Devel Tokens | PennBRA

Click a token to insert it into the field you've last clicked.
Token	Value
[node:field_add_content_block]	What Is Breast Reconstruction? A plastic surgeon recreates all or part of a breast that has been removed surgically. The goal of reconstruction is to recreate the volume and shape of a breast, so that in clothing no one would know you have had a mastectomy. You will discuss the best method for reconstruction with your plastic surgeon based on your body shape, past surgical history, current health, type of mastectomy, cancer treatment needs and personal preferences. The diagram below demonstrates the different methods of breast reconstruction and how they relate to one another. Click on any of the boxes below to learn more. , Types of Breast Reconstruction Implant Based Direct to Implant Tissue Expander to Implant Tissue Based Pedicled Flap Free Flap Combined , Implant Based Reconstruction Implant based reconstruction uses silicone or saline implants to reconstruct the breast mound A reconstructed breast that appears like a natural breast in clothing. . Based on the type of mastectomy you undergo, the quality of your tissues after your mastectomy and your need for radiation treatment, you may be eligible for one of two types of implant based reconstruction, direct to implant or tissue expander to implant reconstruction. , Direct to Implant Reconstruction (DTI) In a select group of women, a long term implant can be placed at the same time as the mastectomy either in front of or behind the chest muscle (pectoralis muscle). Your surgeon will determine whether this method is appropriate for you. Silicone Implants are most commonly placed . Acellular Dermal Matrix (ADM) is used to create a sling or wrap that support the implant. Over time, ADM becomes part of your natural tissues. Women undergoing DTI reconstruction will often need an additional revision procedure which might include fat grafting A surgical technique that uses liposuction to transfer fat from one part of the body to another. to soften the contour of the implant and create a more natural appearing breast mound A reconstructed breast that appears like a natural breast in clothing. . The image below illustrates the two locations that an implant can be placed and how ADM is used in either case. , Tissue Expander to Implant Reconstruction Tissue expander to implant reconstruction involves two stages. Stage A step in the breast reconstruction process defined by a separate surgery. 1: tissue expanders are placed in front of or behind the pectoralis muscle at the time of mastectomy or anytime afterwards. The expanders are temporary and are inflated over weeks to months to enlarge the breast space. Stage A step in the breast reconstruction process defined by a separate surgery. 2: tissue expanders are exchanged for a softer long term implant in an outpatient/same day surgery. Tissue Expansion Process During an expander fill, 50-60ml of sterile saline is injected into the expander through a port that lies just beneath the skin. The fill is usually painless. In cases where the expander is placed beneath the chest muscle (pectoralis muscle), you may experience mild to moderate soreness and muscle spasms after each fill. This can be treated with a prescription from your surgeon. Expander fills are done on a weekly or bi-weekly schedule until your goal fill is achieved. The endpoint of your expansion process depends on the final breast size you desire. For most patients, this will take approximately 6 to 8 weeks. Depending on the quality of your tissues during your mastectomy and expander placement surgery, your surgeon might decided to partially fill your expander in the operating room. This will decrease the number of clinic sessions needed to get to your goal fill. The video below demonstrates an expander fill session during a clinic visit. , Tissue Based Reconstruction Tissue based or flap reconstruction, uses tissues from another part of the body to recreate the breast. Tissue from the stomach, thigh or buttocks can be transferred to the chest. This is done using several different methods that can be divided into two groups, pedicled or free flap reconstruction. , Pedicled Flap Surgery In pedicled flap surgery, tissue remains connected to its blood supply and is tunneled underneath the skin to reach the chest. The illustration below shows an example of pedicled flap surgery from the abdomen. This particular flap is called a TRAM flap (transverse rectus abdominis myocutaneous flap). A Pedicled TRAM Flap Uses lower abdominal skin, fat and ALL the rectus muscle (six pack muscle). Blood vessels used are beneath the rectus muscle. Flap remains attached and is tunneled through the abdomen and chest. Longer recovery, may have some abdominal muscle weakness. , Free Flap Surgery In free flap surgery, tissue is disconnected from its blood supply and reattached to blood vessels in the chest using special magnifying glasses or a microscope. Tissue from the abdomen, thigh or buttocks can be used. Free Flap Surgery from the Abdomen Flap/tissue based surgery from the abdomen leaves a scar around the belly button, along your lower abdomen, and on your chest. The scar on your belly is usually low enough to be hidden by underwear or bathing suit. Because skin and fat is removed, your belly will appear flatter after surgery. A TRAM flap can be done using free flap surgery techniques as illustrated below. When this is done, it is called a muscle sparing free TRAM flap (msfTRAM flap). A msfTRAM flap Uses lower abdominal skin, fat and a SMALL PORTION of the six pack muscle. Blood vessels used are beneath the rectus muscle Flap is completely disconnected from the abdomen before it is transferred to the chest Shorter recovery than pedicled TRAM, less muscle weakness. , The illustration below shows another example of free flap surgery from the abdomen called a DIEP flap (deep inferior epigastric perforator flap). A DIEP Flap Uses lower abdominal skin, fat and NONE of abdominal muscle. Blood vessels used are just beneath the abdominal skin and fat. Less pain, faster healing, fewer abdominal complications (bulging or hernia Bulging of abdominal organs through an area of weakness in the fascia of the abdominal wall. ) than msfTRAM or pedicled TRAM. , Free Flap Surgery from the Thigh or Buttocks This particular type of tissue based reconstruction is used for patients who Do not want to have implants and do not have enough tissue on their abdomen Cannot use their abdomen tissue because of prior surgery Have had a previous flap from the abdomen fail and need another option. The common flaps from the buttock are the iGAP and sGAP flaps. The TUG and PAP flaps are taken from the thigh. Your plastic surgeon can discuss these methods in more detail if you fall into this category. The illustration below demonstrates free flap reconstruction using tissue from the inner thigh. , Combined Breast Reconstruction Combined breast reconstruction uses implants and tissue from another part of the body to recreate the breast mound A reconstructed breast that appears like a natural breast in clothing. . The most common type of combined breast reconstruction uses one of the muscles of the back called the latissimus dorsi muscle. The back muscle and a portion of skin and fat on top can be rotated onto the chest to create a breast mound A reconstructed breast that appears like a natural breast in clothing. . The muscle is rotated onto the chest through a tunnel in the armpit. This will create bulkiness under the arm that will decrease over time. An implant or tissue expander is placed underneath the lastissimus muscle because most women do not have enough fatty tissue on their back to recreate a sizeable breast. If a tissue expander is placed at the time of the muscle flap, a second surgical procedure will be needed to exchange the expander for a long term implant. The scar will often be placed at or above the level of your bra line so that it remains hidden. Use of this muscle will not affect your ability to continue your regular activities but a select group of women (competitive swimmers, tennis players, rock climbers) may notice some shoulder weakness. The illustration below demonstrates combined breast reconstruction using the latissimus dorsi muscle and a breast implant.
[node:field_add_content_block:0]	What Is Breast Reconstruction? A plastic surgeon recreates all or part of a breast that has been removed surgically. The goal of reconstruction is to recreate the volume and shape of a breast, so that in clothing no one would know you have had a mastectomy. You will discuss the best method for reconstruction with your plastic surgeon based on your body shape, past surgical history, current health, type of mastectomy, cancer treatment needs and personal preferences. The diagram below demonstrates the different methods of breast reconstruction and how they relate to one another. Click on any of the boxes below to learn more.
[node:field_add_content_block:0:entity]	What Are My Options for Reconstruction? > Add Content Block
[node:field_add_content_block:0:entity:created]	Wed, 12/04/2019 - 21:58
[node:field_add_content_block:0:entity:behavior_settings]	a:0:{}
[node:field_add_content_block:0:entity:revision_default]	On
[node:field_add_content_block:0:entity:default_langcode]	On
[node:field_add_content_block:0:entity:id]	52
[node:field_add_content_block:0:entity:langcode]	English
[node:field_add_content_block:0:entity:type]	Text
[node:field_add_content_block:0:entity:parent_field_name]	field_add_content_block
[node:field_add_content_block:0:entity:parent_id]	4
[node:field_add_content_block:0:entity:parent_type]	node
[node:field_add_content_block:0:entity:status]	On
[node:field_add_content_block:0:entity:field_region_background_color]	White
[node:field_add_content_block:0:entity:revision_id]	2737
[node:field_add_content_block:0:entity:field_text_block]	A plastic surgeon recreates all or part of a breast that has been removed surgically. The goal of reconstruction is to recreate the volume and shape of a breast, so that in clothing no one would know you have had a mastectomy. You will discuss the best method for reconstruction with your plastic surgeon based on your body shape, past surgical history, current health, type of mastectomy, cancer treatment needs and personal preferences. The diagram below demonstrates the different methods of breast reconstruction and how they relate to one another. Click on any of the boxes below to learn more.
[node:field_add_content_block:0:entity:field_title]	What Is Breast Reconstruction?
