What is a Lumpectomy?
When cancer, an oversized cyst, or a benign tumor needs to be removed in a lumpectomy, the procedure can leave you with very little healthy breast tissue in one breast. What is leftover from a lumpectomy, also known as a "partial mastectomy," may not even resemble the shape of a breast. If the removal of your breast tissue deforms the contour of your breast after a lumpectomy, then we can understand why you would want to consult with an experienced, board-certified breast reconstruction surgeon, like Dr. Aldona J. Spiegel. After a lumpectomy, the shape of the breast and the symmetry of both breasts can create an unrecognizable bustline. You also have to take into consideration that there may be cancerous tissue in the nipple/areola complex, which will be included in the lumpectomy for your health and safety. Our board-certified plastic and breast reconstructive surgeon, Dr. Spiegel, offers her patients in Houston, TX consultations for immediate and delayed lumpectomy reconstruction at her practice.
In discussing your case with Dr. Spiegel, she will explain the breast reconstruction surgical techniques to you in order for you to make an informed decision. We understand that you may not want to live your life with a prosthetic breast or have asymmetrical breasts. As a part of your femininity, it is natural to want both of your breasts to look the same with fullness, nipple positioning, size, projection, and shape. You can expect to have a surgical team who will listen to your ideas and concerns, answer your questions, and treat you with the dignity and respect that you deserve. Contact our office in the Greater Houston, TX area to schedule a consultative appointment with Dr. Spiegel.
"I cannot recommend Dr Spiegel and her team more highly. I attended her clinic when having trouble with uncomfortable implants after a previous mastectomy. Dr Spiegel suggested DIEP procedure and I was really not sure. Over the coming months both she and her team explained the procedure, the benefits and results and implications. I decided to go ahead and I could not be more happy with the results. I look like I would have done pre mastectomy. I have been amazed by the continued care and concern of the whole team from the finance folk to the clinic nurses and doctors and their absolute pleasure in seeing my delight. A fantastic experience and I can't thank them enough."- C.A. / Google / Aug 01, 2019
"Dr. Spiegel and her wonderful staff got me through the most difficult experience of my life. Going through mastectomy and DIEP flap reconstruction is traumatic. I chose her over other Houston area surgeons and felt that I could trust her. Everyone in her office supported me each step of the way. First, and foremost, this is a major surgery and you rely on medical excellence to avoid important risks. She is a perfectionist regarding medical safety. Next, her artistry is outstanding. She got the best result that could be possible. Finally, if you have radiation, it is a long journey of several years to get from the beginning to end of the process, involving a year of a temporary expander before the final reconstruction. It is important to have a team that you can have that trusting supportive relationship over time. I feel very lucky and grateful that I was in the hands of this wonderful group of highly skilled women."- L.S. / Google / Jul 08, 2019
"Dr. Spiegel was highly recommended by my oncologist. It had become necessary that I look into reconstruction and a lymph node transplant. Dr. Spiegel does amazing work. She loves what she does and it shows in the results that she achieves. I am very happy that I chose her for this journey! Her support staff are wonderful to work with as well!"- D.M. / Google / Jul 08, 2019
"Dr. Spiegel is my guardian angel and I owe her and her entire team and staff a debt of gratitude that I will ever be able to repay! I am one year out from my original Diep flap surgery with her and I feel great- like myself again! After undergoing a prophylactic mastectomy ( due to testing positive for the BRCA 2 gene and strong family cancer) and getting breast implants with another doctor, Dr. Spiegel saved my life by removing the implants and performing Deip surgery. The implants cased me so much pain and diminished my quality of life but now I have it back. I have no more pain and my breasts are soft again and created from my very own tissue. Thank you Dr. Spiegel!"- J.A. / Google / Jul 08, 2019
