Breast Reconstruction
Breast reconstruction is the creation of a new breast “mound.” There are some considerations when looking into reconstructive options. It may be possible to have a reconstruction at the time of mastectomy (immediate) or afterwards (delayed).
Techniques
Reconstructing a breast can involve several techniques, including implant-based reconstruction, autologous reconstruction (using your own body tissues), or a combination of both methods.
Each technique offers distinct advantages depending on factors like your body type, health, and personal preferences.
What I can offer
I perform implant-based and pedicled flap reconstruction, including chest wall perforator flaps (except TRAM and DIEP). I have received intensive training in abdominal free flap reconstructions (DIEP), hence will be able to counsel you in depth about your options, giving you the pros and cons.
If you decide to have a consultation for an abdominal flap, I will refer you to a Plastic Surgeon in Oxford or Bristol, who will see you and determine whether you are suitable for this type of procedure.
Oncoplastic Procedures
Oncoplastic procedures combine the principles of oncologic surgery with advanced plastic surgery techniques to provide the best outcomes for my patients. Below are various procedures I offer:
Wide Local Excision
Round Block Excision
Therapeutic Mammaplasty
Sentinel Node Biopsy
Axillary Node Clearance
Targeted Axillary Dissection (TAD)
IMPLANT-BASED RECONSTRUCTION
This may be a one or two staged procedure depending on specific circumstances and medical considerations.
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An implant is placed in a pocket created beneath the pectoral (chest wall) muscle and a “sling” made to hold the bottom of the implant. This can either be another biologic material, such a an acellular dermal matrix (ADM), or the lower part of the breast skin that would usually be discarded during a mastectomy. It is possible to place a permanent implant at the initial operation depending on the breast volume and tissue quality.
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An expandable implant is placed beneath a pocket created from the pectoral, serratus and upper abdominal muscles, that span the length and width of the breast. After tw weeks, the implant is expanded in clinic. This may take a few visits. The implant is then changed to a permanent silicone one, typically 3-6months later.
AUTOLOGOUS RECONSTRUCTION
The use of your own body tissues
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Muscle +/- skin paddle still connected to its natural blood supply
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Using the muscle form the back. This is swung round and passed through a tunnel in your axilla (armpit), to reshape a new breast. Depending on the amount of fat on your back, this can be performed with or without an implant.
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The abdomen usually has enough fat to reconstruct a breast without using an implant. The abdominal tissue is passed through a tunnel up towards the breast still connected to its blood supply. The abdomen lends itself to a more natural feeling breast. The abdominal wall is brought back together in a “tummy tuck” fashion and the umbilicus is repositioned.
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Muscle +/- skin paddle removed and reconnected to a new blood supply
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As above, except the arteries and veins to the abdominal wall are reconnected to blood vessels either in the axilla (armpit) or to vessels just next to the sternum (breast bone).
MEET YOUR CONSULTANT
ANUSHKA CHAUDHRY
Consultant Oncoplastic Breast Surgeon, Anushka Chaudhry, is a highly skilled and compassionate specialist in breast reconstruction and cosmetic breast surgery. With extensive expertise and accreditation, she is dedicated to providing exceptional care. Anushka also regularly shares her knowledge through educational talks for both the public and healthcare professionals.
Patient Testimonials
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"I recently had breast augmentation surgery with Anushka at the ridgeway hospital and I can’t recommend her enough! She made me feel really relaxed and calm the whole way through. Highly recommend her and she’s amazing at what she does.”
— Private Patient
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“Such a lovely lady with so much empathy and care. Anushka listens to all you have to say and I felt totally looked after by her. When you are going through scary times and procedures this is greatly appreciated. A thank you does not seem enough.”
— NHS Patient at The Great Western Hospital
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“Ms Chaudhry has been lovely at every appointment I've had with her. Explaining everything to me compassionately in a very caring manner. Had breast LICAP reconstruction surgery which is healing well.”
— NHS Patient at The Great Western Hospital
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“Dr Chaudry was very reassuring and clearly explained my condition. She also was a good listener and made great effort to arrange my treatment and keep me informed.”
— Private Patient at The Great Western Hospital
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“Anushka is an amazing surgeon and consultant. Her professionalism and work is to a high standard and her kind, caring and empathetic manner is outstanding. Throughout my whole operation process she listened to my thoughts and concerns and made me feel at ease and comfortable.”
— Private Patient at The Ridgeway Hospital
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“Dr Chaudhry was very friendly and put me at my ease straight away. She explained in detail the choices I had and what would be done. I came away feeling very positive about the outcome. She also has a very nice team.”
— NHS patient at The Great Western Hospital
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“It was a joy to meet Miss Chaudhry and to feel enveloped by her warmth and professionalism. I think even if the news had been more daunting, she would have made me feel so much better about it as she demonstrated such care and understanding.”
— Private Patient at The Ridgeway Hospital
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“Ms Chaudhry has been an absolute rock and totally professional throughout my whole journey. I always felt completely informed and supported. She has a beautiful bedside manner and made me feel at ease from diagnosis, through surgery, treatment and aftercare.”
— Private Patient at The Ridgeway Hospital
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“Miss Chaudhry was amazing from the first minute I walked through her door. I had a lump that terrified me and a pre existing chronic condition which meant I needed a bit more understanding. She made me feel calm and listened to my worries.”
— Private Patient at The Ridgeway Hospital
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“Miss Chaudhry was extremely friendly and did an excellent job of making me feel at ease in what is typically an anxiety inducing setting for many. Her demeanour and general conduct was confident and kind- everything you would want in a doctor!”
— Private patient at The Ridgeway Hospital
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“What a wonderful person Miss Chaudhry is. She makes you feel at ease, she is attentive and warm and very professional. You trust her instantly. I would recommend her to anyone and should the need arise, I would go to her again in a heartbeat.”
— Private Patient at The Ridgeway Hospital
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“Ms Chaudhry performed my breast augmentation. Throughout every appointment she was patient, listened to me, had my best interests in mind and I felt confident in my decision. I am over the moon with the results!”
— Private Patient at The Ridgeway Hospital
Our Philosophy
Our aim is to provide a personal, friendly and professional service. It’s our passion to ensure you are comfortable to discuss your needs and wishes with us, so we can work together to achieve your goal.
At every consultation, you will be seen by Ms Anushka Chaudhry and a dedicated Specialist Breast Care Nurse. Together we offer excellent breast cancer care for all patients diagnosed with breast cancer: women and men, younger women and pregnant women. Whether you are thinking about cosmetic surgery or have been diagnosed with cancer, we will ensure you are fully supported.
Cancer surgery patients are all discussed in a multidisciplinary team meeting in order to ensure complete safety and compliance with guidelines. We use our expertise to tailor care to the individual patient. All this is supported by the safety of a hospital environment that treats thousands of patients safely each year across a full range of surgical specialties.
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Book an Appointment
Ready to take the next step in your breast health journey? Book an appointment with us today.
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Contact Us
Have questions or need more information? Get in touch, we’ll be more than happy to help!
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Holistic Wellness
Explore a holistic approach to breast health that nurtures your body, mind, and spirit for long-term wellness.