[node:field_add_content_block:0:entity:uuid]	fcb9e6a7-d8f7-45b1-83ff-222c834775ca
[node:field_add_content_block:0:target_id]	52
[node:field_add_content_block:0:target_revision_id]	2737
[node:field_add_content_block:1]	Types of Breast Reconstruction Implant Based Direct to Implant Tissue Expander to Implant Tissue Based Pedicled Flap Free Flap Combined
[node:field_add_content_block:1:entity]	What Are My Options for Reconstruction? > Add Content Block
[node:field_add_content_block:1:entity:created]	Sat, 01/25/2020 - 15:50
[node:field_add_content_block:1:entity:behavior_settings]	a:0:{}
[node:field_add_content_block:1:entity:field_block_]	Types of Breast Reconstruction Implant Based Direct to Implant Tissue Expander to Implant Tissue Based Pedicled Flap Free Flap Combined
[node:field_add_content_block:1:entity:revision_default]	On
[node:field_add_content_block:1:entity:default_langcode]	On
[node:field_add_content_block:1:entity:id]	156
[node:field_add_content_block:1:entity:langcode]	English
[node:field_add_content_block:1:entity:type]	Block Paragraph
[node:field_add_content_block:1:entity:parent_field_name]	field_add_content_block
[node:field_add_content_block:1:entity:parent_id]	4
[node:field_add_content_block:1:entity:parent_type]	node
[node:field_add_content_block:1:entity:status]	On
[node:field_add_content_block:1:entity:revision_id]	2738
[node:field_add_content_block:1:entity:uuid]	7f177233-23d6-4955-93c8-8a1c8466c81b
[node:field_add_content_block:1:target_id]	156
[node:field_add_content_block:1:target_revision_id]	2738
[node:field_add_content_block:2]	Implant Based Reconstruction Implant based reconstruction uses silicone or saline implants to reconstruct the breast mound A reconstructed breast that appears like a natural breast in clothing. . Based on the type of mastectomy you undergo, the quality of your tissues after your mastectomy and your need for radiation treatment, you may be eligible for one of two types of implant based reconstruction, direct to implant or tissue expander to implant reconstruction.
[node:field_add_content_block:2:entity]	What Are My Options for Reconstruction? > Add Content Block
[node:field_add_content_block:2:entity:created]	Sat, 01/25/2020 - 15:51
[node:field_add_content_block:2:entity:behavior_settings]	a:0:{}
[node:field_add_content_block:2:entity:revision_default]	On
[node:field_add_content_block:2:entity:default_langcode]	On
[node:field_add_content_block:2:entity:id]	157
[node:field_add_content_block:2:entity:langcode]	English
[node:field_add_content_block:2:entity:type]	Text
[node:field_add_content_block:2:entity:parent_field_name]	field_add_content_block
[node:field_add_content_block:2:entity:parent_id]	4
[node:field_add_content_block:2:entity:parent_type]	node
[node:field_add_content_block:2:entity:status]	On
[node:field_add_content_block:2:entity:field_region_background_color]	Grey
[node:field_add_content_block:2:entity:revision_id]	2739
[node:field_add_content_block:2:entity:field_text_block]	Implant based reconstruction uses silicone or saline implants to reconstruct the breast mound A reconstructed breast that appears like a natural breast in clothing. . Based on the type of mastectomy you undergo, the quality of your tissues after your mastectomy and your need for radiation treatment, you may be eligible for one of two types of implant based reconstruction, direct to implant or tissue expander to implant reconstruction.
[node:field_add_content_block:2:entity:field_title]	Implant Based Reconstruction
[node:field_add_content_block:2:entity:uuid]	aa448889-521e-460a-8041-1d262b95c65c
[node:field_add_content_block:2:target_id]	157
[node:field_add_content_block:2:target_revision_id]	2739
[node:author]	admin
[node:author:account-name]	admin
[node:author:created]	Tue, 11/26/2019 - 09:09
[node:author:created:fallback]	Tue, 11/26/2019 - 09:09
[node:author:created:html_date]	2019-11-26
[node:author:created:html_datetime]	2019-11-26T09:09:02-0500
[node:author:created:html_month]	2019-11
[node:author:created:html_time]	09:09:02
[node:author:created:html_week]	2019-W48
[node:author:created:html_year]	2019
[node:author:created:html_yearless_date]	11-26
[node:author:created:long]	Tuesday, November 26, 2019 - 09:09
[node:author:created:medium]	Tue, 11/26/2019 - 09:09
[node:author:created:raw]	1574777342
[node:author:created:short]	11/26/2019 - 09:09
[node:author:created:since]	4 years 8 months
[node:author:name]	admin
[node:author:display-name]	admin
[node:author:edit-url]	https://pennbra.org/user/1/edit
[node:author:mail]	michael@solutionmedia.net
[node:author:last-login]	Tue, 07/23/2024 - 15:37
[node:author:last-login:fallback]	Tue, 07/23/2024 - 15:37
[node:author:last-login:html_date]	2024-07-23
[node:author:last-login:html_datetime]	2024-07-23T15:37:49-0400
[node:author:last-login:html_month]	2024-07
[node:author:last-login:html_time]	15:37:49
[node:author:last-login:html_week]	2024-W30
[node:author:last-login:html_year]	2024
[node:author:last-login:html_yearless_date]	07-23
[node:author:last-login:long]	Tuesday, July 23, 2024 - 15:37
[node:author:last-login:medium]	Tue, 07/23/2024 - 15:37
[node:author:last-login:raw]	1721763469
[node:author:last-login:short]	07/23/2024 - 15:37
[node:author:last-login:since]	2 weeks 6 days
[node:author:roles]	authenticated, administrator
[node:author:roles:count]	2
[node:author:roles:first]	authenticated
[node:author:roles:join-path]	authenticated/administrator
[node:author:roles:keys]	authenticated, administrator
[node:author:roles:keys:count]	2
[node:author:roles:keys:first]	authenticated
[node:author:roles:keys:join-path]	authenticated/administrator
[node:author:roles:keys:last]	administrator
[node:author:roles:keys:reversed]	administrator, authenticated
[node:author:roles:last]	administrator
[node:author:roles:reversed]	administrator, authenticated
[node:author:roles:reversed:count]	2
[node:author:roles:reversed:first]	administrator
[node:author:roles:reversed:join-path]	administrator/authenticated
[node:author:roles:reversed:keys]	administrator, authenticated
[node:author:roles:reversed:last]	authenticated
[node:author:url]	https://pennbra.org/user/1
[node:author:url:absolute]	https://pennbra.org/user/1
[node:author:url:args]	, user, 1
[node:author:url:args:count]	2
[node:author:url:args:first]	user
[node:author:url:args:join-path]	user/1
[node:author:url:args:keys]	0, 1
[node:author:url:args:last]	1
[node:author:url:args:reversed]	1, user
[node:author:url:brief]	pennbra.org/user/1
[node:author:url:path]	/user/1
[node:author:url:relative]	/user/1
[node:author:url:unaliased]	https://pennbra.org/user/1
[node:author:url:unaliased:absolute]	https://pennbra.org/user/1
[node:author:url:unaliased:args]	, user, 1
[node:author:url:unaliased:brief]	pennbra.org/user/1
[node:author:url:unaliased:path]	/user/1
[node:author:url:unaliased:relative]	/user/1
[node:author:uid]	1
[node:author:role-ids]	0,1
[node:author:role-names]	authenticated,administrator
[node:body]
[node:book]
[node:book:author:account-name]	admin
[node:book:author:created]	Tue, 11/26/2019 - 09:09
[node:book:author:created:fallback]	Tue, 11/26/2019 - 09:09
[node:book:author:created:html_date]	2019-11-26
[node:book:author:created:html_datetime]	2019-11-26T09:09:02-0500
[node:book:author:created:html_month]	2019-11
[node:book:author:created:html_time]	09:09:02
[node:book:author:created:html_week]	2019-W48
[node:book:author:created:html_year]	2019
[node:book:author:created:html_yearless_date]	11-26
[node:book:author:created:long]	Tuesday, November 26, 2019 - 09:09
[node:book:author:created:medium]	Tue, 11/26/2019 - 09:09
[node:book:author:created:raw]	1574777342
[node:book:author:created:short]	11/26/2019 - 09:09
[node:book:author:created:since]	4 years 8 months
[node:book:author:name]	admin
[node:book:author:display-name]	admin
[node:book:author:edit-url]	https://pennbra.org/user/1/edit
[node:book:author:mail]	michael@solutionmedia.net
[node:book:author:last-login]	Tue, 07/23/2024 - 15:37
[node:book:author:last-login:fallback]	Tue, 07/23/2024 - 15:37
[node:book:author:last-login:html_date]	2024-07-23
[node:book:author:last-login:html_datetime]	2024-07-23T15:37:49-0400
[node:book:author:last-login:html_month]	2024-07
[node:book:author:last-login:html_time]	15:37:49
[node:book:author:last-login:html_week]	2024-W30
[node:book:author:last-login:html_year]	2024
[node:book:author:last-login:html_yearless_date]	07-23
[node:book:author:last-login:long]	Tuesday, July 23, 2024 - 15:37
[node:book:author:last-login:medium]	Tue, 07/23/2024 - 15:37
[node:book:author:last-login:raw]	1721763469
[node:book:author:last-login:short]	07/23/2024 - 15:37
[node:book:author:last-login:since]	2 weeks 6 days
[node:book:author:roles]	authenticated, administrator
[node:book:author:roles:count]	2
[node:book:author:roles:first]	authenticated
[node:book:author:roles:join-path]	authenticated/administrator
[node:book:author:roles:keys]	authenticated, administrator
[node:book:author:roles:last]	administrator
[node:book:author:roles:reversed]	administrator, authenticated
[node:book:author:url]	https://pennbra.org/user/1
[node:book:author:url:absolute]	https://pennbra.org/user/1
[node:book:author:url:args]	, user, 1
[node:book:author:url:brief]	pennbra.org/user/1
[node:book:author:url:path]	/user/1
[node:book:author:url:relative]	/user/1
[node:book:author:url:unaliased]	https://pennbra.org/user/1
[node:book:author:uid]	1
[node:book:author:role-ids]	0,1
[node:book:author:role-names]	authenticated,administrator
[node:book:parent]	Outline
[node:book:parent:author]	admin
[node:book:parent:author:account-name]	admin
[node:book:parent:author:created]	Tue, 11/26/2019 - 09:09
[node:book:parent:author:name]	admin
[node:book:parent:author:display-name]	admin
[node:book:parent:author:edit-url]	https://pennbra.org/user/1/edit
[node:book:parent:author:mail]	michael@solutionmedia.net
[node:book:parent:author:last-login]	Tue, 07/23/2024 - 15:37
[node:book:parent:author:roles]	authenticated, administrator
[node:book:parent:author:url]	https://pennbra.org/user/1
[node:book:parent:author:uid]	1
[node:book:parent:author:role-ids]	0,1
[node:book:parent:author:role-names]	authenticated,administrator
[node:book:parent:comment-count]	2
[node:book:parent:nid]	2
[node:book:parent:content-type]	Tutorial page
[node:book:parent:content-type:description]	<em>Books</em> have a built-in hierarchical navigation. Use for handbooks or tutorials.
