Procedures for Breast Cancer Survivors: Breast Reconstruction at Our Anchorage Practice

For many women diagnosed with breast cancer, mastectomy (or breast removal) is regrettably a necessary part of cancer treatment. Fortunately, women who have undergone this surgery can choose to have their breasts reconstructed. This procedure restores the size and shape of the patient's natural breasts and can help renew her sense of beauty and femininity. Dr. Sarah Troxel uses two breast reconstruction methods for her patients from Anchorage , Fairbanks, and throughout Alaska: the tissue expansion procedure and the TRAM flap procedure.

Tissue Expansion and Permanent Implants

TRAM Flap Procedures

After Breast Reconstruction Surgery


Breast Reconstruction with Tissue Expansion and Permanent Implants

The tissue expansion method involves stretching the remaining skin and muscle on the chest wall. The tissue expander placement surgery can be performed at the same time as the mastectomy or in a delayed fashion, even years after the cancer surgery.

To begin this breast reconstruction procedure, Dr. Sarah Troxel will make an incision in the mastectomy scar and insert a tissue expander under the chest muscle. The incision will then be stitched closed. Over a period of weeks, Dr. Sarah will inject saline solution into the expander through a tiny valve that lies just below the skin's surface. Once the skin and muscle have stretched sufficiently, she will remove the expander and replace it with a permanent implant, similar to those used in breast augmentation procedures. A final operation will then be required for the reconstruction of the nipple and areola (the dark skin surrounding the nipple). For more information on tissue expansion with permanent implants, please contact breast reconstruction surgeon Dr. Sarah Troxel. Her Anchorage practice serves breast reconstruction patients from Fairbanks and throughout Alaska.

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Breast Reconstruction with TRAM Flap

Tissue-flap methods use the body's own tissue to create a breast mound. The transverse rectus abdominus myocutaneous (TRAM) flap is the most commonly used flap for breast reconstruction. The surgery involves the use of the tissue and one of the muscles from the abdominal wall along with the associated skin and subcutaneous fat. The tissue is moved from the abdomen to the chest to create a breast mound. At a later time, the nipple-areola complex can be created. The abdominal wound is stitched back together, which results in the added benefit of a tummy tuck for the patient. There are several different tissue-flap methods available, each one using tissue from a different area on the body to create the breast, but the TRAM flap is the best one for most patients. For that reason, Dr. Sarah very often uses the TRAM method in breast reconstruction.

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After Breast Reconstruction Surgery

After breast reconstruction surgery, patients may experience some fatigue and soreness. Postoperative side effects such as bruising, swelling, and discomfort can typically be reduced through medication. Patients can expect to return home one to three days after the placement of a tissue expander, and they can usually return home four to five days after the TRAM flap procedure.

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Contact Our Breast Reconstruction Practice Serving Anchorage, Fairbanks, and All Alaska Communities

Dr. Sarah looks forward to speaking with the strong women who have survived breast cancer. Please contact her office today if you seek information on breast reconstruction and live in Anchorage, Fairbanks or anywhere in Alaska.

Dr. Sarah Troxel welcomes breast reconstruction patients from Anchorage, Fairbanks, and throughout Alaska. Please contact her office today for sensitive care and reconstructive expertise.






Dr. Sarah Troxel
3340 Providence Dr. Ste 363
Anchorage, AK 99508

Ph: 907.562.6886

  • Breast Augmentation
  • Abdominoplasty
  • Breast Reduction
  • Breast Reconstruction

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