October means something different to everyone. For some, it’s the scent of fall in the air or the sight of pink ribbons popping up on storefronts. But for countless women, it’s a powerful reminder of a deeply personal journey, one that includes breast cancer, healing, strength, and the search for wholeness after a mastectomy. At Tampa Palms Plastic Surgery, we understand that the decision to undergo breast reconstruction is about more than restoring appearance. It’s about reclaiming confidence, identity, and control after cancer.
Dr. Gerard Mosiello brings compassion, precision, and decades of experience to every breast reconstruction consultation. As a board-certified plastic surgeon and an attending plastic surgeon at Moffitt Cancer Center, his expertise is rooted in the latest techniques and a commitment to supporting patients through each stage of recovery. Whether you’ve just scheduled your mastectomy or are revisiting options years after treatment, we’re here to help you navigate this next step with clarity and care.
Choosing the Right Reconstruction Method for You
No two breast cancer journeys are alike, and neither are reconstruction plans. Some patients want to, and are medically able to, move forward with reconstruction immediately after their mastectomy, while others may choose to, or may need to, wait weeks, months, or even years before they’re ready. The best option depends on your overall health, lifestyle, preferences, and cancer treatment plan. Here’s a closer look at the primary reconstruction methods offered by Dr. Mosiello:
Implant-Based Staged Breast Reconstruction
This is often the most straightforward option and is typically performed in two or three stages:
- Stage 1: A temporary saline expander is placed beneath skin either above or below the chest muscle to slowly stretch the skin over time.
- Stage 2: Once the desired shape and volume are achieved, the expander is replaced with a permanent implant.
- Stage 3: A nipple areola complex is surgically created.
Implants can be filled with saline or silicone and are chosen based on your anatomy and goals. Implant-based reconstruction may require use of an acellular dermal matrix like Alloderm or Strattice to add soft-tissue support and improve contour. For many patients, this route offers a reliable, efficient way to restore breast shape with minimal downtime.
Why Tissue Expansion Can Feel Like Starting Fresh
Tissue expansion is a technique that works with your body’s natural healing ability. This method gradually stretches your own skin left behind after the mastectomy. A small, balloon-like expander is placed beneath the chest wall and slowly filled with saline during routine office visits. This gives the surrounding skin time to stretch. Once this is completed, the expander is surgically removed, through the original mastectomy scar, and the final reconstruction with a breast implant, is completed.
What You Should Know About Latissimus Flap Reconstruction
Sometimes, the best option isn’t found in the chest area at all. Latissimus dorsi flap reconstruction uses muscle, skin, and fat from the upper back to create a new breast mound. This flap is tunneled under the skin to the front of the chest, where it can be shaped into a natural-looking breast with or without the help of an implant. This technique is particularly helpful for patients who:
- Are not good candidates for implant-only reconstruction
- Have experienced complications from previous procedures
- Have had prior radiation treatment for breast cancer treated with lumpectomy
- Have a history of implant or tissue expander failure
Because the tissue is harvested from the back, it’s critical that patients be evaluated for back health, scarring, and strength before proceeding. Recovery includes healing at both the donor and recipient sites, but the benefit is a durable, well-contoured result that holds up beautifully over time.
Supporting Your Healing with Acellular Dermal Matrix
Acellular dermal matrices (ADMs) like Alloderm are used to provide internal support for breast implants or tissue reconstructions. These biologically derived materials integrate with your natural tissue to help shape and reinforce the reconstructed breast. Dr. Mosiello often uses ADMs when extra support or coverage is needed. They are also beneficial in minimizing the risk of implant malposition and helping achieve symmetrical, aesthetically pleasing results.
What to Expect After Your Reconstruction Surgery
No matter which method is right for you, healing is a journey. Each person recovers at their own pace depending on the type of procedure, their overall health, and whether other treatments like radiation or chemotherapy are also involved.
- Compression garments to help control swelling, reduce bruising, and support the new breast shape
- Drainage tubes, especially common in flap procedures, to prevent fluid buildup
- Light activities may resume within 3 to 6 weeks, although full recovery can take longer for flap procedures
Dr. Mosiello and his team provide personalized post-operative care plans to guide you every step of the way.
What About Scarring and Sensation?
Scars are an unavoidable part of any surgical procedure, but Dr. Mosiello takes every step to ensure they’re as minimal and discreet as possible. Fine sutures are used. Scars are permanent but over time, most scars will fade considerably, especially with proper aftercare.
It’s also common to experience changes in breast sensation. Some patients feel numbness, tingling, or hypersensitivity after surgery. While some sensation may return, it can take several months. In some cases, the changes may be permanent. This is normal and does not typically affect the overall outcome or satisfaction with the reconstruction.
Dr. Mosiello’s Expertise at Moffitt Cancer Center
As part of his extensive career in reconstructive plastic surgery, Dr. Gerard Mosiello also serves as an attending plastic surgeon at Moffitt Cancer Center. Moffitt Cancer Center is one of the nation’s leading cancer research and treatment institutions, and his involvement there reflects his ongoing commitment to excellence in both cosmetic and reconstructive procedures. In addition to his work with community breast surgeons through his private practice, Dr. Mosiello contributes his expertise to Moffitt in breast and skin cancer reconstruction as part of a multidisciplinary approach to patient care.
Who Is a Good Candidate for Breast Reconstruction
It’s important to know that not everyone is a candidate for every type of reconstruction. During your personal consultation, Dr. Mosiello will consider several factors including:
- Your overall health and medical history
- Smoking status
- History of previous surgeries or scarring
- Current medications
- Whether radiation therapy has been used or is planned
While many women qualify for immediate or delayed reconstruction, others may need to wait until certain risk factors are resolved. The most important thing is ensuring your health and safety while creating a surgical plan that honors your goals.
Breast Cancer Awareness Month Is the Perfect Time to Learn More
If you or someone you love is facing a mastectomy, now is the perfect time to explore your options. October is Breast Cancer Awareness Month, a time when the spotlight turns toward education, prevention, and empowerment. But it’s also a time to talk about what comes after treatment. The journey toward emotional and physical recovery matters just as much.
At Tampa Palms Plastic Surgery, we believe you deserve to feel whole again. Whether you’re ready to begin reconstruction or just want to learn what’s possible, we’re here to answer your questions, guide you through your choices, and provide support every step of the way.
Let’s Talk About What Comes Next
Choosing breast reconstruction is a personal decision. For many women, it marks the beginning of a new chapter, one filled with strength, confidence, and healing. At Tampa Palms Plastic Surgery, we’re honored to walk that path with you. Dr. Gerard Mosiello is ready to help you understand your options and create a plan that’s aligned with your lifestyle, timeline, and vision for the future. Our Tampa Palms office is located in New Tampa, near Wesley Chapel, and offers a calm, welcoming environment to discuss your surgical goals. Reach out today to schedule your consultation and take that important first step.