[node:book:parent:content-type:edit-url]	https://pennbra.org/admin/structure/types/manage/book
[node:book:parent:content-type:machine-name]	book
[node:book:parent:content-type:name]	Tutorial page
[node:book:parent:content-type:node-count]	1
[node:book:parent:changed]	Tue, 06/30/2020 - 11:53
[node:book:parent:changed:fallback]	Tue, 06/30/2020 - 11:53
[node:book:parent:changed:html_date]	2020-06-30
[node:book:parent:changed:html_datetime]	2020-06-30T11:53:13-0400
[node:book:parent:changed:html_month]	2020-06
[node:book:parent:changed:html_time]	11:53:13
[node:book:parent:changed:html_week]	2020-W27
[node:book:parent:changed:html_year]	2020
[node:book:parent:changed:html_yearless_date]	06-30
[node:book:parent:changed:long]	Tuesday, June 30, 2020 - 11:53
[node:book:parent:changed:medium]	Tue, 06/30/2020 - 11:53
[node:book:parent:changed:raw]	1593532393
[node:book:parent:changed:short]	06/30/2020 - 11:53
[node:book:parent:changed:since]	4 years 1 month
[node:book:parent:created]	Fri, 11/29/2019 - 09:52
[node:book:parent:created:fallback]	Fri, 11/29/2019 - 09:52
[node:book:parent:created:html_date]	2019-11-29
[node:book:parent:created:html_datetime]	2019-11-29T09:52:39-0500
[node:book:parent:created:html_month]	2019-11
[node:book:parent:created:html_time]	09:52:39
[node:book:parent:created:html_week]	2019-W48
[node:book:parent:created:html_year]	2019
[node:book:parent:created:html_yearless_date]	11-29
[node:book:parent:created:long]	Friday, November 29, 2019 - 09:52
[node:book:parent:created:medium]	Fri, 11/29/2019 - 09:52
[node:book:parent:created:raw]	1575039159
[node:book:parent:created:short]	11/29/2019 - 09:52
[node:book:parent:created:since]	4 years 8 months
[node:book:parent:field_editor_comments:status]	1
[node:book:parent:field_editor_comments:cid]	15
[node:book:parent:field_editor_comments:last_comment_timestamp]	1593484653
[node:book:parent:field_editor_comments:last_comment_uid]	1
[node:book:parent:field_editor_comments:comment_count]	2
[node:book:parent:edit-url]	https://pennbra.org/node/2/edit
[node:book:parent:langcode]	en
[node:book:parent:menu-link]	Home
[node:book:parent:menu-link:edit-url]	https://pennbra.org/admin/structure/menu/item/2/edit
[node:book:parent:menu-link:menu]	Book Menu
[node:book:parent:menu-link:title]	Home
[node:book:parent:menu-link:url]	https://pennbra.org/home
[node:book:parent:vid]	497
[node:book:parent:title]	Outline
[node:book:parent:source:author]	admin
[node:book:parent:source:comment-count]	2
[node:book:parent:source:nid]	2
[node:book:parent:source:content-type]	Tutorial page
[node:book:parent:source:changed]	Tue, 06/30/2020 - 11:53
[node:book:parent:source:created]	Fri, 11/29/2019 - 09:52
[node:book:parent:source:edit-url]	https://pennbra.org/node/2/edit
[node:book:parent:source:langcode]	en
[node:book:parent:source:menu-link]	Home
[node:book:parent:source:vid]	497
[node:book:parent:source:title]	Outline
[node:book:parent:source:url]	https://pennbra.org/home
[node:book:parent:url]	https://pennbra.org/home
[node:book:parent:url:absolute]	https://pennbra.org/home
[node:book:parent:url:args]	, home
[node:book:parent:url:brief]	pennbra.org/home
[node:book:parent:url:path]	/home
[node:book:parent:url:relative]	/home
[node:book:parent:url:unaliased]	https://pennbra.org/node/2
[node:book:parents]	Outline
[node:book:parents:count]	1
[node:book:parents:first]	Outline
[node:book:parents:join-path]	outline
[node:book:parents:keys:count]	1
[node:book:parents:last]	Outline
[node:book:parents:reversed]	Outline
[node:book:parents:reversed:count]	1
[node:book:parents:reversed:first]	Outline
[node:book:parents:reversed:join-path]	outline
[node:book:parents:reversed:last]	Outline
[node:book:root]	Outline
[node:book:root:author]	admin
[node:book:root:author:account-name]	admin
[node:book:root:author:created]	Tue, 11/26/2019 - 09:09
[node:book:root:author:name]	admin
[node:book:root:author:display-name]	admin
[node:book:root:author:edit-url]	https://pennbra.org/user/1/edit
[node:book:root:author:mail]	michael@solutionmedia.net
[node:book:root:author:last-login]	Tue, 07/23/2024 - 15:37
[node:book:root:author:roles]	authenticated, administrator
[node:book:root:author:url]	https://pennbra.org/user/1
[node:book:root:author:uid]	1
[node:book:root:author:role-ids]	0,1
[node:book:root:author:role-names]	authenticated,administrator
[node:book:root:comment-count]	2
[node:book:root:nid]	2
[node:book:root:content-type]	Tutorial page
[node:book:root:content-type:description]	<em>Books</em> have a built-in hierarchical navigation. Use for handbooks or tutorials.
