
Dr. Ergun Kocak and Dr. Pankaj Tiwari, of Midwest Breast and Aesthetic Sugery in Columbus, Ohio, discuss breast reconstruction options after mastectomy.
Drs. Kocak and Tiwari, my explant surgeons, share three breast reconstruction options. Flat closure, without reconstruction at the time, is detailed in a separate webinar by Dr. Tiwari.
The second breast reconstruction option after mastectomy, breast implants, includes a frank discussion about the possibility of Breast Implant Illness. As Dr. Tiwari states in the video, the doctors prefer placing implants on top of the chest muscle. Many mastectomy and cosmetic implant patients had their implants placed behind the pectoral muscle. For some women, capsular contracture and Breast Implant Illness can occur.
Dr. Kocak discusses several options for using natural tissue breast reconstruction options after mastectomy, including DIEP flap, the option they performed during my explant surgery.
I would encourage women to also look into Aesthetic Flat Closure (AFC), which Drs. Tiwari and Kocak discouraged as an option at the time of my surgery in 2019. This is an older video and there are numerous reputable sites now to explore AFC. See the Mastectomy page for a list.
Midwest Breast and Aesthetic Surgery, Columbus, Ohio