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RECONSTRUCTIVE PROCEDURES

BREAST RECONSTRUCTION

Breast Reconstruction is the rebuilding of a breast, usually in women. After a patient has a Mastectomy (breast removal), they have the option to rebuild that breast. The procedure recreates the size and shape of the patient's original breast.

SURGERY

The most common type of breast reconstruction combines skin expansion with a breast implant. Dr. Wayment makes an incision in the outer part of the breast. Then, a balloon expander is inserted under the chest wall muscle. The incision is closed. Over a period of weeks, Dr. Wayment injects Saline into the expander through a port that lies just below the surface of the skin. Once the skin has stretched to the desired size, the expander is removed and replaced with a permanent implant. Reconstruction of the nipple and Areola are performed in a separate operation.

Another approach can be performed through a technique called a Flap Reconstruction. There are two options. The first option, Dr. Wayment creates a Latissimus flap (back skin and muscle) with the blood supply still attached. This helps form the breast itself with the addition of a tissue expander. The tissue expander creates a pocket for the implant to be placed.

The other type of Flap Reconstruction uses tissue from the abdomen, back, thigh or buttocks and is relocated to the chest area. Drains are placed to collect any excess fluid. Breast Reconstruction usually involves multiple procedures. Length of operation will vary depending on the procedure. The first stage of the procedure is performed in the hospital and requires a one to two day stay. Each consecutive procedure is performed on an outpatient basis.

AFTER SURGERY

Dressings are applied. Drains are removed when drainage subsides (usually seven to ten days). Sutures are removed within a week. Activities are modified for six weeks.

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HEAD AND NECK CANCER

Skin Cancer is the most common type of cancer in the United States. As people age they can develop various skin diseases which may or may not be cancerous. The most common skin cancers are Basal Cell Carcinoma, Squamous Cell Carcinoma, and Melanoma. Early detection and diagnosis is vital. Dr. Wayment can evaluate the need for possible removal. Please contact our office for more information.

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HAND SURGERY

Dr. Wayment completed a prestigious Hand Fellowship at the Christine M. Kleinert Institute for Hand and MicroSurgery. Dr. Wayment specializes in a variety of Hand Surgery, including Trauma, Carpel Tunnel, Tennis Elbow, Arthritic Surgery, Hand Pain, Tendon Reconstruction, and Joint Replacements. Please contact our office with any questions.

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