[node:book:root:content-type:edit-url]	https://pennbra.org/admin/structure/types/manage/book
[node:book:root:content-type:machine-name]	book
[node:book:root:content-type:name]	Tutorial page
[node:book:root:content-type:node-count]	1
[node:book:root:changed]	Tue, 06/30/2020 - 11:53
[node:book:root:changed:fallback]	Tue, 06/30/2020 - 11:53
[node:book:root:changed:html_date]	2020-06-30
[node:book:root:changed:html_datetime]	2020-06-30T11:53:13-0400
[node:book:root:changed:html_month]	2020-06
[node:book:root:changed:html_time]	11:53:13
[node:book:root:changed:html_week]	2020-W27
[node:book:root:changed:html_year]	2020
[node:book:root:changed:html_yearless_date]	06-30
[node:book:root:changed:long]	Tuesday, June 30, 2020 - 11:53
[node:book:root:changed:medium]	Tue, 06/30/2020 - 11:53
[node:book:root:changed:raw]	1593532393
[node:book:root:changed:short]	06/30/2020 - 11:53
[node:book:root:changed:since]	4 years 1 month
[node:book:root:created]	Fri, 11/29/2019 - 09:52
[node:book:root:created:fallback]	Fri, 11/29/2019 - 09:52
[node:book:root:created:html_date]	2019-11-29
[node:book:root:created:html_datetime]	2019-11-29T09:52:39-0500
[node:book:root:created:html_month]	2019-11
[node:book:root:created:html_time]	09:52:39
[node:book:root:created:html_week]	2019-W48
[node:book:root:created:html_year]	2019
[node:book:root:created:html_yearless_date]	11-29
[node:book:root:created:long]	Friday, November 29, 2019 - 09:52
[node:book:root:created:medium]	Fri, 11/29/2019 - 09:52
[node:book:root:created:raw]	1575039159
[node:book:root:created:short]	11/29/2019 - 09:52
[node:book:root:created:since]	4 years 8 months
[node:book:root:field_editor_comments:status]	1
[node:book:root:field_editor_comments:cid]	15
[node:book:root:field_editor_comments:last_comment_timestamp]	1593484653
[node:book:root:field_editor_comments:last_comment_uid]	1
[node:book:root:field_editor_comments:comment_count]	2
[node:book:root:edit-url]	https://pennbra.org/node/2/edit
[node:book:root:langcode]	en
[node:book:root:menu-link]	Home
[node:book:root:menu-link:edit-url]	https://pennbra.org/admin/structure/menu/item/2/edit
[node:book:root:menu-link:menu]	Book Menu
[node:book:root:menu-link:title]	Home
[node:book:root:menu-link:url]	https://pennbra.org/home
[node:book:root:vid]	497
[node:book:root:title]	Outline
[node:book:root:source:author]	admin
[node:book:root:source:comment-count]	2
[node:book:root:source:nid]	2
[node:book:root:source:content-type]	Tutorial page
[node:book:root:source:changed]	Tue, 06/30/2020 - 11:53
[node:book:root:source:created]	Fri, 11/29/2019 - 09:52
[node:book:root:source:edit-url]	https://pennbra.org/node/2/edit
[node:book:root:source:langcode]	en
[node:book:root:source:menu-link]	Home
[node:book:root:source:vid]	497
[node:book:root:source:title]	Outline
[node:book:root:source:url]	https://pennbra.org/home
[node:book:root:url]	https://pennbra.org/home
[node:book:root:url:absolute]	https://pennbra.org/home
[node:book:root:url:args]	, home
[node:book:root:url:brief]	pennbra.org/home
[node:book:root:url:path]	/home
[node:book:root:url:relative]	/home
[node:book:root:url:unaliased]	https://pennbra.org/node/2
[node:book:title]	Outline
[node:comment-count]	27
[node:nid]	4
[node:content-type]	Tutorial page
[node:content-type:description]	<em>Books</em> have a built-in hierarchical navigation. Use for handbooks or tutorials.
[node:content-type:edit-url]	https://pennbra.org/admin/structure/types/manage/book
[node:content-type:machine-name]	book
[node:content-type:name]	Tutorial page
[node:content-type:node-count]	1
[node:changed]	Thu, 02/13/2020 - 12:45
[node:changed:fallback]	Thu, 02/13/2020 - 12:45
[node:changed:html_date]	2020-02-13
[node:changed:html_datetime]	2020-02-13T12:45:30-0500
[node:changed:html_month]	2020-02
[node:changed:html_time]	12:45:30
[node:changed:html_week]	2020-W07
[node:changed:html_year]	2020
[node:changed:html_yearless_date]	02-13
[node:changed:long]	Thursday, February 13, 2020 - 12:45
[node:changed:medium]	Thu, 02/13/2020 - 12:45
[node:changed:raw]	1581615930
[node:changed:short]	02/13/2020 - 12:45
[node:changed:since]	4 years 5 months
[node:created]	Fri, 11/29/2019 - 09:56
[node:created:fallback]	Fri, 11/29/2019 - 09:56
[node:created:html_date]	2019-11-29
[node:created:html_datetime]	2019-11-29T09:56:10-0500
[node:created:html_month]	2019-11
[node:created:html_time]	09:56:10
[node:created:html_week]	2019-W48
[node:created:html_year]	2019
[node:created:html_yearless_date]	11-29
[node:created:long]	Friday, November 29, 2019 - 09:56
[node:created:medium]	Fri, 11/29/2019 - 09:56
[node:created:raw]	1575039370
[node:created:short]	11/29/2019 - 09:56
[node:created:since]	4 years 8 months
[node:field_editor_comments]
[node:field_editor_comments:status]	2
[node:field_editor_comments:cid]	139
[node:field_editor_comments:last_comment_timestamp]	1717754502
[node:field_editor_comments:last_comment_uid]	5680
[node:field_editor_comments:comment_count]	27
[node:edit-url]	https://pennbra.org/node/4/edit
[node:field_content_image]
[node:field_content_image:alt]	Illustration of combined tissue and implant breast reconstruction
[node:field_content_image:card_image]	https://pennbra.org/sites/default/files/styles/card_image/public/2020-01/Lat_Flap_3.1.jpg?itok=CsGsLE9R
[node:field_content_image:card_image:filesize]	20060
[node:field_content_image:card_image:height]	596
[node:field_content_image:card_image:mimetype]	image/jpeg
[node:field_content_image:card_image:uri]	public://styles/card_image/public/2020-01/Lat_Flap_3.1.jpg
[node:field_content_image:card_image:url]	https://pennbra.org/sites/default/files/styles/card_image/public/2020-01/Lat_Flap_3.1.jpg?itok=CsGsLE9R
[node:field_content_image:card_image:width]	740
[node:field_content_image:featured_image]	https://pennbra.org/sites/default/files/styles/featured_image/public/2020-01/Lat_Flap_3.1.jpg?itok=6XTT8Rr8
[node:field_content_image:featured_image:filesize]	3093
[node:field_content_image:featured_image:height]	145
[node:field_content_image:featured_image:mimetype]	image/jpeg
[node:field_content_image:featured_image:uri]	public://styles/featured_image/public/2020-01/Lat_Flap_3.1.jpg
[node:field_content_image:featured_image:url]	https://pennbra.org/sites/default/files/styles/featured_image/public/2020-01/Lat_Flap_3.1.jpg?itok=6XTT8Rr8
[node:field_content_image:featured_image:width]	177
[node:field_content_image:entity]	Lat_Flap_3.1.jpg
[node:field_content_image:entity:basename]	Lat_Flap_3.1.jpg
[node:field_content_image:entity:changed]	Tue, 01/28/2020 - 17:30
[node:field_content_image:entity:changed:fallback]	Tue, 01/28/2020 - 17:30
[node:field_content_image:entity:changed:html_date]	2020-01-28
[node:field_content_image:entity:changed:html_datetime]	2020-01-28T17:30:09-0500
[node:field_content_image:entity:changed:html_month]	2020-01
[node:field_content_image:entity:changed:html_time]	17:30:09
[node:field_content_image:entity:changed:html_week]	2020-W05
[node:field_content_image:entity:changed:html_year]	2020
[node:field_content_image:entity:changed:html_yearless_date]	01-28
[node:field_content_image:entity:changed:long]	Tuesday, January 28, 2020 - 17:30
[node:field_content_image:entity:changed:medium]	Tue, 01/28/2020 - 17:30
[node:field_content_image:entity:changed:raw]	1580250609
[node:field_content_image:entity:changed:short]	01/28/2020 - 17:30
[node:field_content_image:entity:changed:since]	4 years 6 months
[node:field_content_image:entity:created]	Tue, 01/28/2020 - 17:29
[node:field_content_image:entity:created:fallback]	Tue, 01/28/2020 - 17:29
[node:field_content_image:entity:created:html_date]	2020-01-28
[node:field_content_image:entity:created:html_datetime]	2020-01-28T17:29:47-0500
[node:field_content_image:entity:created:html_month]	2020-01
[node:field_content_image:entity:created:html_time]	17:29:47
[node:field_content_image:entity:created:html_week]	2020-W05
[node:field_content_image:entity:created:html_year]	2020
[node:field_content_image:entity:created:html_yearless_date]	01-28
[node:field_content_image:entity:created:long]	Tuesday, January 28, 2020 - 17:29
[node:field_content_image:entity:created:medium]	Tue, 01/28/2020 - 17:29
[node:field_content_image:entity:created:raw]	1580250587
[node:field_content_image:entity:created:short]	01/28/2020 - 17:29
[node:field_content_image:entity:created:since]	4 years 6 months
[node:field_content_image:entity:extension]	jpg
[node:field_content_image:entity:size-raw]	270204
[node:field_content_image:entity:fid]	183
[node:field_content_image:entity:name]	Lat_Flap_3.1.jpg
[node:field_content_image:entity:size]	263.87 KB
[node:field_content_image:entity:mime]	image/jpeg
[node:field_content_image:entity:owner]	Elizabeth.Card@pennmedicine.upenn.edu
[node:field_content_image:entity:owner:account-name]	Elizabeth.Card@pennmedicine.upenn.edu
[node:field_content_image:entity:owner:created]	Fri, 12/20/2019 - 14:20
[node:field_content_image:entity:owner:name]	Elizabeth.Card@pennmedicine.upenn.edu
[node:field_content_image:entity:owner:display-name]	Elizabeth.Card@pennmedicine.upenn.edu
