Best Doctors in India for Breast Reconstruction Surgery

Profile Highlights:

  • Dr. Chepauk Ramesh is one of the best and most experienced Aesthetics and Plastic Surgeons in India, having about two decades of experience.
  • Dr. Ramesh completed a fellowship in Microvascular Surgery at the Nizam’s Institute of Medical Sciences in Hyderabad and Tata Memorial Hospital in Mumbai.
  • He gives the best of his assistance to the patients in trauma management, Microvascular Reconstruction, Correction of Congenital Anomalies, Trauma Management, Hand Surgery, Burns Reconstruction, and General and Cosmetic Surgery.

Profile Highlights:

  • Dr. Ganapathy Krishnan is a leading Cosmetic or Plastic Surgeon in Chennai and one of India’s most sought-after consultants.
  • Dr. Krishnan has been helping patients with the know-how of Reconstructive management for 36 years in this field.
  • He received Microsurgery training in Taiwan and practiced for 18 years.

Profile Highlights:

  • Dr. Rakesh Kumar Khazanchi is the Chairman of Plastic, Aesthetic, and Reconstructive Surgery at Medanta.
  • With over 25 years of surgical experience, Dr. Rakesh Khazanchi specializes in cosmetic surgery, reconstructive microsurgery, vascular malformations, replantation of amputated parts as well as head and neck reconstruction.
  • Dr. Khazanchi has undertaken 22 research projects, has published over 60 papers in national and international journals, and has also contributed over four chapters in textbooks as well as edited and authored a book of Plastic Surgery for General Surgeons.

Profile Highlights:

  • With over 25 years of experience, Dr. Sanjay Mahendru is a fully qualified aesthetic plastic and reconstructive surgeon.
  • He went to receive advanced training in Cosmetic Surgery at the Melbourne Institute of Plastic Surgery, Melbourne, Australia.
  • He was also awarded the Advanced Aesthetic Plastic Surgery Fellowship in 2008. The fellowship is recognized by the International Society of Aesthetic Plastic Surgery (ISAPS) and is highly sought after the world over.

Profile Highlights:

  • Dr. Indrapati Singh is one of the best cosmetic surgeons in India with extensive experience. He works as a senior cosmetic surgeon at the Indraprastha Apollo Hospital in New Delhi.
  • Dr. Singh specializes in Plastic, Cosmetic, and Reconstructive Surgery and has over 52 years of combined expertise.
  • He has successfully performed plastic and cosmetic surgery treatments on all parts of the body. His surgeries on the head, face, neck, and body improve one’s attractiveness. Aesthetic augmentation/reduction, liposuction, vaginal tightness, body contouring, and even hair transplantation are among the therapies available with him.

Profile Highlights:

  • Dr. Manik Sharma stands as a distinguished leader in the field of plastic surgery in the Delhi-NCR region.
  • With a commitment to delivering high-quality, compassionate care, Dr. Sharma has built a reputation for excellence in both cosmetic and reconstructive plastic surgery.
  • Dr. Sharma holds multiple qualifications, including an M.B.B.S., M.S., and M.Ch., and is a board-certified plastic surgeon.

Profile Highlights:

  • Known as one of the best Plastic surgeons in Delhi/NCR, Dr. Vilamendu Brijesh completed his graduate diploma from the Royal College of England.
  • He performs varieties of reconstructive microsurgeries as well as aesthetic surgeries, but his core areas of interest are Rhinoplasty, Facial Rejuvenation, Hair Transplant as well as surgeries related to Brachial Plexus Injuries.

Profile Highlights:

  • Dr. Antony Aravind is a plastic surgeon in Chennai with an expertise of 22 years in managing cosmetic procedures.
  • With his rich experience, Dr. Antony deals with the Reconstructive procedures related to deformities and blemishes. Some of the best services offered include lip enhancement, nose correction, breast augmentation, dermabrasion, etc.
  • The British Association of Plastic Surgery has awarded Dr. Aravind Certification in Plastic Surgery.

Profile Highlights:

  • Dr. Kannan Prema is a bright young cosmetic surgeon in Chennai, working on aesthetics.
  • With over 14 years of experience as a board-certified cosmetic surgeon, Dr. Kannan Prema is the ideal choice.
  • She provides surgical treatments like breast reduction, Rhinoplasty, removal of skin tags, buttock liposuction, etc.

Profile Highlights:

  • Dr. Kumaresan M N is one of the finest Cosmetic Surgeons in Chennai with nearly 16 years of experience in the field.
  • He ensures the best aesthetics for his patients.
  • The Tamil Nadu Medical Council has had him as a member since 1992.

