Breast Reconstruction Phoenix


breast reconstruction phoenix

Breast reconstruction is a very important appointment for women.  Breast cancer can be overwhelming for the patient and her family once she learns of her diagnosis.  We have taken care of hundreds of patients in Phoenix with breast cancer left in need of reconstruction.  There are many options for reconstruction.  All these options can be entertained immediately at the time of the mastectomy or can be performed in a delayed fashion. Spacing weeks, months or even years after the original mastectomy.  Many patients choose to have the breast reconstruction at the time of the mastectomy.  Other patients choose to have their reconstruction later.  Some women, of course, choose not to have breast reconstruction at all.

Dr. Jacobsen recognizes there are many options for breast reconstruction services in Phoenix and Scottsdale. From his experience, most breast reconstruction consideration usually occurs during a very delicate time in a woman’s life, often having gone through chemotherapy and radiation, and even may have possibly gone through a failed breast reconstruction elsewhere. Often, women are emotionally, physically, and financially exhausted from the journey of their breast cancer, reconstruction and treatment. Here we believe all women in need of breast reconstruction deserve the best reconstruction, care, and surgeon to allow for a stress-free, supportive environment. As a Restorative Surgeon, Dr. Jacobsen feels very privileged for every patient that allows him to care for their breast reconstruction – a very personal, precious part of your life and body to entrust to a cosmetic professional. 

Here at the office we realize there are many competent surgeons in the Phoenix Valley that can do an excellent job for you. Many of these surgeons advertise themselves as the best breast reconstruction surgeon in Phoenix, or even or the best breast reconstruction surgeon in Arizona. Here, however, not only does Dr. Jacobsen provide an excellent service, but will allow you all the care you need to provide you with the best, most comfortable experience as possible. Having over 26 years of experience, certification and backing with the Arizona Medical Board, Dr. Jacobsen is dedicated to providing all his patients with the upmost care. Having his close working staff answer questions, and providing a fastidious follow-up, available 7 days a week. A breast reconstruction is more than a procedure and requires special care. Dr. Jacobsen always assures an excellent, safe, surgical procedure for your breast reconstruction and will be there for you after surgery. As part of his post-op care, Dr. Jacobsen will be there for you, to answer your call, emails, and text messages post-surgery. He hopes that with his excellent surgical skills and wonderful caring postoperative service that you feel as though you experienced the best breast reconstruction and the best breast lift Phoenix has to offer.

For a Breast-Reconstruction, there are many ways to reconstruct the breast.  The most common way is to use a tissue expander, which is placed under the muscle. Allowing the implant and breast to expanded slowly over time.  This type of breast implant is placed flat under the muscle without any volume in it.  After the patient recovers for 2 or 3 weeks, we then began to place some fluid into this implant each week. Slowly expanding the muscle and the skin to create the newly formed breast.  This type of reconstruction is done by placing a very small needle into the port in the implant located within the breast and is built to receive the fluid on a regular basis.  Eventually, when the breast expands to an adequate volume, the secondary operation is performed. In this short, simple operation the tissue expander is removed, then typically replaced with a silicone implant; which generally is heavier and thicker than the previous expander. The gel silicone implant reshapes the breast and gives a softer more natural look for the reconstruction.

There are also more complex ways to reconstruct the breast. Some involving taking flaps from the abdomen or from the back.  These are generally more complex and require more downtime and hospitalization.  In most cases procedures like these are only utilized in circumstances where adequate tissue for expander is not present, or where patients are dealing with other complications, such as radiation.  Most women elect for the expander reconstruction because downtime is minimal, and complications are controlled.  Hospitalization time is usually only overnight.

A latissimus dorsi flap uses muscle, fat and skin from the back tunneled to the mastectomy site and remains attached to its donor site, leaving blood supply intact.

Occasionally, the flap can reconstruct and complete entire formation of the breast, but often only provides the muscle and tissue necessary to cover and support a breast implant.