[node:field_content_image:entity:owner:edit-url]	https://pennbra.org/user/4/edit
[node:field_content_image:entity:owner:mail]	Elizabeth.Card@pennmedicine.upenn.edu
[node:field_content_image:entity:owner:last-login]	Sun, 02/04/2024 - 19:36
[node:field_content_image:entity:owner:roles]	authenticated, editor
[node:field_content_image:entity:owner:url]	https://pennbra.org/user/4
[node:field_content_image:entity:owner:uid]	4
[node:field_content_image:entity:owner:role-ids]	0,1
[node:field_content_image:entity:owner:role-names]	authenticated,editor
[node:field_content_image:entity:path]	public://2020-01/Lat_Flap_3.1.jpg
[node:field_content_image:entity:url]	https://pennbra.org/sites/default/files/2020-01/Lat_Flap_3.1.jpg
[node:field_content_image:target_id]	183
[node:field_content_image:height]	2367
[node:field_content_image:home_slide]	https://pennbra.org/sites/default/files/styles/home_slide/public/2020-01/Lat_Flap_3.1.jpg?itok=6_2xWlPM
[node:field_content_image:home_slide:filesize]	29641
[node:field_content_image:home_slide:height]	500
[node:field_content_image:home_slide:mimetype]	image/jpeg
[node:field_content_image:home_slide:uri]	public://styles/home_slide/public/2020-01/Lat_Flap_3.1.jpg
[node:field_content_image:home_slide:url]	https://pennbra.org/sites/default/files/styles/home_slide/public/2020-01/Lat_Flap_3.1.jpg?itok=6_2xWlPM
[node:field_content_image:home_slide:width]	1440
[node:field_content_image:large]	https://pennbra.org/sites/default/files/styles/large/public/2020-01/Lat_Flap_3.1.jpg?itok=xfPSZ0ob
[node:field_content_image:large:filesize]	9829
[node:field_content_image:large:height]	480
[node:field_content_image:large:mimetype]	image/jpeg
[node:field_content_image:large:uri]	public://styles/large/public/2020-01/Lat_Flap_3.1.jpg
[node:field_content_image:large:url]	https://pennbra.org/sites/default/files/styles/large/public/2020-01/Lat_Flap_3.1.jpg?itok=xfPSZ0ob
[node:field_content_image:large:width]	402
[node:field_content_image:medium]	https://pennbra.org/sites/default/files/styles/medium/public/2020-01/Lat_Flap_3.1.jpg?itok=4idb9UB6
[node:field_content_image:medium:filesize]	3494
[node:field_content_image:medium:height]	220
[node:field_content_image:medium:mimetype]	image/jpeg
[node:field_content_image:medium:uri]	public://styles/medium/public/2020-01/Lat_Flap_3.1.jpg
[node:field_content_image:medium:url]	https://pennbra.org/sites/default/files/styles/medium/public/2020-01/Lat_Flap_3.1.jpg?itok=4idb9UB6
[node:field_content_image:medium:width]	184
[node:field_content_image:thumbnail]	https://pennbra.org/sites/default/files/styles/thumbnail/public/2020-01/Lat_Flap_3.1.jpg?itok=R-E5lNmR
[node:field_content_image:thumbnail:filesize]	1563
[node:field_content_image:thumbnail:height]	100
[node:field_content_image:thumbnail:mimetype]	image/jpeg
[node:field_content_image:thumbnail:uri]	public://styles/thumbnail/public/2020-01/Lat_Flap_3.1.jpg
[node:field_content_image:thumbnail:url]	https://pennbra.org/sites/default/files/styles/thumbnail/public/2020-01/Lat_Flap_3.1.jpg?itok=R-E5lNmR
[node:field_content_image:thumbnail:width]	84
[node:field_content_image:width]	1982
[node:langcode]	en
[node:menu-link]
[node:comment-count-new]
[node:original]
[node:field_related_content]	Basic Anatomy, How Long Will Reconstruction Take?, Are There Risks to Reconstruction?, Can My Nipples Be Reconstructed After Mastectomy?
[node:field_related_content:0]	Basic Anatomy
[node:field_related_content:0:entity]	Basic Anatomy
[node:field_related_content:0:entity:field_add_content_block]	Anatomy of the Breast The breast is made up of skin, fat, lobules and ducts. In a nursing woman, milk is produced in the lobules. The ducts link the many lobules together and carry milk to the nipple. The pectoralis major muscle or "pec" is a fan shaped muscle that lies just under the breast on the chest wall. , Anatomy of the Abdominal Wall The abdominal wall is made up of several layers including skin, fat, muscle, and fascia. The blood vessels that run underneath the muscle have small branches called perforators that pierce the muscle and fascia to supply blood to all the layers of the abdominal wall. The smaller blood vessels that run within the fatty layer supply only the skin and fat.
[node:field_related_content:0:entity:author]	tomi
[node:field_related_content:0:entity:comment-count]	2
[node:field_related_content:0:entity:nid]	23
[node:field_related_content:0:entity:content-type]	Tutorial page
[node:field_related_content:0:entity:changed]	Wed, 02/05/2020 - 11:35
[node:field_related_content:0:entity:created]	Fri, 01/10/2020 - 10:28
[node:field_related_content:0:entity:edit-url]	https://pennbra.org/node/23/edit
[node:field_related_content:0:entity:field_content_image]
[node:field_related_content:0:entity:langcode]	en
[node:field_related_content:0:entity:vid]	482
[node:field_related_content:0:entity:field_sub_title]	Important for learning about the different types of reconstruction.
[node:field_related_content:0:entity:title]	Basic Anatomy
[node:field_related_content:0:entity:url]	https://pennbra.org/basic-anatomy
[node:field_related_content:0:target_id]	23
[node:field_related_content:1]	How Long Will Reconstruction Take?
[node:field_related_content:1:entity]	How Long Will Reconstruction Take?
[node:field_related_content:1:entity:field_add_content_block]	You will need approximately 3 months in between surgical procedures to allow for healing. The timeline for reconstruction will be longer if your need chemotherapy or radiation. Almost all patients will need at least one revision surgery to fine tune the surgical results. This usually involved balancing surgery on the non-cancer side, nipple reconstruction, fat grafting A surgical technique that uses liposuction to transfer fat from one part of the body to another. to improved contour and/or scar revisions. Complications will unfortunately prolong your reconstruction timeline. , Timeline for Breast Reconstruction Your timeline will be different depending on your type of reconstruction. Tissue expansion (Expander to Implant) and the combined tissue and implant method (Combined) will follow a different timeline than implant only (Direct to Implant) and tissue only (Tissue Based).
[node:field_related_content:1:entity:author]	tomi
[node:field_related_content:1:entity:comment-count]	4
[node:field_related_content:1:entity:nid]	26
[node:field_related_content:1:entity:content-type]	Tutorial page
[node:field_related_content:1:entity:changed]	Tue, 01/28/2020 - 16:24
[node:field_related_content:1:entity:created]	Fri, 01/10/2020 - 11:00
[node:field_related_content:1:entity:edit-url]	https://pennbra.org/node/26/edit
[node:field_related_content:1:entity:field_content_image]
[node:field_related_content:1:entity:langcode]	en
[node:field_related_content:1:entity:vid]	397
[node:field_related_content:1:entity:field_sub_title]	The total time for breast reconstruction varies from patient to patient but on average takes 6 months to a year.
[node:field_related_content:1:entity:title]	How Long Will Reconstruction Take?
[node:field_related_content:1:entity:url]	https://pennbra.org/how-long-will-reconstruction-take
[node:field_related_content:1:target_id]	26
[node:field_related_content:2]	Are There Risks to Reconstruction?
[node:field_related_content:2:entity]	Are There Risks to Reconstruction?
[node:field_related_content:2:entity:field_add_content_block]	Bleeding Infection Failure/ loss of implants Breast implant associated ALCL A rare and treatable type of lymphoma that can develop around implants. Implant rippling Implant malposition Capsular contracture A complication of breast surgery in which the scar tissue that normally forms around the implants tightens and squeezes the implant making it firm and sometimes painful. Hematoma A collection of blood beneath the skin after surgery. Seroma A collection of fluid beneath the skin after surgery. Changes in sensation Abdominal bulges/ Hernia Bulging of abdominal organs through an area of weakness in the fascia of the abdominal wall. Partial/Complete flap loss Asymmetry Fat necrosis Damaged fatty tissue in the breast that feels like a hard lump. Poor cosmetic results Scarring Wound healing problems Need for reoperation
[node:field_related_content:2:entity:author]	admin
[node:field_related_content:2:entity:comment-count]	3
[node:field_related_content:2:entity:nid]	11
[node:field_related_content:2:entity:content-type]	Tutorial page
[node:field_related_content:2:entity:changed]	Sun, 01/26/2020 - 15:54
[node:field_related_content:2:entity:created]	Sun, 12/15/2019 - 20:39
[node:field_related_content:2:entity:edit-url]	https://pennbra.org/node/11/edit
[node:field_related_content:2:entity:field_content_image]
[node:field_related_content:2:entity:langcode]	en
[node:field_related_content:2:entity:vid]	327
[node:field_related_content:2:entity:field_sub_title]	Yes. As with any surgery, there are risks, listed below. Your surgeon will discuss these in more detail during your consultation.
