy","thumbnail_width":200,"thumbnail_height":200,"thumbnail_url":"https://open-images.acast.com/shows/6a73a5a42578a0c7e2afbf80/1793161975859-229199dd-9aa6-4861-bd8f-132fad62d084.jpeg?height=200","description":"<p>What are your options for breast reconstruction after a breast cancer diagnosis? For Breast Cancer Awareness Month, Dr. Jason Rosenberg and co-host Meredith Reis dedicate this episode of In the BEST of HANDS: The Plastic Surgery Podcast to a topic close to Dr. Rosenberg’s heart: mastectomy and breast reconstruction.</p><p>Fellowship-trained in microsurgery at MD Anderson Cancer Center, Dr. Rosenberg has spent 30 years helping women rebuild after breast cancer. He explains when to see a plastic surgeon, what insurance covers, and how to choose between implants and natural tissue (flap) reconstruction. He also covers nipple reconstruction, 3D nipple tattoos, the risks involved with surgery and how partners can support someone through the process.</p><p>To see Dr. Rosenberg&#39;s DEIP Flap breast reconstruction before and after photos, <a href=\"https://rosenbergplasticsurgery.com/diep-flap/\" rel=\"noopener noreferrer\" target=\"_blank\">click here.</a></p><p><strong>Timestamps</strong></p><p> 02:00 – When to see a plastic surgeon after diagnosis</p><p> 04:45 – Why many women skip reconstruction</p><p> 07:00 – Does insurance cover breast reconstruction?</p><p> 08:45 – Lumpectomy and oncoplastic surgery</p><p> 10:45 – Implants vs. natural tissue: why radiation matters</p><p> 12:00 – Prophylactic mastectomy, BRCA and implants</p><p> 14:15 – Natural tissue (flap) reconstruction</p><p> 20:00 – Sensation and nipple-sparing mastectomy</p><p> 22:00 – Nipple reconstruction and 3D tattoos</p><p> 25:15 – Fat grafting and the three stages of reconstruction</p><p> 27:00 – Flap risks and complications</p><p> 29:00 – Emotional support and the Butterfly Sisters</p><p> 31:45 – Advice for partners</p><p> 34:30 – “Today’s the day”: a patient’s story</p><p><strong>In this episode, we cover:</strong></p><p> <strong>Starting the Reconstruction Journey</strong></p><ul><li>Dr. Rosenberg’s priority list: alive and healthy, cancer-free, then reconstruction</li><li>Why only about 30% of women once chose reconstruction</li><li>The law requiring insurance to cover reconstruction and matching the other breast</li></ul><p><strong>Lumpectomy &amp; Oncoplastic Surgery</strong></p><ul><li>How a plastic surgeon helps reshape the breast after a lumpectomy</li></ul><p><strong>Implant Reconstruction</strong></p><ul><li>Why radiation changes the plan</li><li>Prophylactic mastectomy for BRCA and other genetic risks</li><li>Who is a good candidate, and why implants need maintenance</li></ul><p><strong>Natural Tissue (Flap) Reconstruction</strong></p><ul><li>Using tummy tissue to rebuild the breast, with a tummy tuck-like benefit</li><li>Muscle-sparing flaps vs. the techniques of the ’80s</li><li>Immediate vs. delayed reconstruction</li></ul><p><strong>Nipples, Sensation &amp; Finishing Touches</strong></p><ul><li>What sensation may return after a mastectomy</li><li>Nipple-sparing mastectomy: who’s a candidate</li><li>Nipple reconstruction vs. 3D nipple tattoos</li><li>Fat grafting and combining a flap with an implant</li></ul><p><strong>Risks &amp; Recovery</strong></p><ul><li>Flap success rates (97 to 99% with an experienced microsurgeon)</li><li>The critical first 8 to 10 hours after surgery</li></ul><p><strong>Emotional Support</strong></p><ul><li>The Butterfly Sisters patient network and Survive and Thrive</li><li>How partners can help, and why they’re patients too</li></ul><p><br></p><p>🎧 Thanks for checking out In the BEST of HANDS: The Plastic Surgery Podcast! New episodes drop twice a month, on Wednesdays.</p><p> ✅ Subscribe/follow on Apple, Spotify, YouTube, or wherever you listen.</p><p> ✅ Rate &amp; Review: your input helps more listeners find us.</p><p> ✨ Follow Dr. Jason Rosenberg &amp; Rosenberg Plastic Surgery:</p><p> <a href=\"https://rosenbergplasticsurgery.com/\" rel=\"noopener noreferrer\" target=\"_blank\">https://rosenbergplasticsurgery.com/</a> and on <a href=\"https://www.instagram.com/rosenbergplasticsurgery\" rel=\"noopener noreferrer\" target=\"_blank\">INSTAGRAM</a></p><p><br></p><p>Keywords: breast reconstruction, breast reconstruction after mastectomy, mastectomy, breast cancer, flap reconstruction, DIEP flap, implant reconstruction, prophylactic mastectomy, BRCA, oncoplastic surgery, nipple reconstruction, 3D nipple tattoo, nipple-sparing mastectomy, Breast Cancer Awareness Month</p>","author_name":"Dr. Jason J. Rosenberg and Meredith Reis"}