Appearance of the reconstructed breast is largely dependent on the health and the body contouring the habitus of the patient at the time of the mastectomy.  The breast reconstruction helps to recontour the breasts and restore shape to the upper body. Women who undergo this procedure often feel whole and are happy with the results of how their new breasts fit in their clothing and brassiere. Dr Jacobsen realizes that breast reconstruction requires a relationship with your surgeon. For this type of procedure, it is not uncommon to see Dr. Jacobsen in the office 2 or 3 times before the process is complete. In case chemotherapy or radiation is required this process can be prolonged.

Complications associated with breast reconstruction can include infection and complications with the wound interfering with the healing process, requiring additional surgery.  Due to the nature of reconstruction, reconstruction does require more attention than a typical breast augmentation. Dr. Jacobsen’s staff are very happy to help you through this whole process.  If you stick with us we will stick with you during every phase of your breast reconstruction. Whatever that may be, we are here to help. Since this is such a intimate procedure most patients do not disclose photos to be used by the office at this time.

To keep a symmetrical appearance and avoid any complications later on, many women chose to remove both breasts and allow each side to be reconstructed. Even if the other side does not have any cancer present. In Dr. Jacobsen’s experience, these are among some of the happiest patients. This allows both sides to lifted, augmented and reshaped in a similar fashion to reflect the changes of the reconstructed breast. Once both sides are removed mammograms are no longer needed, and there is no concern that the other breast may develop cancer as well. This service can be provided and covered by your insurance company.

Coming from an experienced breast surgeon in Phoenix, having both breasts removed is a option that often yields some of the best. Having both breasts removed and reconstructing both breasts removes the need for mammograms in the future, allows for more accurate symmetry, and a peace of mind knowing that the other breast will not form cancer. Generally speaking it is difficult to make the reconstructed breast look the same as the natural breast. Dr. Jacobsen has found that women with both breasts removed are happiest and most satisfied mastectomy patients he takes care of, and have the best symmetry as both breasts look the closest to one another as possible. Often the contour is different, the shape is different, and the quality of the skin is different as well so a bilateral mastectomy is often recommended by Dr. Jacobsen. We respect the women’s prerogative and it is entirely the woman’s choice but it is important to inform our patients of their options.

Partial mastectomies for breast cancer often create a separate set of reconstructive problems. Often a lumpectomy which requires postoperative radiation leaves a contour abnormality in 1 quadrant of the breast. The radiation then that is required after the lumpectomy can cause injury to the breast as well and some absorption and loss of volume in fat and can cause injury to the skin and scarring. As a result sometimes, this partial mastectomy and the subsequent radiation that is intended to preserve the breast often creates a separate problem for the patient. This can often be reconstructed with various techniques to release the scar remove the scar or to add an implant to fill out the defect caused by the radiation and the lumpectomy. These are important factors for you to remember when choosing your breast surgeon in Phoenix.

The effort to go through breast reconstruction requires a relationship with your surgeon. A patient will often see Dr. Jacobsen in the office 20 or 30 times before the process is complete.  This will be prolonged if he happened require chemotherapy or radiation.  There are complications with breast reconstruction which include infection and problem with wound healing that require additional surgery.  It is more complicated to reconstruct her breasts that it is to perform a breast augmentation.  But Dr. Jacobsen’s staff are very happy to help you through this whole process.  If you stick with us we will stick with you when we will get you where you need to be with the breast reconstruction.

Also, many patients choose to have the other breast that does not have cancer on the other side to be removed at the same time so both breasts can be reconstructed and appear similar and give a better symmetrical look at a better fit and their clothing after surgery.  The happiest patients in Dr. Jacobsen’s experience are those that have both breasts removed as a no longer needs mammograms and in no longer have the worry or concern over the years that the other breast may develop breast cancer as well.  Also, the look is much better when both breasts are reconstructed as he fitting into clothing much more favorably.

Alternatively, the other breast, the breast without cancer, can be reconstructed as well and lifted her made larger or reshape to match the reconstructed breast.  This service can be provided to you and is covered by her insurance company.

What do reconstructed breasts look like? Examples from Mentor: 

Breast Enlargement Phoenix

What do I need to know about breast cancer?