"Dr. Spiegel is simply fantastic. I am so grateful to her and her whole staff (Alexis/Nicole/Lisa/Aidee/Angie) for the wonderful care and support given to me from my very first visit to their office. Dr. Spiegel is so thorough that during the course of my visits, she insisted that I consult a GI doctor for my distended stomach. Turns out that I had an H Pylori infection for which I had to be treated. No other doctors had ever looked past their specialties to treat the whole individual, and I am 59 years old. Subsequently, Dr. Spiegel pushed for an endoscopy, and it was discovered that I had an ulcer for which I was treated. From cardio work up, lab tests to chest xrays, Dr. Spiegel ensured that I was in top shape for surgery and made sure that I understood all aspects of the procedure and treatment.During my stay at the hospital, Dr. Spiegel, Alexis, Nicole, Dr. Arroyo, and Dr. Vo infused me with so much strength, support and kindness that I have no words to express my gratitude and appreciation. It's been one month since my surgery and I'm feeling good, healing very well and going back to work next week. Awesome doctor and wonderful staff."- R.L. / Google / Jun 08, 2019
When you need to have a portion of your breast tissue removed from only one breast, then you may be a candidate for a lumpectomy. Breast reconstruction after a lumpectomy can address deformities, asymmetries, and depressions in your operated breast. A lumpectomy is not a surgery that removes all of the breast tissue; however, it will dramatically change your bustline early after surgery or later in life. As a candidate for a lumpectomy with reconstruction, you need to be on board with Dr. Spiegel about reshaping both breasts for the most desirable result. We serve patients who need:
- Lumpectomy and radiation
- Delayed breast reconstruction in one breast years after your initial lumpectomy
Your cancer treatment can also impact your timing for reconstructive surgery. We have to make sure the breast there is not cancer and any other treatment is complete to not alter the size or shape of the breasts. If radiation is recommended for you, it will be important to follow your doctor's order. Radiation after a lumpectomy is shown to help patients not have recurrent breast cancer growth.
What Happens in a Lumpectomy?
For a lumpectomy reconstruction, it will be performed in an operating room with general anesthesia. Dr. Spiegel will follow the treatment plan you have designed together for your surgery. What techniques will be used will be determined by when you have your lumpectomy, the amount of breast tissue and skin removed, and how you would like your breasts to look. Dr. Spiegel may use the same surgical techniques as a tissue flap reconstruction with your own harvested fat and skin grafts or breast implants. There are many ways to reconstruct a breast, and Dr. Spiegel will help you navigate which one will give you the most benefit.
Lumpectomy vs. Mastectomy
When you have a decision to make about having a lumpectomy or a mastectomy, you may not know what the difference is between the two surgeries. Seeking out a board-certified breast reconstructive surgeon, like Dr. Spiegel, can give you a resource for information on what you need to know about the procedures, the qualifications of having breast-conserving surgery, the risks, and the benefits between lumpectomy or mastectomy. Dr. Spiegel is a compassionate doctor who will take her time to explain the specifics of each surgery and will make recommendations based on your best interests. We want you to feel confident in your decision and know what you can expect as a result.
A lumpectomy only takes out the cancerous tissues. A mastectomy removes the whole breast. If you are having a nipple-sparring mastectomy, then you will retain your natural nipple/areola complex. Patients who have had a lumpectomy usually do not require breast reconstruction. However, your unique needs will be the deciding factor on how to proceed. The majority of breast cancer patients opt to have mastectomies over lumpectomies to preserve their life and not risk a recurrence of cancer.
A mastectomy can vary in the degree in which it will disfigure one breast. Today, we have surgical methods to spare the nipple/areola complex instead of cutting off the entire breast. There are also muscle-sparing techniques to keep your underlying muscle in place.
after breast reconstruction
After your breast reconstruction and any other plastic surgery Dr. Spiegel performs, you will be taken into recovery where our esteemed post-op nurses will watch over you as you wake. Every patient has a unique situation, which means the recovery time can vary from patient to patient. You can discuss with Dr. Spiegel a timeline of when you can return to normal activities with. We will also be giving you aftercare instructions on how to clean, dress, and protect your newly reconstructed breast.
Consider Dr. Spiegel
Give our office a call today to learn more about your lumpectomy and breast reconstruction options at Aldona J. Spiegel, M.D. You will have a wealth of information and an understanding surgical team who will do their best to make your surgery journey as safe and comfortable as possible. Dr. Spiegel will also work with your other physicians or surgeons on your medical team for wraparound care while you are still in the cancer treatment stage. We look forward to providing our breast reconstructive services to breast cancer survivors and help ease the negative side of breast loss.