[node:field_related_content:2:entity:title]	Are There Risks to Reconstruction?
[node:field_related_content:2:entity:url]	https://pennbra.org/are-there-risks-reconstruction
[node:field_related_content:2:target_id]	11
[node:vid]	488
[node:log]
[node:field_slide_image]
[node:field_sub_title]	Breast reconstruction can be accomplished using different surgical techniques.
[node:field_sub_title:value]	Breast reconstruction can be accomplished using different surgical techniques.
[node:summary]
[node:title]	What Are My Options for Reconstruction?
[node:source]
[node:source:field_add_content_block]	What Is Breast Reconstruction? A plastic surgeon recreates all or part of a breast that has been removed surgically. The goal of reconstruction is to recreate the volume and shape of a breast, so that in clothing no one would know you have had a mastectomy. You will discuss the best method for reconstruction with your plastic surgeon based on your body shape, past surgical history, current health, type of mastectomy, cancer treatment needs and personal preferences. The diagram below demonstrates the different methods of breast reconstruction and how they relate to one another. Click on any of the boxes below to learn more. , Types of Breast Reconstruction Implant Based Direct to Implant Tissue Expander to Implant Tissue Based Pedicled Flap Free Flap Combined , Implant Based Reconstruction Implant based reconstruction uses silicone or saline implants to reconstruct the breast mound A reconstructed breast that appears like a natural breast in clothing. . Based on the type of mastectomy you undergo, the quality of your tissues after your mastectomy and your need for radiation treatment, you may be eligible for one of two types of implant based reconstruction, direct to implant or tissue expander to implant reconstruction. , Direct to Implant Reconstruction (DTI) In a select group of women, a long term implant can be placed at the same time as the mastectomy either in front of or behind the chest muscle (pectoralis muscle). Your surgeon will determine whether this method is appropriate for you. Silicone Implants are most commonly placed . Acellular Dermal Matrix (ADM) is used to create a sling or wrap that support the implant. Over time, ADM becomes part of your natural tissues. Women undergoing DTI reconstruction will often need an additional revision procedure which might include fat grafting A surgical technique that uses liposuction to transfer fat from one part of the body to another. to soften the contour of the implant and create a more natural appearing breast mound A reconstructed breast that appears like a natural breast in clothing. . The image below illustrates the two locations that an implant can be placed and how ADM is used in either case. , Tissue Expander to Implant Reconstruction Tissue expander to implant reconstruction involves two stages. Stage A step in the breast reconstruction process defined by a separate surgery. 1: tissue expanders are placed in front of or behind the pectoralis muscle at the time of mastectomy or anytime afterwards. The expanders are temporary and are inflated over weeks to months to enlarge the breast space. Stage A step in the breast reconstruction process defined by a separate surgery. 2: tissue expanders are exchanged for a softer long term implant in an outpatient/same day surgery. Tissue Expansion Process During an expander fill, 50-60ml of sterile saline is injected into the expander through a port that lies just beneath the skin. The fill is usually painless. In cases where the expander is placed beneath the chest muscle (pectoralis muscle), you may experience mild to moderate soreness and muscle spasms after each fill. This can be treated with a prescription from your surgeon. Expander fills are done on a weekly or bi-weekly schedule until your goal fill is achieved. The endpoint of your expansion process depends on the final breast size you desire. For most patients, this will take approximately 6 to 8 weeks. Depending on the quality of your tissues during your mastectomy and expander placement surgery, your surgeon might decided to partially fill your expander in the operating room. This will decrease the number of clinic sessions needed to get to your goal fill. The video below demonstrates an expander fill session during a clinic visit. , Tissue Based Reconstruction Tissue based or flap reconstruction, uses tissues from another part of the body to recreate the breast. Tissue from the stomach, thigh or buttocks can be transferred to the chest. This is done using several different methods that can be divided into two groups, pedicled or free flap reconstruction. , Pedicled Flap Surgery In pedicled flap surgery, tissue remains connected to its blood supply and is tunneled underneath the skin to reach the chest. The illustration below shows an example of pedicled flap surgery from the abdomen. This particular flap is called a TRAM flap (transverse rectus abdominis myocutaneous flap). A Pedicled TRAM Flap Uses lower abdominal skin, fat and ALL the rectus muscle (six pack muscle). Blood vessels used are beneath the rectus muscle. Flap remains attached and is tunneled through the abdomen and chest. Longer recovery, may have some abdominal muscle weakness. , Free Flap Surgery In free flap surgery, tissue is disconnected from its blood supply and reattached to blood vessels in the chest using special magnifying glasses or a microscope. Tissue from the abdomen, thigh or buttocks can be used. Free Flap Surgery from the Abdomen Flap/tissue based surgery from the abdomen leaves a scar around the belly button, along your lower abdomen, and on your chest. The scar on your belly is usually low enough to be hidden by underwear or bathing suit. Because skin and fat is removed, your belly will appear flatter after surgery. A TRAM flap can be done using free flap surgery techniques as illustrated below. When this is done, it is called a muscle sparing free TRAM flap (msfTRAM flap). A msfTRAM flap Uses lower abdominal skin, fat and a SMALL PORTION of the six pack muscle. Blood vessels used are beneath the rectus muscle Flap is completely disconnected from the abdomen before it is transferred to the chest Shorter recovery than pedicled TRAM, less muscle weakness. , The illustration below shows another example of free flap surgery from the abdomen called a DIEP flap (deep inferior epigastric perforator flap). A DIEP Flap Uses lower abdominal skin, fat and NONE of abdominal muscle. Blood vessels used are just beneath the abdominal skin and fat. Less pain, faster healing, fewer abdominal complications (bulging or hernia Bulging of abdominal organs through an area of weakness in the fascia of the abdominal wall. ) than msfTRAM or pedicled TRAM. , Free Flap Surgery from the Thigh or Buttocks This particular type of tissue based reconstruction is used for patients who Do not want to have implants and do not have enough tissue on their abdomen Cannot use their abdomen tissue because of prior surgery Have had a previous flap from the abdomen fail and need another option. The common flaps from the buttock are the iGAP and sGAP flaps. The TUG and PAP flaps are taken from the thigh. Your plastic surgeon can discuss these methods in more detail if you fall into this category. The illustration below demonstrates free flap reconstruction using tissue from the inner thigh. , Combined Breast Reconstruction Combined breast reconstruction uses implants and tissue from another part of the body to recreate the breast mound A reconstructed breast that appears like a natural breast in clothing. . The most common type of combined breast reconstruction uses one of the muscles of the back called the latissimus dorsi muscle. The back muscle and a portion of skin and fat on top can be rotated onto the chest to create a breast mound A reconstructed breast that appears like a natural breast in clothing. . The muscle is rotated onto the chest through a tunnel in the armpit. This will create bulkiness under the arm that will decrease over time. An implant or tissue expander is placed underneath the lastissimus muscle because most women do not have enough fatty tissue on their back to recreate a sizeable breast. If a tissue expander is placed at the time of the muscle flap, a second surgical procedure will be needed to exchange the expander for a long term implant. The scar will often be placed at or above the level of your bra line so that it remains hidden. Use of this muscle will not affect your ability to continue your regular activities but a select group of women (competitive swimmers, tennis players, rock climbers) may notice some shoulder weakness. The illustration below demonstrates combined breast reconstruction using the latissimus dorsi muscle and a breast implant.
[node:source:field_add_content_block:0]	What Is Breast Reconstruction? A plastic surgeon recreates all or part of a breast that has been removed surgically. The goal of reconstruction is to recreate the volume and shape of a breast, so that in clothing no one would know you have had a mastectomy. You will discuss the best method for reconstruction with your plastic surgeon based on your body shape, past surgical history, current health, type of mastectomy, cancer treatment needs and personal preferences. The diagram below demonstrates the different methods of breast reconstruction and how they relate to one another. Click on any of the boxes below to learn more.