Learn more about the different stages of breast cancer and the breast reconstruction options available to you after treatment.

Understanding the breast reconstruction procedure is part of your treatment and recovery journey. We’re here to help you explore your options so you have the best information when the time is right to consider reconstruction surgery.

Breast Cancer FAQs

If you or someone you know has been affected by breast cancer, you probably have a lot of questions. Get answers to some of the most frequently asked questions to help you start learning about the basics of breast cancer.

What is breast cancer?

Breast cancer is a disease in which abnormal, cancerous cells form in the breast. These cancer cells are malignant—harmful and have a tendency to spread—and can, if untreated, affect other parts of the body.

Where does breast cancer start?

Breast cancer can start in several places within the breast. The breast area is comprised of lobes, lobules, ducts, lymph nodes and lymph vessels surrounded by fatty tissue and structural muscles. Cancer most frequently begins in the cells of either the lobules (milk-producing glands) or the ducts (passages that drain milk from the lobules). Less commonly, malignant cells will develop in the stroma, the fatty and fibrous tissues surrounding the breast.

Who gets breast cancer?

There is no easy way to predict who will be afflicted with breast cancer, but we do have some information on hereditary breast cancer and breast cancer risk factors.

Hereditary breast cancer means that a genetic abnormality and predisposition to breast cancer is inherited from the patient’s mother or father. People who inherit this genetic abnormality inherit an increased risk of breast cancer. At this time, it is estimated that 5% to 10% of breast cancers are hereditary.

What are some breast cancer risk factors?

The majority of breast cancer cases are not hereditary, resulting instead from genetic abnormalities that occur due to age or other breast cancer risk factors like these:

  • Age: The chances of getting breast cancer increase as age increases.
  • Amount of menstrual periods: Women who began having periods early (before the age of 12) or experienced menopause later (after the age of 55) have a slightly increased risk of breast cancer. These women have been exposed to a greater amount of estrogen and progesterone, because they have had a larger amount of menstrual periods.
  • Dense breast tissue: Women with dense breast tissue have increased risk for breast cancer, because they have more glandular tissue and less fatty tissue.
  • Child bearing at a later age or not at all: Women who give birth to children after the age of 30 or who do not give birth to any children have a slightly higher risk of breast cancer. This may be in part because pregnancies reduce the overall amount of menstrual periods.
  • Alcohol consumption: The ingestion of alcohol is clearly linked to an increased risk of breast cancer. Risk increases with the amount of alcohol consumed.
  • Race: White women are more likely to get breast cancer than most other races. African American women are more likely to suffer terminal versions of breast cancer. Asian, Hispanic and American Indian women have a lower risk of breast cancer.

It is important to note that having one or more risk factors does not mean you will contract breast cancer. Likewise, you may get breast cancer even if you do not have any risk factors.

What are some signs of breast cancer?

Signs of breast cancer include—but are not limited to—lumps or other visible changes in the breast. If you experience a mass or thickening in or near your breast or underarm area, fluid leakage, a change in skin texture or a change in breast size or shape, you should consult your doctor right away. These symptoms may also be caused by conditions other than breast cancer.

Sometimes, in the early stages of breast cancer, there are no symptoms or visible signs. Screenings administered by medical professionals are the best way to find this type of breast cancer.

How is breast cancer found and diagnosed?

Your doctor may use one or more of the following breast cancer detection methods:

  • Physical exam: an examination of the body to check for external signs of illness
  • Mammogram: an X-ray of the breast
  • Magnetic resonance imaging (MRI): a procedure that uses magnet and radio waves to produce an internal picture of the breast
  • Ultrasound exam: a procedure that uses high-energy sound waves to produce an internal picture of breast tissues
  • Biopsy: the removal of suspicious cells or tissues so they can be examined for signs of cancer

If breast cancer is found, further tests will be done to study the cancer cells and diagnose your breast cancer stage. Your treatment options will depend on the results of these tests.

Who should be a part of my breast cancer care team?