Best Hospitals in India for Breast Reconstruction Surgery

Hospital Highlights:

  • Equipped with 650 beds, BLK-Max Super Speciality Hospital is the largest stand-alone private sector hospital in Delhi.
  • With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest BMT Centres. The hospital is known for having some of the best cancer doctors in the country.
  • The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.

Hospital Highlights:

  • Located in the vibrant city of Hyderabad, Apollo Health City is a world-renowned medical facility that provides outstanding care and treatment to patients coming from different parts of the world.
  • Founded in 1988, this 550-bed multispecialty hospital with 50 specialties and 12 Centres of Excellence continues to deliver outstanding outcomes for patients with the simplest to the most complicated medical conditions.
  • Backed by the latest medical equipment and a dedicated team of professionals, the hospital provides comprehensive treatment across various specialties including, cardiology, critical care, neurosciences, cancer, orthopedics, gynecology, ENT, transplants, gastroenterology, etc.
  • Apollo Health City is a cutting-edge healthcare facility that combines various facilities under one roof. These may include state-of-the-art physical medicine, rehabilitation, and wellness services with education, research, telemedicine, innovative medical devices, disease management programmes, and medical talents.
  • The hospital is known for offering top-notch cancer treatment accompanied by cutting-edge facilities and technology.
  • The hospital also offers a broad spectrum of cosmetic procedures that improve not just appearance but also comfort.
  • In 2011, Apollo Health City was the recipient of the Asian Hospital Management Award (AHMA).
  • In 2013, the Government of India recognized Apollo Health City as the top medical tourism destination in the country.

Hospital Highlights:

  • Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
  • Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
  • The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
  • The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
  • The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.

Hospital Highlights:

  • Apollo Cancer Centre in Teynampet, Chennai is one of the best super speciality hospitals in India. It is the country’s first ISO-certified healthcare facility.
  • Additionally, it is the first hospital in Chennai and the first oncology hospital in India to receive NABH accreditation.
  • The hospital provides advanced tertiary care in oncology, orthopedics, neurology and neurosurgery, head and neck surgery, and reconstructive and plastic surgery.
  • Additionally, it offers specialized healthcare of international standards with results comparable to those of the best hospitals in the world.
  • It is outfitted with 300 beds, the newest and greatest technology, a large pool of highly qualified specialists, and a committed team of medical and paramedical professionals.
  • It is one of the first few medical facilities in India to offer comprehensive cancer care. A team of skilled medical, surgical, and radiation oncologists makes up the Tumour Board, which is a component of the complete treatment planning system. After reviewing reported cases, the Board determines in concert with diagnostic specialists what course of action is best for each individual patient. The panel is further supported by dieticians, medical counselors, speech therapists, and other pertinent specialists.
  • The hospital launched the first ExcelsiusGPS® Spine Robot in South India and has completed over 50 surgeries till date.
  • It is also one of the few cancer hospitals in India to offer Cyber Knife therapy. Till now it has completed 1320 Cyber Knife therapies.
  • The institution is also one of the few in India with the capacity to do transplants and find a prospective unrelated donor. The hospital has performed over 1000 BMTs till now.
  • Furthermore, it has an exceptional milestone of performing exultant Micro vascular free tissue transfer and Aesthetic surgeries on more than 1000 patients with success.

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Hospital Highlights:

  • Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
  • The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
  • The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.

Hospital Highlights:

  • KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
  • The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
  • The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
  • The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
  • The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.

Hospital Highlights:

  • Established in 2003, Apollo Gleneagles Hospitals is a 750-bed multispecialty tertiary care hospital situated in Kolkata.
  • With 33 Centres of Excellence and more than 50 specialties, Apollo Gleneagles Hospitals, Kolkata is capable of handling all sorts of patients.
  • This tertiary care hospital, which is a 100% subsidiary of Apollo Hospitals Enterprise Ltd., India, is regarded as one of Kolkata’s top hospitals.
  • The facility is a complete blend of cutting-edge technology, state-of-the-art infrastructure, and genuine hospitality.
  • Focusing on numerous specialties, the hospital provides all-inclusive medical treatments supported by cutting-edge technology and a staff of highly qualified medical specialists.
  • Patients across the globe come to Apollo Gleneagles Hospitals Kolkata for their treatment. Moreover, international patients receive full attention and assistance for their treatment and are provided with a hassle free experience.
  • Apollo Gleneagles Hospitals, Kolkata is the only hospital in Eastern India to hold the Joint Commission International (JCI) certificate.
  • It is also the only hospital in Kolkata to hold the NABL accreditation in six different categories, which includes Clinical Biochemistry, Clinical Pathology, Hematology & Immunohematology, Microbiology & Serology, and Histopathology & Cytopathology.
  • Furthermore, Apollo Gleneagles Hospitals, Kolkata is known for performing the first ever Reverse Shoulder Prosthesis Replacement in East India.