[node:source:field_add_content_block:0:entity]	What Are My Options for Reconstruction? > Add Content Block
[node:source:field_add_content_block:0:target_id]	52
[node:source:field_add_content_block:0:target_revision_id]	2737
[node:source:field_add_content_block:1]	Types of Breast Reconstruction Implant Based Direct to Implant Tissue Expander to Implant Tissue Based Pedicled Flap Free Flap Combined
[node:source:field_add_content_block:1:entity]	What Are My Options for Reconstruction? > Add Content Block
[node:source:field_add_content_block:1:target_id]	156
[node:source:field_add_content_block:1:target_revision_id]	2738
[node:source:field_add_content_block:2]	Implant Based Reconstruction Implant based reconstruction uses silicone or saline implants to reconstruct the breast mound A reconstructed breast that appears like a natural breast in clothing. . Based on the type of mastectomy you undergo, the quality of your tissues after your mastectomy and your need for radiation treatment, you may be eligible for one of two types of implant based reconstruction, direct to implant or tissue expander to implant reconstruction.
[node:source:field_add_content_block:2:entity]	What Are My Options for Reconstruction? > Add Content Block
[node:source:field_add_content_block:2:target_id]	157
[node:source:field_add_content_block:2:target_revision_id]	2739
[node:source:author]	admin
[node:source:author:account-name]	admin
[node:source:author:created]	Tue, 11/26/2019 - 09:09
[node:source:author:created:fallback]	Tue, 11/26/2019 - 09:09
[node:source:author:created:html_date]	2019-11-26
[node:source:author:created:html_datetime]	2019-11-26T09:09:02-0500
[node:source:author:created:html_month]	2019-11
[node:source:author:created:html_time]	09:09:02
[node:source:author:created:html_week]	2019-W48
[node:source:author:created:html_year]	2019
[node:source:author:created:html_yearless_date]	11-26
[node:source:author:created:long]	Tuesday, November 26, 2019 - 09:09
[node:source:author:created:medium]	Tue, 11/26/2019 - 09:09
[node:source:author:created:raw]	1574777342
[node:source:author:created:short]	11/26/2019 - 09:09
[node:source:author:created:since]	4 years 8 months
[node:source:author:name]	admin
[node:source:author:display-name]	admin
[node:source:author:edit-url]	https://pennbra.org/user/1/edit
[node:source:author:mail]	michael@solutionmedia.net
[node:source:author:last-login]	Tue, 07/23/2024 - 15:37
[node:source:author:last-login:fallback]	Tue, 07/23/2024 - 15:37
[node:source:author:last-login:html_date]	2024-07-23
[node:source:author:last-login:html_datetime]	2024-07-23T15:37:49-0400
[node:source:author:last-login:html_month]	2024-07
[node:source:author:last-login:html_time]	15:37:49
[node:source:author:last-login:html_week]	2024-W30
[node:source:author:last-login:html_year]	2024
[node:source:author:last-login:html_yearless_date]	07-23
[node:source:author:last-login:long]	Tuesday, July 23, 2024 - 15:37
[node:source:author:last-login:medium]	Tue, 07/23/2024 - 15:37
[node:source:author:last-login:raw]	1721763469
[node:source:author:last-login:short]	07/23/2024 - 15:37
[node:source:author:last-login:since]	2 weeks 6 days
[node:source:author:roles]	authenticated, administrator
[node:source:author:roles:count]	2
[node:source:author:roles:first]	authenticated
[node:source:author:roles:join-path]	authenticated/administrator
[node:source:author:roles:keys]	authenticated, administrator
[node:source:author:roles:last]	administrator
[node:source:author:roles:reversed]	administrator, authenticated
[node:source:author:url]	https://pennbra.org/user/1
[node:source:author:url:absolute]	https://pennbra.org/user/1
[node:source:author:url:args]	, user, 1
[node:source:author:url:brief]	pennbra.org/user/1
[node:source:author:url:path]	/user/1
[node:source:author:url:relative]	/user/1
[node:source:author:url:unaliased]	https://pennbra.org/user/1
[node:source:author:uid]	1
[node:source:author:role-ids]	0,1
[node:source:author:role-names]	authenticated,administrator
[node:source:book:author:account-name]	admin
[node:source:book:author:created]	Tue, 11/26/2019 - 09:09
[node:source:book:author:name]	admin
[node:source:book:author:display-name]	admin
[node:source:book:author:edit-url]	https://pennbra.org/user/1/edit
[node:source:book:author:mail]	michael@solutionmedia.net
[node:source:book:author:last-login]	Tue, 07/23/2024 - 15:37
[node:source:book:author:roles]	authenticated, administrator
[node:source:book:author:url]	https://pennbra.org/user/1
[node:source:book:author:uid]	1
[node:source:book:author:role-ids]	0,1
[node:source:book:author:role-names]	authenticated,administrator
[node:source:book:parent]	Outline
[node:source:book:parent:author]	admin
[node:source:book:parent:comment-count]	2
[node:source:book:parent:nid]	2
[node:source:book:parent:content-type]	Tutorial page
[node:source:book:parent:changed]	Tue, 06/30/2020 - 11:53
[node:source:book:parent:created]	Fri, 11/29/2019 - 09:52
[node:source:book:parent:edit-url]	https://pennbra.org/node/2/edit
[node:source:book:parent:langcode]	en
[node:source:book:parent:menu-link]	Home
[node:source:book:parent:vid]	497
[node:source:book:parent:title]	Outline
[node:source:book:parent:url]	https://pennbra.org/home
[node:source:book:parents]	Outline
[node:source:book:parents:count]	1
[node:source:book:parents:first]	Outline
[node:source:book:parents:join-path]	outline
[node:source:book:parents:last]	Outline
[node:source:book:parents:reversed]	Outline
[node:source:book:root]	Outline
[node:source:book:root:author]	admin
[node:source:book:root:comment-count]	2
[node:source:book:root:nid]	2
[node:source:book:root:content-type]	Tutorial page
[node:source:book:root:changed]	Tue, 06/30/2020 - 11:53
[node:source:book:root:created]	Fri, 11/29/2019 - 09:52
[node:source:book:root:edit-url]	https://pennbra.org/node/2/edit
[node:source:book:root:langcode]	en
[node:source:book:root:menu-link]	Home
[node:source:book:root:vid]	497
[node:source:book:root:title]	Outline
[node:source:book:root:url]	https://pennbra.org/home
[node:source:book:title]	Outline
[node:source:comment-count]	27
[node:source:nid]	4
[node:source:content-type]	Tutorial page
[node:source:content-type:description]	<em>Books</em> have a built-in hierarchical navigation. Use for handbooks or tutorials.