If you are diagnosed with breast cancer, you should begin treatment right away. The treatment and reconstruction process can be complex. It is important to have a trusted team of doctors to advise and care for you every step of the way. Your breast cancer care team should include:

  • Surgeon: He or she will perform any necessary biopsies of the breast and the subsequent lumpectomy or mastectomy.
  • Pathologist: This doctor will study the tumor to determine the degree of malignancy (stage of breast cancer).
  • Medical oncologist: This specialist administers anticancer drugs and/or chemotherapy.
  • Radiation oncologist: This is a physician who administers radiation therapy.
  • Plastic surgeon: He or she will guide you through the process of breast reconstruction after the cancer has been removed.

Breast cancer is a very complex disease that scientists are working hard to learn more about every year. You should talk to your doctor for more detailed answers and specialized concerns.

What is a breast tissue expander?

If you are undergoing a two-stage breast reconstruction, your surgeon will use a breast tissue expander.

The unfilled tissue expander is inserted during the breast reconstruction procedure. Sterile saline fluid is then gradually added over a period of several months by inserting a small needle through the skin into the tissue expander’s filling port. Your breast tissue expands to accommodate the growing size of the tissue expander.

Your surgeon will remove the tissue expander and replace it with the implant you have selected when your tissue has reached the appropriate size.

MENTOR® Tissue Expanders

  • FDA cleared
  • Filled with a saline solution similar to the fluid found in the human body
  • Flexible volume, can be adjusted by your doctor
  • Two shell surface options: smooth or textured

CPX®4 Breast Tissue Expanders

CPX®4 Breast Tissue Expanders are placed after the breast tissue is removed. CPX®4 can be used during immediate breast reconstruction or delayed breast reconstruction to stretch breast skin and chest wall muscles to make room for a permanent breast implant.

MENTOR® ARTOURA Breast Tissue Expanders

MENTOR® ARTOURA Breast Tissue Expanders are designed to expand primarily in the lower portion of the breast by utilizing internal silicone components to control the expansion. The resulting pocket will accommodate your selected breast implant and slope like a natural breast. They also have a SILTEX® Texture textured shell that promotes a reduction in shifting with the goal to minimize capsular contracture.

MENTOR® SPECTRUM® Adjustable Saline Breast Implant

In some immediate reconstruction procedures, an adjustable implant can be used in a one-stage procedure. MENTOR® SPECTRUM® Post-Operatively Adjustable Saline Breast Implants are the only saline breast implants that allow your surgeon to adjust the size of your implant for up to six months after your procedure. The MENTOR® SPECTRUM® Implant functions as a long-term saline breast implant. It can be placed with minimal volume of 105/235 cc’s, during your initial surgery, and your surgeon can gradually increase the fluid volume over time to a maximum of 690/780 cc’s, depending on which profile your surgeon chooses for your surgery.

BREAST RECONSTRUCTION WORDS TO KNOW

Areola

Pigmented skin surrounding the nipple.

Breast augmentation

Also known as augmentation mammaplasty; breast enlargement by surgery.

Breast lift

Also known as mastopexy; surgery to lift the breasts.

Breast reduction

Reduction of breast size and breast lift by surgery.

Capsular contracture

A complication of breast implant surgery which occurs when scar tissue that normally forms around the implant tightens and squeezes the implant and becomes firm.

DIEP flap

Deep Inferior Epigastric perforator flap which takes tissue from the abdomen.

Donor site

An area of your body where the surgeon harvests skin, muscle and fat to reconstruct your breast – commonly located in less exposed areas of the body such as the back, abdomen or buttocks.

Flap techniques

Surgical techniques used to reposition your own skin, muscle and fat to reconstruct or cover your breast.

General anesthesia

Drugs and/or gases used during an operation to relieve pain and alter consciousness.

Grafting

A surgical technique to recreate your nipple and areola.

Hematoma

Blood pooling beneath the skin.

Intravenous sedation

Sedatives administered by injection into a vein to help you relax.

Latissimus dorsi flap technique

A surgical technique that uses muscle, fat and skin tunneled under the skin and tissue of a woman’s back to the reconstructed breast and remains attached to its donor site, leaving blood supply intact.

