Hybrid Breast Reconstruction
After a breast cancer diagnosis, many patients seek breast reconstruction to reflect their restored health. Breast reconstruction can be a critical step in moving forward, but how do you know which type of procedure is the right choice for you? In some situations, a combination of reconstruction techniques, also known as hybrid breast reconstruction, may provide the most aesthetically pleasing outcome, so you once again feel and look like you. Hybrid breast reconstruction is not a common choice, but it is one that Austin Plastic & Reconstructive Surgery has been offering patients for years.
Our plastic surgeons specialize in breast reconstruction with natural-looking and beautiful results for women in the Austin area and across the country, helping them to restore confidence in their appearance after a breast cancer diagnosis and treatment. Our surgeons' goal is for every patient to feel educated on the reconstructive techniques available, so you can make the best decision for you.
What is Hybrid Breast Reconstruction?
Hybrid breast reconstruction combines a flap procedure (such as DIEP flap) with implants to create a fuller, more natural upper body contour. The addition of implants with a flap provides more fullness than flaps alone. The technique of placing implants underneath the body’s own tissue results in a look and feel more like a natural breast. These procedures are individually customized to the unique needs and aesthetic goals of each patient, requiring substantial experience and skill on the part of the board-certified plastic surgeon to achieve an optimal outcome. Our reconstructive plastic surgeons have the expertise in this specialized technique to provide superior results for our patients.
Is a Hybrid Reconstruction Right for Me?
There are different reasons why your surgeon may recommend a hybrid breast reconstruction approach. For example, some women may only have a small amount of fat in areas like the buttocks, abdomen or thighs. In these cases, your surgeon may use the available excess tissue in combination with a small implant to create the fullness and projection a patient desires. In this way, your surgeon can provide a natural-looking outcome without compromising on the breast size the patient may want. Studies, including one published in PRS Global Open in 2017, have shown that this hybrid approach offers excellent results for the right patients.
Our surgeons prefer silicone (versus saline) implants for our reconstruction patients because they look and feel more like natural breast tissue. With various sizes available, your surgeon will help you determine the appropriate size for your body proportions and desired results. Keep in mind that when you are combining the implants with a flap technique, you will be able to select smaller implants that will reduce your risk for some complications after surgery. When the smaller implants are combined with a patient’s own tissue, your surgeon can typically achieve the desired fullness and projection.
Other implant variations involve the outer shell of the implant (smooth or textured), implant shape (round or teardrop) and profile (projection versus width). The profile refers to how the breast will project from the chest wall and will be determined by the width of your chest and the look you desire. Your surgeon will walk through all your choices with you so that you are comfortable with your surgical plan when the day of your surgery arrives.
Austin Plastic & Reconstructive Surgery
- Known for natural-looking aesthetic results in breast reconstruction and cosmetic surgery.
- Elected by peers for inclusion in Texas Monthly's Texas Super Doctors®: Rising Stars listing.
- Reconstructed over 6,000 patients, including more than 2,500 DIEP flap reconstructions.
- 4.9-star average rating over hundreds of reviews for reconstructive and cosmetic surgery.
Flaps are skin and fat (and rarely, muscle) taken from one area of the body used to replace the breast tissue removed during a mastectomy. Flaps can be taken from different areas of the body, depending on where the best donor tissue may be located. Austin Plastic & Reconstructive Surgery offers the following flap options:
- DIEP Flap – fat and skin taken from excess lower abdominal tissue, which creates a flatter abdomen contour
- GAP Flap – fat and skin removed from the upper or lower buttock region
- PAP Flap – fat and skin taken from the posterior and inner thigh
- Latissimus Dorsi (LD) Flap – skin, fat and muscle from the upper back rotated to the front to create the breast mound
Your surgeon will review your options at your consultation and help you choose the best approach for your reconstruction surgery.
When to Perform Hybrid Reconstruction
Hybrid breast reconstruction can be performed at the same time as your mastectomy (immediate reconstruction) or some time afterward (delayed reconstruction). Many women can have their reconstruction at the same time as their initial breast surgery, so be sure to meet with your entire surgical team before your mastectomy to find out if that is a possibility. If you opt for delayed reconstruction, there is no timeframe as to when the surgery needs to be completed to ensure success.
Some women may require a staged approach to their reconstruction. During the first stage, an expander is placed in the breast tissue to create a space for the implant. The expander is like a balloon which can be gradually filled with a sterile saline solution. As more fluid goes into the expander, the space for the implant becomes larger until you are ready to have the implant placed in the breast pocket. At that time, your surgeon can often do both the implant placement and the flap procedure in the same surgery to create your final results. Expanders can be placed during your mastectomy or at a later time.
About the Surgery
Hybrid breast reconstruction is performed under general anesthesia, and your surgeon will also administer a long-lasting pain blocking medication to reduce your discomfort after surgery. Incision placement will vary, based on the type of flap used and the size of the implants. Our surgeons focus on techniques to place incisions in hidden areas to minimize visible post-operative scarring, such as the inframammary fold (fold of the breast).
If done in two stages, you will typically not stay overnight in the hospital after implant placement surgery. If this procedure is done at the same time as your mastectomy, you may stay in the hospital overnight. After you go home, you will spend time resting and recuperating so that your breasts have plenty of time to heal. It is helpful to have a family member or friend with you for the first day or two so you can focus on your recovery. While the actual surgical process and recovery time will vary based on how this procedure is performed, most women are back to their regular activities within about four weeks after their operation.
Download Our Breast Reconstruction Post-Operative Care Guides
We've compiled detailed post-operative care instructions to best equip our breast reconstruction patients throughout their recovery process. To ensure the best and safest recovery, your plan encompasses appropriate prescriptions and clear directions towards maintaining your comfort to get you back to normal life and activity as soon as possible. Individual patients respond uniquely, and the type of procedure may differ, but these basic guidelines will help you along your journey.
Finding the Best Fit for You
There are numerous options in aesthetic breast reconstruction today, but not every approach will work the best for you. Our reconstructive plastic surgeons and our all-women team are committed to helping our reconstruction patients achieve optimal results. Your surgeon will spend ample time with you throughout the process, starting with thoroughly getting to know you and understanding your concerns, so together you can form a surgical plan that fits with your needs, aesthetic goals and lifestyle. When you work with Austin Plastic & Reconstructive Surgery, you will receive superior care and attention, as well as a safe and successful surgical experience. To learn more about your choices in breast reconstruction, contact Austin Plastic & Reconstructive Surgery today at (512) 815-0123.