Hospital Highlights:

  • Established in 1991, Manipal Hospital, Old Airport Road, Bangalore is the flagship facility of the Manipal Hospitals Group, which is one of the largest networks of Multispecialty Private Hospitals in India.
  • The facility is well-known for its state-of-the-art technology, performance-driven, patient-centric, and evidence-based approach.
  • The facilities offered at Manipal Hospital meet the highest international standards, allowing the hospital to attract a large number of national and international patients.
  • Their expertise encompasses the diagnosis and treatment of a wide range of diseases in several specializations that address both simple as well as complex medical procedures.
  • There are total 600 beds accessible in the hospital for the in-patients so they may heal while being closely watched after by the medical team. In addition, it has 144 critical care units, including NICUs, ICCUs, and ICUs. Apart from that, the hospital also offers 20 contemporary, modular state-of-the-art operating rooms with all the amenities needed.
  • The hospital has several departments that are overseen by highly skilled, certified, and experienced medical experts.
  • One of the best departments in the hospital is that of the Cancer department which is known for its advanced cancer diagnosis and treatment facilities such as Intracavitary Chemotherapy, Biological Therapy, HIPEC, PIPEC, Nuclear Medicine, Radiation Therapy, etc.
  • It is one of the few hospitals in Bangalore that provides full range of pediatric services, including pediatric emergency services, pediatric gastroenterology, pediatric neurology, pediatric cardiology, pediatric orthopaedics, pediatric allergies, pediatric immunology, and infectious diseases.
  • Furthermore, Manipal Hospital, Old Airport Road, Bangalore is also regarded as one of the best hospitals for bone and spine related disorders.

Hospital Highlights:

  • Established in 2016, Apollo Hospitals, Navi Mumbai is one of Maharashtra’s most advanced multispecialty hospital. This 500-bed hospital provides sophisticated treatments and integrated super specialty services under one roof.
  • The hospital features a cutting-edge infrastructure that houses 13 state-of-the-art operating rooms, advanced laboratory and medical diagnostics, and 120 ultra-modern I.C.U. beds, including N.I.C.U. and P.I.C.U., monitored round the clock by critical care specialists.
  • With 57 specialties and subspecialties, the hospital boasts a team of renowned medical specialists who offer accurate diagnosis and treatment with easy accessibility to their patients.
  • Additionally, the hospital offers highly customized, individualized health check programs that are made to fit each person’s needs in terms of lifestyle.
  • Apollo Hospitals, Navi Mumbai has been accredited by both the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI).
  • Apollo Hospitals Navi Mumbai has been awarded the “Best Practices-International Services Award” at the annual awards for service excellence and operations excellence.

Breast Reconstruction Surgery

Women who undergo breast cancer surgery can choose breast reconstruction surgery for rebuilding the shape and look of their breast.

The procedure can be done several months or even years after going through surgery for breast cancer. Breast reconstruction can be of various types.

Purpose

Women consider breast reconstruction for various reasons:

  • To make her chest look more balanced while she is wearing a bra or swimsuit.
  • To help her clothes fit better.
  • To regain her breast shape permanently.
  • To feel better and more confident about her body.

 

Though this procedure often leaves scars, they can fade over time. There are newer techniques which have reduced the amount of scarring. While wearing a bra, a woman’s breasts should look alike in size and shape, helping her feel confident and comfortable in most types of clothing.

However, it is noteworthy that the reconstructed breast is generally not a perfect match or substitute for a natural breast.

If tissue from your back, tummy, or buttocks were used as part of your reconstruction procedure, then it is likely that those areas will look different after your surgery. It is important to talk to your surgeon about scars and changes in shape or contour.

Types

Breast reconstruction is generally of two types-

  1. Implants – Implants are generally made out of silicone or saline or sometimes a combination of both. They are generally placed underneath the chest muscle.
  2. Flaps- Flap procedures are performed by plastic and reconstructive surgeons specializing in microsurgery. During this procedure, a breast is created using tissue taken from other body parts. This can be your abdomen, back, thigh, or buttocks. The tissue is then transplanted to the chest by reconnecting the blood vessels to any new ones in your chest region.

Preparation

If you have decided to go for breast reconstruction, you need to consider several things, as you and your doctors talk about which kind of reconstruction is going to be best for you. Some factors you and your doctors need to think about while considering your options include:

  • Your overall health
  • Your breast size
  • The location and size of your breast cancer
  • Your breast cancer surgery (lumpectomy or mastectomy)
  • Whether you had any other treatments other than surgery for your cancer
  • The amount of tissue that is available
  • Your insurance coverage
  • Whether you want reconstructive surgery on one or both breasts
  • How quickly you want to be able to recover from surgery
  • How different types of reconstructive surgery might affect other body parts
  • Whether you are willing to have more than one surgery as part of the reconstruction

Your surgeon will need to review your medical history as well as your overall health. Then he/she will decide and will explain which reconstructive options might be best for you based on your age, health, body type, as well as other factors.