This flap is particularly useful for ladies who have very thin skin or had a great deal of skin removed from the mastectomy or that it had advanced radiation and have injury to the chest wall.  Dr. Jacobsen has performed this surgery hundreds of times with a great degree of success. One common misconception is that this operation is painful, but in reality this operation much less painful than one would suspect. Usually this operation can be done in less than an hour and the patient can leave the hospital the same day.

Local anesthesia

A drug injected directly to the site of an incision during an operation to relieve pain.

Mastectomy

The removal of the whole breast, typically to rid the body of cancer.

SGAP flap

Superior Gluteal Artery perforator flap which takes tissue from the buttock.

Tissue expansion

A surgical technique to stretch your own healthy tissue and create new skin to provide coverage for a breast implant.

TRAM flap

Also known as transverse rectus abdominus musculocutaneous flap, a surgical technique that uses muscle, fat and skin from your own abdomen to reconstruct the breast.

Dr J and his staff look forward to understanding the details of your unique case, desires and aspirations, and to providing you with realistic, safe and attainable results that leave you looking beautiful, and truly feeling like yourself. Take the first step toward your healing or rejuvenating procedure with Dr J by filling out our contact form to request a consultation, or to inquire about any of the services we offer. We look forward to treating you!


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  • review rating 5  Dr. J is seriously hands down the best plastic surgeon out there. Bonus, His staff is amazing as well! Amazing work and the best bedside manner there is!

    thumb Stephany Stuhmer
    7/24/2020
  • review rating 5  Dr. Jacobsen surgically treated my husband for a serious and complicated wound infection. It took a lot of determination on Dr. J's part to get him through this ordeal. We would email photos on a regular basis and Dr. J would always personally reply and see him asap if needed. We would definitely recommend him to anyone.

    thumb Judy Shewman
    7/16/2020
  • review rating 5  My beloved Bernie received such wonderful care from Dr Jacobsen. He was seen the very next week for a growth he had on his ankle. Both Dr. Jacobsen and his staff were very professional, warm, kind and compassionate. What impressed me the most about Dr J was his ability to be fully present and listen deliberately to our concerns and then communicated in a language we could understand about what Bernie needed. Bernie was in surgery the next day. Dr J listened to Bernie’s concerns and honored his choices, even though they were different than what Dr J recommended. Although the cancer spread through his body in the next several months and Bernie died, Dr J and his staff were always compassionate and understanding. They took the time to listen and they were especially kind to me, Bernie's beloved wife.

    thumb Victoria Benoit, Author
    7/16/2020
  • review rating 5  Dr Jacobson is the most competent and engaging surgeon I've known. A paralyzed Veteran for 25 years, I developed pressure wounds the VA were incapable to treat, finally the VA gave up completely and drugged me and put me on palliative care,telling nurses I'd be dead by 2015. Dr Jacobson changed all that and gave me new life. He is simply the best. Cosmetically or otherwise,one cannot do better than Dr William Jacobson .

    thumb Eddie Carter
    7/15/2020
  • review rating 5  Love my Results to Dr. Jacobson has a very smooth hand for surgery And I only the felt real pain in the first couple hours but that’s normal but other than that I’m so happy with my breast augmentation I live Nearby Scottsdale Most of them want money for a consultation And when I called they made things seem so complicated but Dr. Jacobson’s website get straight to the point about pricing for ever surgery is what I really liked about it so the night before I have seen his website I told my fiancé just to take me there to Check it out and When I did meet with Dr.Jacobson I No I wanted him to do my breast argumentation Am I couldn’t be happier with my results staff is super nice as well especially Kimberly she’s the best

    thumb Mercedes Ely
    7/03/2020
  • review rating 5  I love Dr. Jacobsen. He really listened to what I wanted and offered his professional opinion on what options were best for me. I am very very happy with the result of my surgery. I am so grateful for his expertise. His bedside manner is also very caring. I had a great experience from start to finish. Kimberly was excellent to work with in the office and there is only a short wait each time on each visit. I'm in and out and super happy.

