Breast Reconstruction Surgery | Dr. Pawan Shahane | Nagpur

Healing the Body & The Spirit

Reclaiming Your Wholeness.

Surviving breast cancer is your greatest victory. Our goal is to help you put the pieces back together. Experience advanced, compassionate breast reconstruction by M.Ch. Plastic Surgeon Dr. Pawan Shahane.

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More Than Surgery. It is Restoration.

A mastectomy removes the disease, but it also alters a profound part of a woman's physical identity. Breast reconstruction is not merely a cosmetic procedure; it is a vital step in the emotional and physical healing journey. As a highly trained M.Ch. Plastic Surgeon, Dr. Pawan Shahane possesses the complex reconstructive and micro-vascular skills required to rebuild the breast mound, restore symmetry, and help you feel comfortable and confident in your own skin once again.

"We cannot undo what you have been through, but we can use the highest levels of surgical artistry to restore your natural silhouette and help you move forward with confidence."

When Should You Reconstruct?

Dr. Pawan coordinates closely with your oncological surgeon to determine the safest timing.

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Immediate Reconstruction

Performed during the exact same surgery as your mastectomy. While the breast surgeon removes the tissue, Dr. Pawan immediately steps in to begin the reconstruction. This prevents you from ever waking up with a completely flat chest and requires fewer total surgeries.

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Delayed Reconstruction

Performed months or even years after your mastectomy. This is often necessary if you require post-operative radiation therapy (which can damage reconstructed tissue) or if you simply needed time to heal emotionally and physically before undergoing another surgery.

Implant Breast Reconstruction
Technique 01

Implant-Based Reconstruction

This is a highly common and generally less invasive approach compared to tissue flaps. It utilizes medical-grade silicone or saline devices to recreate the breast mound.

  • Direct-to-Implant: If enough healthy skin remains after the mastectomy, a cohesive silicone gel implant can be placed immediately.
  • Tissue Expansion (Two-Stage): If skin was removed, a balloon-like expander is placed under the chest muscle. Over several weeks, it is gradually filled with saline to stretch the skin. In a second short surgery, the expander is swapped for a permanent silicone implant.
  • Shorter Recovery: Generally involves a faster surgical time and a quicker return to normal activities than flap surgery.
Autologous Flap Breast Reconstruction
Technique 02

Autologous (Flap) Reconstruction

This is where Dr. Pawan’s advanced micro-surgical training excels. This technique uses your own body's natural tissue (skin, fat, and sometimes muscle) transferred from another area to build a completely natural, living breast.

  • The Ultimate Natural Feel: Because it is your own living tissue, the reconstructed breast ages, gains, and loses weight naturally with the rest of your body. No implants are required.
  • Abdominal Flaps (DIEP/TRAM): Tissue is taken from the lower stomach, often resulting in a secondary benefit similar to a "tummy tuck."
  • Latissimus Dorsi Flap: Tissue is tunneled under the skin from the upper back to the chest. Often combined with a small implant.
  • Ideal for Irradiated Skin: Brings healthy, new, un-damaged tissue to the chest wall if you have undergone radiation.
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Achieving Symmetry & The Final Details

Recreating the breast mound is only part of the journey. To ensure you feel completely balanced, Dr. Pawan often performs a matching procedure on the opposite, healthy breast (such as a lift, reduction, or small augmentation) to ensure both sides look symmetrical in clothing and bras. Finally, once the reconstructed breast has healed and settled, we perform Nipple and Areola Reconstruction using specialized local skin flaps and advanced 3D medical tattooing to restore the complete, natural aesthetic of the breast.

Common Questions & Insights

Will the reconstructed breast feel normal?
While a reconstructed breast will look beautiful and restore your silhouette under clothing, it will not have the same nerve sensation as a natural breast. The skin may feel numb because the sensory nerves were removed during the mastectomy. An autologous (flap) breast will feel softer and more like natural breast tissue than an implant.
Will reconstruction interfere with my cancer treatments?
No. Dr. Pawan works directly with your oncology team. We ensure that your reconstruction plan will absolutely not delay necessary chemotherapy or radiation, nor will it hide a recurrence of the disease from future mammograms or MRIs.
What is the recovery time for Flap surgery vs. Implants?
Implant-based reconstruction generally has a shorter recovery (about 2 to 4 weeks before returning to normal activities). Autologous (flap) surgery is much more complex, as it involves two surgical sites (the chest and the donor area, like the abdomen). Flap surgery usually requires a 3 to 5-day hospital stay and 4 to 6 weeks of recovery before resuming normal activities.

You do not have to make these decisions alone. Dr. Pawan will sit with you, review your oncological history, and explain exactly which reconstructive path is safest and most beautiful for your unique body.

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