You will need to discuss with your surgeon openly about your preferences. Be sure to voice any concerns if you have any.

Your breast surgeon and your plastic surgeon will likely give you instructions on how you can prepare for your surgery. It will probably include:

  • Help with quitting smoking if you smoke regularly
  • Instructions on consuming food and drink before surgery
  • Instructions for taking or avoiding certain kinds of vitamins, medicines, as well as dietary or herbal supplements for some time prior to your surgery

 

Arrange for someone for taking you home or book a cab after your stay at the hospital. You might also need someone to help you out for a few days after the surgery.

Procedure

Generally, the first stage of reconstruction is done using general anesthesia. This means you will be given sedatives and will be asleep during the entire procedure.

During the follow-up procedures, you will likely need only local anesthesia. This means that only the area where the doctor is working on is going to be numbed. A sedative drug might also be used for making you feel relaxed but awake.

Implants

When a breast is being reconstructed with implants, a surgeon will first need to insert silicone or saline implants underneath your skin or muscle, in the place of the previous breast tissue.

This can be a two stage procedure for most people. During the first stage, your surgeon will place a tissue expander underneath the remaining breast skin or pectoralis muscles. This expander will be serving as a temporary saline implant which will gradually stretch your remaining tissue.

After the person has healed completely after the surgery, your surgeon will need to inject sterile saline or saltwater through your skin into the tissue expander weekly. This balloon grows over time, stretching the overlying skin and muscle until the breast can reach a size that is comfortable for you.

When the chest tissues heal and enough saline has been added to the tissue expander in preparation for the implants, the second procedure will be performed for inserting the implants.

Next, your surgeon will remove the tissue expanders and replace them with either a silicone or saline implant.

Skin flap surgery

In a skin flap surgery, your surgeon will be taking tissue from another part of the body, and then he/she will be moving it to the chest for rebuilding the breast.

The surgeon will usually remove this tissue from various places of your body, which can include the buttock, back or thigh. Skin flap surgery might be highly complex, as it involves transferring tissue from one area of the body to another.

Skin flap surgery is also of two types.

Free flap surgery

In free flap surgery, a surgeon will completely remove the tissue and the blood vessels, for placement in the breast. In this method, they stitch those blood vessels into your other blood vessels in your chest at the intended site of placement. These blood vessels are generally quite small and therefore, the surgeon will be using a microscope for sewing them together. This method is known as microsurgery.

Pedicle flap surgery

In pedicle flap surgery, your surgeon will not entirely remove your transplanted tissue from its blood vessels. Instead, the tissue is going to remain attached to the body and the surgeon will be rotating this into the chest to form the breast.

In this method, your surgeon may use tissue from the abdomen or back for pedicle flap surgery.

Aftercare

Since breast reconstruction is major surgery, a person might need to spend a few days at the hospital, whether it was implant reconstruction or flap reconstruction.

Sometimes, people might need more than one single surgery for fully reconstructing the breast(s). Generally, skin flap surgery usually has a longer recovery time than implant reconstruction.

In both types of surgery, you will be unable to perform most of your daily activities for around two months. There might be a psychological impact of losing one or both of your breasts as well.

In the first two months of recovery, people generally experience:

  • fatigue
  • restrictions on movement
  • pain, swelling, bruising, or soreness in the breasts and at the site from which the surgeon removed tissue

 

Following the surgery, you will most likely require stitches and drainage tubes. Within time, though some sensation will return, reconstructed breasts will not be providing the same level of sensation.

Nipple reconstruction might also be required. During this procedure, a surgeon will be sewing together small pieces of skin on the reconstructed breast to create a bump that will resemble a nipple.

Risks and complications

The risks and complications which can occur during the procedure include:

  • extreme fatigue
  • bleeding or blood clots
  • fluid buildup in the breast or at the donor site (for skin flap surgery)
  • infection
  • slow or disrupted wound healing
  • potential complications with anesthesia

 

After surgery, there might be some additional complications such as:

  • tissue death or necrosis, which might occur in the skin, fat or tissue flap
  • a loss of muscle strength at your donor site, if skin flap surgery was performed
  • changes in breast or nipple sensation
  • need for more surgical procedures in case of complications
  • uneven breasts
  • problems with the implant, such as movement, leakage, rupture or scar tissue
  • a need to remove the implants

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