Breast Reconstruction

Breast Reconstruction in Portsmouth, NH with Dr. Anthony Wilson

Dr. Wilson provides implant and fat grafting-based reconstruction of the breast following lumpectomy and mastectomy for breast cancer.

How Is Breast Reconstruction Performed?

Breast reconstruction can be performed at the time of your mastectomy or lumpectomy, or it can be performed at a later time. Typically, Dr. Wilson works with our dedicated breast team to perform simultaneous implant-based reconstruction. At the time of the mastectomy a tissue expander is placed under or above your muscle. Over the following two to three months the expander is filled with saline until a desired size is met. This expander is then removed at a second procedure and replaced with a permanent implant.

Patients often elect to add fat grafting to their reconstruction. Fat grafting is typically done at a later time once the implant reconstruction has had time to heal. Fat can be used to enhance natural contour and soften the appearance of implants. Approximately 3 months after your final implant procedure a nipple and nipple areolar tattooing is performed to complete the reconstruction process.

How to Prepare for Surgery

Dr. Wilson will provide you with a personalized treatment plan.  Our team will then coordinate a surgical date with your breast surgeon. You can expect a one-night admission to the hospital for this procedure.  Please follow our detailed pre and postoperative guides.

Implant Types/Expanders

Dr. Wilson works with Sientra reconstructive implants and tissue expanders. While tissue expanders are uniformly filled with saline, permanent implants are filled either with saline or with silicone gel. The vast majority of patients elect implants with silicone gel given their more natural appearance and feel.

RTI

RTI is often used by Dr. Wilson to provide implant support.

DIEP Flap

Dr. Wilson along with our colleague Dr. Fares Samra performed the first neurotized DIEP (deep inferior epigastric perforator) flap on the seacoast. This procedure provides breast cancer patients the option for complete reconstruction without the use of implants.

This is a vascularized, microsurgical transfer of tissue from the stomach to the breast. This is performed after either a one sided or bilateral mastectomy – most often at the time of mastectomy. Blood vessels are carefully dissected from the underlying muscle in the abdomen and separated out; then they are reattached to the vessels in the chest. Because abdominal tissue is soft and pliant this reconstruction most closely resembles a natural breast. In addition to hooking up the vessels, we also reattached the nerves to help provide sensation to the breast. This procedure is the best for patients with a history of prior radiation or failed implant reconstruction. 

DR. FARES SAMRA

PLASTIC SURGEON

Dr. Fares Samra was born and raised in New Jersey. He chose to become a plastic surgeon to help patients have a better quality of life. Upon graduating summa cum laude with an undergraduate degree from the University of Pennsylvania, Dr. Fares Samra attended medical school at New York University School of Medicine. He returned to the University of Pennsylvania for his plastic surgery residency training program. Dr. Fares Samra continued his education with fellowship training at Memorial Sloan Kettering Cancer Center. MSKCC hosts the premier reconstructive microsurgery fellowship program in the nation. There, he performed over 200 free flaps, mastering the latest techniques in breast reconstruction, head and neck reconstruction, and lymphedema surgery. 

He has traveled around the country and the world to present his work, specifically on free flap breast reconstruction and pediatric plastic surgery.

Dr. Wilson was my surgeon for a breast reconstruction after my mastectomy as well as a reduction on my remaining breast. I was very anxious before my first appointment, but Dr. Wilson put my husband & me at ease immediately. He explained everything we needed to know with great patience & clarity. He was honest about a realistic outcome for me. I feel that Dr. Wilson is a perfectionist who truly wants the best possible results. I still cannot believe the end results of my own surgeries; they far exceeded my expectations! I’m so grateful to have had not only Dr. Wilson as my surgeon, but also his staff, all of who went to great lengths to make my experience as prompt, pleasant, & stress-free as possible. THANK YOU SO MUCH!
Anonymous

Schedule a Consultation

From Breast Augmentation to Non-Surgical Rhinoplasty and everything in-between, Board-Certified plastic surgeon Anthony Wilson, MD, FACS offers a wide range of procedures at his Portsmouth, NH office. If you are interested in booking a procedure, take the next steps by scheduling a consultation today.

Meet Dr. Wilson

Anthony Wilson, MD, FACS has vast experience performing facial, body, and reconstructive procedures. After receiving an undergraduate degree from Harvard University and completing training with a medical degree from the University of Pennsylvania, Dr. Wilson has continued to improve his technique to ensure the best results possible. Learn More about Anthony Wilson, MD, FACS and why you should choose the Board-Certified plastic surgeon for your next procedure in the Seacoast Region.