    thumb Sarah Prenzno
    6/16/2020
  • review rating 5  Dr. Jacobsen or Dr. J as he prefers to be called is the most awesome character to know; he and his professional family!! Kind, soft spoken, informative, well educated and his surgical skills like no other! He brought me hope when I felt none left, at 48 I had fallen after having open heart surgery, losing my sternum due to sepsis and for the past 2 years dealing with Dr.s with attitudes and complex issues and NO bedside manners. I needed a medically necessary breast reduction surgery my infectious disease Dr. overheard my last plastic surgeon at the time literally screaming at me and walked out so she referred me to Dr. J and I am ever so grateful!! With my surgery completed and the weight removed I have less pain and can move a bit more freely allowing me so much more freedom in my life again!! THANK YOU DR. J, Kimberly, Charley and Oliver..xoxo forever in my heart you'll be..there will never be enough words to show my gratitude to you all for you have done for me!! I look forward to our visit in 2 months..So Oliver call me...

    thumb Jenni Lou
    6/16/2020
  • review rating 5  I am still in awe at how easy and wonderful my experience was here. I went in on Tuesday for a consultation and was back in on Friday for my actual procedure . Dr. Jacobsen was so nice and gentle and so was the rest of the staff. This is how every single office should be ran. From start to finish it was amazing ! Def recommend

    thumb Kiarra Dade
    5/24/2020
  • review rating 5  Thanks Dr. Jacobsen and staff. Warming atmosphere friendly informative and caring doctor. This was my first visit and doctor took the time to explain and answer my questions. Nothing was rushed. Staff greeted me nicely with smiles and patience. It took me courage to show up since I’m nervous about having a surgery to begin with. They helped me feel welcomed and relaxed. Thank goodness their office portal was working so no double work to provide my medical information and resigning papers.

    thumb Marylin Giron
    1/25/2020
  • review rating 5  I had many complications with my body healing from surgery, and Dr. Jacobsen demonstrated patience, resourcefulness, vigilance, and compassion. Here are a few specific things he did to help with my healing: he had me email him twice a day with pictures of my incisions so he could monitor, provide feedback and directions, and adjust his care for me as needed; he was always quick to respond to my emails and questions; he met me in his office on a Saturday during a holiday weekend to care for me during an important time in my healing; he provided regular and specific directions to my husband as he cared for me at home with the complications. His compassion and reassuring nature were valued as I put my confidence in his expertise to help me through this difficult time. I appreciate him greatly and give him the highest rating with no hesitations. His staff were also extremely helpful. Don't be bothered about calling the office and leaving a message (when someone doesn't answer) or emailing the office; they are very quick to respond with a phone call or email and this is part of their daily business routines, which allows them to care for their patients in person AND to those reaching out to them for miscellaneous reasons. This was different at first for me but I quickly adjusted, understanding their reasons and seeing their quick responses to me. The staff also worked seamlessly with my insurance company, a medical equipment company who came to my home three times a week to monitor and help with the healing process, and with the needed paperwork for my employment. I was always treated with respect, sensitivity, compassion, and excellent care.

    thumb D Robinson
    1/21/2020

Get started today!

Dr J and his staff are committed to providing you with exceptional and compassionate care. On behalf of our entire team, we invite you to request a consultation to talk to Dr J about your goals, expectations and aspirations. We can’t wait to find out how our 20-plus years of experience in cosmetic and functional plastic surgery can help change your life, and make you a happier, healthier person.

Dr. William Jacobsen
Plastic Surgery
2525 East Arizona
​Biltmore Circle, Ste C236
Phoenix, AZ  85016

Phone: 602-212-0100
Fax: 602.279.1701
info@drjsoffice.com

Our Procedures & Treatments

Dr J considers every surgery an opportunity to express his vision with his patients, and believes in natural, beautiful results that leave you feeling confident and beautiful, but most importantly, feeling like yourself. From extremely rare and complex surgical cases, to cosmetic surgery, Dr J has the experience, compassion and understanding to help you achieve your surgical goals.

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