[node:source:content-type:edit-url]	https://pennbra.org/admin/structure/types/manage/book
[node:source:content-type:machine-name]	book
[node:source:content-type:name]	Tutorial page
[node:source:content-type:node-count]	1
[node:source:changed]	Thu, 02/13/2020 - 12:45
[node:source:changed:fallback]	Thu, 02/13/2020 - 12:45
[node:source:changed:html_date]	2020-02-13
[node:source:changed:html_datetime]	2020-02-13T12:45:30-0500
[node:source:changed:html_month]	2020-02
[node:source:changed:html_time]	12:45:30
[node:source:changed:html_week]	2020-W07
[node:source:changed:html_year]	2020
[node:source:changed:html_yearless_date]	02-13
[node:source:changed:long]	Thursday, February 13, 2020 - 12:45
[node:source:changed:medium]	Thu, 02/13/2020 - 12:45
[node:source:changed:raw]	1581615930
[node:source:changed:short]	02/13/2020 - 12:45
[node:source:changed:since]	4 years 5 months
[node:source:created]	Fri, 11/29/2019 - 09:56
[node:source:created:fallback]	Fri, 11/29/2019 - 09:56
[node:source:created:html_date]	2019-11-29
[node:source:created:html_datetime]	2019-11-29T09:56:10-0500
[node:source:created:html_month]	2019-11
[node:source:created:html_time]	09:56:10
[node:source:created:html_week]	2019-W48
[node:source:created:html_year]	2019
[node:source:created:html_yearless_date]	11-29
[node:source:created:long]	Friday, November 29, 2019 - 09:56
[node:source:created:medium]	Fri, 11/29/2019 - 09:56
[node:source:created:raw]	1575039370
[node:source:created:short]	11/29/2019 - 09:56
[node:source:created:since]	4 years 8 months
[node:source:field_editor_comments:status]	2
[node:source:field_editor_comments:cid]	139
[node:source:field_editor_comments:last_comment_timestamp]	1717754502
[node:source:field_editor_comments:last_comment_uid]	5680
[node:source:field_editor_comments:comment_count]	27
[node:source:edit-url]	https://pennbra.org/node/4/edit
[node:source:field_content_image]
[node:source:field_content_image:alt]	Illustration of combined tissue and implant breast reconstruction
[node:source:field_content_image:card_image]	https://pennbra.org/sites/default/files/styles/card_image/public/2020-01/Lat_Flap_3.1.jpg?itok=CsGsLE9R
[node:source:field_content_image:card_image:filesize]	20060
[node:source:field_content_image:card_image:height]	596
[node:source:field_content_image:card_image:mimetype]	image/jpeg
[node:source:field_content_image:card_image:uri]	public://styles/card_image/public/2020-01/Lat_Flap_3.1.jpg
[node:source:field_content_image:card_image:url]	https://pennbra.org/sites/default/files/styles/card_image/public/2020-01/Lat_Flap_3.1.jpg?itok=CsGsLE9R
[node:source:field_content_image:card_image:width]	740
[node:source:field_content_image:featured_image]	https://pennbra.org/sites/default/files/styles/featured_image/public/2020-01/Lat_Flap_3.1.jpg?itok=6XTT8Rr8
[node:source:field_content_image:featured_image:filesize]	3093
[node:source:field_content_image:featured_image:height]	145
[node:source:field_content_image:featured_image:mimetype]	image/jpeg
[node:source:field_content_image:featured_image:uri]	public://styles/featured_image/public/2020-01/Lat_Flap_3.1.jpg
[node:source:field_content_image:featured_image:url]	https://pennbra.org/sites/default/files/styles/featured_image/public/2020-01/Lat_Flap_3.1.jpg?itok=6XTT8Rr8
[node:source:field_content_image:featured_image:width]	177
[node:source:field_content_image:entity]	Lat_Flap_3.1.jpg
[node:source:field_content_image:entity:basename]	Lat_Flap_3.1.jpg
[node:source:field_content_image:entity:changed]	Tue, 01/28/2020 - 17:30
[node:source:field_content_image:entity:created]	Tue, 01/28/2020 - 17:29
[node:source:field_content_image:entity:extension]	jpg
[node:source:field_content_image:entity:size-raw]	270204
[node:source:field_content_image:entity:fid]	183
[node:source:field_content_image:entity:name]	Lat_Flap_3.1.jpg
[node:source:field_content_image:entity:size]	263.87 KB
[node:source:field_content_image:entity:mime]	image/jpeg
[node:source:field_content_image:entity:owner]	Elizabeth.Card@pennmedicine.upenn.edu
[node:source:field_content_image:entity:path]	public://2020-01/Lat_Flap_3.1.jpg
[node:source:field_content_image:entity:url]	https://pennbra.org/sites/default/files/2020-01/Lat_Flap_3.1.jpg
[node:source:field_content_image:target_id]	183
[node:source:field_content_image:height]	2367
[node:source:field_content_image:home_slide]	https://pennbra.org/sites/default/files/styles/home_slide/public/2020-01/Lat_Flap_3.1.jpg?itok=6_2xWlPM
[node:source:field_content_image:home_slide:filesize]	29641
[node:source:field_content_image:home_slide:height]	500
[node:source:field_content_image:home_slide:mimetype]	image/jpeg
[node:source:field_content_image:home_slide:uri]	public://styles/home_slide/public/2020-01/Lat_Flap_3.1.jpg
[node:source:field_content_image:home_slide:url]	https://pennbra.org/sites/default/files/styles/home_slide/public/2020-01/Lat_Flap_3.1.jpg?itok=6_2xWlPM
[node:source:field_content_image:home_slide:width]	1440
[node:source:field_content_image:large]	https://pennbra.org/sites/default/files/styles/large/public/2020-01/Lat_Flap_3.1.jpg?itok=xfPSZ0ob
[node:source:field_content_image:large:filesize]	9829
[node:source:field_content_image:large:height]	480
[node:source:field_content_image:large:mimetype]	image/jpeg
[node:source:field_content_image:large:uri]	public://styles/large/public/2020-01/Lat_Flap_3.1.jpg
[node:source:field_content_image:large:url]	https://pennbra.org/sites/default/files/styles/large/public/2020-01/Lat_Flap_3.1.jpg?itok=xfPSZ0ob
[node:source:field_content_image:large:width]	402
[node:source:field_content_image:medium]	https://pennbra.org/sites/default/files/styles/medium/public/2020-01/Lat_Flap_3.1.jpg?itok=4idb9UB6
[node:source:field_content_image:medium:filesize]	3494
[node:source:field_content_image:medium:height]	220
[node:source:field_content_image:medium:mimetype]	image/jpeg
[node:source:field_content_image:medium:uri]	public://styles/medium/public/2020-01/Lat_Flap_3.1.jpg
[node:source:field_content_image:medium:url]	https://pennbra.org/sites/default/files/styles/medium/public/2020-01/Lat_Flap_3.1.jpg?itok=4idb9UB6
[node:source:field_content_image:medium:width]	184
[node:source:field_content_image:thumbnail]	https://pennbra.org/sites/default/files/styles/thumbnail/public/2020-01/Lat_Flap_3.1.jpg?itok=R-E5lNmR
[node:source:field_content_image:thumbnail:filesize]	1563
[node:source:field_content_image:thumbnail:height]	100
[node:source:field_content_image:thumbnail:mimetype]	image/jpeg
[node:source:field_content_image:thumbnail:uri]	public://styles/thumbnail/public/2020-01/Lat_Flap_3.1.jpg
[node:source:field_content_image:thumbnail:url]	https://pennbra.org/sites/default/files/styles/thumbnail/public/2020-01/Lat_Flap_3.1.jpg?itok=R-E5lNmR
[node:source:field_content_image:thumbnail:width]	84
[node:source:field_content_image:width]	1982
[node:source:langcode]	en
[node:source:field_related_content]	Basic Anatomy, How Long Will Reconstruction Take?, Are There Risks to Reconstruction?, Can My Nipples Be Reconstructed After Mastectomy?
[node:source:field_related_content:0]	Basic Anatomy
[node:source:field_related_content:0:entity]	Basic Anatomy
[node:source:field_related_content:0:target_id]	23
[node:source:field_related_content:1]	How Long Will Reconstruction Take?
[node:source:field_related_content:1:entity]	How Long Will Reconstruction Take?
[node:source:field_related_content:1:target_id]	26
[node:source:field_related_content:2]	Are There Risks to Reconstruction?
[node:source:field_related_content:2:entity]	Are There Risks to Reconstruction?
[node:source:field_related_content:2:target_id]	11
[node:source:vid]	488
[node:source:field_sub_title]	Breast reconstruction can be accomplished using different surgical techniques.
[node:source:field_sub_title:value]	Breast reconstruction can be accomplished using different surgical techniques.
[node:source:title]	What Are My Options for Reconstruction?
[node:source:url]	https://pennbra.org/what-are-my-options-reconstruction
[node:source:url:absolute]	https://pennbra.org/what-are-my-options-reconstruction
[node:source:url:args]	, what-are-my-options-reconstruction
[node:source:url:args:count]	1
[node:source:url:args:first]	what-are-my-options-reconstruction
[node:source:url:args:join-path]	what-are-my-options-reconstruction
[node:source:url:args:last]	what-are-my-options-reconstruction
[node:source:url:args:reversed]	what-are-my-options-reconstruction
[node:source:url:brief]	pennbra.org/what-are-my-options-reconstruction
[node:source:url:path]	/what-are-my-options-reconstruction
[node:source:url:relative]	/what-are-my-options-reconstruction
[node:source:url:unaliased]	https://pennbra.org/node/4
[node:source:url:unaliased:absolute]	https://pennbra.org/node/4
[node:source:url:unaliased:args]	, node, 4
[node:source:url:unaliased:brief]	pennbra.org/node/4
[node:source:url:unaliased:path]	/node/4
[node:source:url:unaliased:relative]	/node/4
[node:url]	https://pennbra.org/what-are-my-options-reconstruction
[node:url:absolute]	https://pennbra.org/what-are-my-options-reconstruction
[node:url:args]	, what-are-my-options-reconstruction
[node:url:args:count]	1
[node:url:args:first]	what-are-my-options-reconstruction
[node:url:args:join-path]	what-are-my-options-reconstruction
[node:url:args:keys:count]	1
[node:url:args:last]	what-are-my-options-reconstruction
[node:url:args:reversed]	what-are-my-options-reconstruction
[node:url:args:reversed:count]	1
[node:url:args:reversed:first]	what-are-my-options-reconstruction
[node:url:args:reversed:join-path]	what-are-my-options-reconstruction
[node:url:args:reversed:last]	what-are-my-options-reconstruction
[node:url:brief]	pennbra.org/what-are-my-options-reconstruction
[node:url:path]	/what-are-my-options-reconstruction
[node:url:relative]	/what-are-my-options-reconstruction
[node:url:unaliased]	https://pennbra.org/node/4
[node:url:unaliased:absolute]	https://pennbra.org/node/4
[node:url:unaliased:args]	, node, 4
[node:url:unaliased:args:count]	2
[node:url:unaliased:args:first]	node
[node:url:unaliased:args:join-path]	node/4
[node:url:unaliased:args:keys]	0, 1
[node:url:unaliased:args:last]	4
[node:url:unaliased:args:reversed]	4, node
[node:url:unaliased:brief]	pennbra.org/node/4
[node:url:unaliased:path]	/node/4
[node:url:unaliased:relative]	/node/4
[node:webform]