Breast Reconstruction by a Highly Trained, Compassionate Surgeon

Dr. Bruce Hermann in Denton, TX, has trained with some of the leading surgeons in the world in order to provide the best possible aesthetic and emotional benefits of breast reconstruction surgery. He will work closely with your mastectomy surgeon to plan a procedure incorporating safe, advanced techniques. Dr. Hermann uses tissue expansion and fat grafting techniques to help you achieve beautiful, natural-looking results.

"I just like the way he does things."

Betty says she appreciates that Dr. Hermann is not only an expert surgeon, but also someone who treats his patients like family. She likes how Dr. Hermann is available any time of the day or night to answer questions, or just to give support. Betty chose him because of his experience in breast reconstruction.

Recreating the Breast Mound

A mastectomy, or surgical removal of one or both breasts, can be performed either to address or prevent cancer, or to address trauma. Dr. Hermann will work with the mastectomy surgeon, oncologist, and any other doctors to create a plan to reconstruct the breast mound once damaged tissue has been removed. 

Although breast reconstruction can be performed immediately following a mastectomy, an oncologist may recommend undergoing the procedure at a later date. Dr. Hermann can perform a delayed procedure or provide revisional surgeries for patients unhappy with results provided by another practice.

Dr. Hermann will work closely with your mastectomy surgeon to plan a timely, effective procedure incorporating safe, advanced techniques.

During your consultation, Dr. Hermann will discuss your goals and preferences in order to formulate a treatment plan. He will also explain all associated risks of the procedure, answer all of your questions, and provide explicit pre- and post-surgical instructions to ensure a safe surgery and successful recovery. Dr. Hermann's staff can review your insurance plan and speak to your provider on your behalf to secure the best possible coverage. 

Benefits of Breast Reconstruction

Some women are hesitant to pursue breast reconstruction after mastectomy surgery, but the procedure offers several far-reaching advantages. In fact, many women find that the benefits associated with breast reconstruction overshadow any potential risks. Breast reconstruction can:

  • Restore natural curves
  • Provide symmetry to the breasts
  • Enhance the shape and size of the breasts
  • Give women the confidence to wear swimwear and form-fitting clothes
  • Restore the appearance of the nipple

In addition to enhancing body contours, reconstruction also helps to restore one’s sense of confidence and femininity. Because the breasts are often closely tied to our perception of femininity, a mastectomy can severely impact many women's emotional well-being. As a result, rebuilding the breasts with a reconstruction can sometimes ease the effects of post-surgical anxiety and depression. 

Determining Candidacy

Before performing the procedure, Dr. Hermann and your other doctors will confirm your candidacy. To qualify for this procedure, you must:

  • Not have diabetes
  • Not have high blood pressure
  • Have realistic expectations
  • Be cancer-free

Dr. Hermann will work closely with your mastectomy surgeon to plan a timely, effective procedure incorporating safe, advanced techniques. 

What to Expect during the Procedure

Dr. Hermann uses techniques and tools such as fat grafting and AlloDerm regenerative tissue matrix to perform breast reconstruction. He primarily works with a mastectomy surgeon specializing in skin- and nipple-sparing mastectomy, a procedure that retains the skin envelope of the breast and the nipple in order to achieve highly natural-looking results.

Once candidacy has been determined, Dr. Hermann will work closely with your surgeon to schedule your mastectomy and breast reconstruction procedure. The initial procedure can take six to seven hours if performed immediately after a mastectomy. Before surgery, you will be sedated with general anesthesia. After the breast tissue has been removed, Dr. Hermann can begin performing fat grafting or the insertion of a breast implant or tissue expander.

Breast Tissue Expanders

When performing breast reconstruction, Dr. Hermann chiefly uses tissue expander devices to create room for a more permanent implant, rather than transferring tissue from another part of the body with flap surgery. An expander is an inflatable breast implant that stretches the muscle and skin over time. It is placed beneath the skin and pectoral muscle immediately following your mastectomy.

Approximately three to four weeks later, we can begin filling the expander. This process is performed gradually over the next several weeks or months. During each appointment, the expander is filled with saltwater solution using a tiny valve mechanism. This may result in some pressure or tightness, but most women report little to no discomfort. When the skin has stretched enough, the expander is removed and replaced with a permanent implant during a second surgical procedure. 

Recovery following Breast Reconstruction

In most cases, full recovery takes about six weeks. However, the timeline is different for each patient. 

The Day of the Procedure

Immediately following breast reconstruction surgery, you will wake up in recovery. Using an IV line, we administer antibiotics, pain medication, and other necessary fluids to promote healing and keep you comfortable. Surgical drains will also be placed near each incision. These will collect fluid in order to reduce swelling in the surgical areas. The drains are generally removed about one to two weeks after the procedure.

The First Few Days

Once you have returned home from the hospital, you can anticipate some temporary side effects, such as:

  • Swelling and inflammation
  • Bruising
  • Soreness and discomfort
  • Loss of sensation or numbness at the surgical site

To mitigate these side effects, it is important to follow all post-operative guidelines precisely. Dr. Hermann typically recommends:

  • Cleaning all surgical wounds properly and thoroughly
  • Changing bandages and drains as they fill up
  • Avoiding strenuous exercise and activity
  • Wearing a compression bra for extra support

The Weeks Ahead

Discomfort, swelling, and bruising will gradually diminish over time. Patients should consult with Dr. Hermann to determine when they can safely return to normal routines such as work, exercise, or driving.

As with any surgery, scars are to be expected. Women who have undergone breast reconstruction can expect to have scars in one or more areas, including the breast, nipple, or any other area where tissue may have been removed. Although these will fade drastically over time, they will never disappear completely. However, Dr. Hermann can minimize the appearance of scarring with strategic incision placement.

Furthermore, most women find that the benefits of breast reconstruction far outweigh scarring and other drawbacks.

Schedule a Consultation

If you require a mastectomy, Dr. Hermann can work with you and your doctors to deliver satisfying breast reconstruction results. As Dr. Hermann's patient, you can expect to be treated with compassion and expertise every step of the way. For the convenience of our patients, we accept CareCredit® and United Medical Credit to help cover the cost of treatment. To schedule a consultation, please fill out our electronic contact form or call (940) 387-4900 today.

Dr. Hermann

North Texas Breast & Plastic Surgery Center

Dr. Bruce Hermann has trained under world-renowned plastic surgeons and implements the BodyLogic™ system to achieve optimal surgical outcomes. We accept financing so every patient can access our advanced treatments:

  • CareCredit®
  • United Medical Credit

To speak with the North Texas Breast & Plastic Surgery Center team about your cosmetic goals, request an appointment online or call (940) 387-4900.

Contact Us

"Dr. Hermann is one of the finest plastic surgeons in the city of Denton. Dr. Hermann recently removed my breast implants and gave me a beautiful lift." Kathy

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2900 N I-35
Ste 409, Medical Office Bldg 1
Denton, TX 76201

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