Meet Our Providers

With providers practicing in 50 specialties at 13 convenient locations, it’s easy to find the right healthcare team at Carle.

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Medical Services

Carle Foundation Hospital

Based in Urbana, Ill., the Carle Foundation Hospital is a 413-bed regional care hospital that has achieved Magnet® designation. It is the area's only Level 1 Trauma Center.

611 W. Park Street, Urbana, IL 61802   |   (217) 383-3311

Carle Hoopeston Regional Health Center

Carle Hoopeston Regional Health Center is comprised of a 24-bed critical access hospital and medical clinic based in Hoopeston, Illinois.

701 E. Orange Street, Hoopeston, IL 60942   |   (217) 283-5531

Carle Richland Memorial Hospital

Located in Olney, Ill., Carle Richland Memorial Hospital is a 134-bed hospital with nearly 600 employees serving portions of eight counties in southeastern Illinois.

800 East Locust St, Olney, IL 62459   |   (618) 395-2131

Convenient Care vs. ED

Carle Convenient Care offers same-day treatment for minor illnesses and injuries through walk-in appointments.

Not sure where to go? Click here for a list of conditions appropriate for the emergency department

Philanthropy

Philanthropy gives hope to patients and helps take health care in our community to a whole new level.

Classes & Events

Carle offers free community events open to members of the public. Select a category to view the calendar of upcoming events.

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Breast Reconstruction

Breast reconstruction after a mastectomy is not the same for every patient. The type of reconstruction you undergo is a decision to be made between you and your surgeon that will be based on your specific case. There are several options to choose from and you and your surgeon will determine which is best for you.

Methods of Reconstruction

There are three methods of reconstruction:
  1. Reconstruction using implants
  2. Reconstruction using the patient’s tissue only (‘autologous’ reconstruction)
  3. Reconstruction using the patient’s tissue combined with an implant

If only one breast is affected, it alone may be reconstructed. In addition, a breast lift, breast reduction or breast augmentation may be recommended for the opposite breast to improve symmetry of the size and position of both breasts.  Of course, forgoing any reconstruction after mastectomy is always an option.

 

Now? Or later?

Reconstruction can be either immediate (at the same time as the mastectomy) or delayed (at a later time). This decision may be dictated by the characteristic and stage of the breast cancer, and will be made together with your breast surgeon.

Immediate Reconstruction
Immediate reconstruction has been shown to be a safe option for many women. In this type of reconstruction, the breast mound creation is done at the same time as the mastectomy. This can help minimize the negative effect that a mastectomy can have on body image and self-esteem. Immediate reconstruction also reduces the number of anesthetics (operations) required to complete the reconstruction. If you are interested in beginning reconstruction at the time of mastectomy, you must ask your breast surgeon to make a referral for you to see a plastic surgeon.

Delayed Reconstruction
Delayed reconstruction is performed several weeks, months or even years after the mastectomy occasionally after other cancer treatments are finished. The timing of reconstruction following the completion of radiation therapy should be discussed with your specific reconstructive surgeon.

 

Breast Reconstruction Using Implants

Expander/Implant
First, a temporary device known as a tissue expander is placed in the breast to create the soft pocket that will contain the permanent implant. Once expansion is complete, the expander will be exchanged for the permanent implant during an outpatient procedure.

 

Direct-to-Implant
The approach allows for a breast implant to be placed immediately following mastectomy, foregoing the need for a tissue expander. Some patients may still require a secondary procedure.

 

Flap Reconstructions

There are several types of Flap reconstructions available:

  1. TRAM Flap (Donor Site: Abdomen) – This is a method of tissue reconstruction which uses the pedicled transverse rectus abdominus myocutaneous (TRAM) flap. In this approach, abdominal muscle, tissue, skin, and fat are used to create breast shape. The patient will have the benefit of a somewhat flatter looking abdomen. The scar on the abdomen is low and extends from hip to hip.
  2. LDP Flap (Donor Site: Back) – The latissimus dorsi (LD) flap is most commonly combined with an implant. At the time of breast reconstruction, the muscle flap, with or without attached skin, is removed from the back and implanted in the breast. This flap provides a source of soft tissue that can help create a more natural looking breast shape compared to an implant alone. The scar on the back can often be concealed under a bra strap.
  3. DIEP Flap (Donor site: Abdomen)  The Deep epigastric artery perforator (DIEP) free flap uses skin and fat from the abdomen, to create a breast shape.  This type of reconstruction spares the abdominal muscles and harvests the tissue on a blood vessel perforating the muscle. This technique utilizes microsurgery to reattach the vessels to the chest wall.  Similar to the TRAM, the patient will have a flatter appearing abdomen in addition to not harvesting either of the abdominal muscles.
  4. GAP Flap (Donor Site: Buttock) – The gluteal artery perforator (GAP) free flap uses skin and fat from the buttocks to create a breast shape. This type of reconstruction uses microsurgery to attach the tissue to the chest wall.  The tissue from the buttock is removed, typically leaving a scar in the upper portion of one side of the buttocks, concealed under the panty line.
  5. Inner Thigh Free Flap (Donor Site: Thigh) – This procedure uses skin, fat, and muscle from the inner portion of the upper thigh to reconstruct the breast. The tissue is dissected from the inner thigh and transplanted to the chest where it is reattached using microsurgery. The resulting thigh scar is generally well hidden.

It is important for you to be aware that a reconstructed breast will not have the same sensation and feel as the breast it replaces. And, visible incision lines will always be present on the breast, whether from reconstruction or mastectomy.

 

Making Sure You’re Covered

Under the Federal Women’s Health and Cancer Rights Act of 1998, health insurance plans that offer mastectomy coverage must also provide coverage for reconstructive surgery after mastectomy. This coverage includes reconstruction of the breast removed by mastectomy, reconstruction of the other breast to produce symmetrical appearance, breast prostheses, and treatment of physical complications at all stages of the mastectomy.

It is recommended that you confirm your exact coverage with your health insurance carrier before scheduling any surgical procedures.

 

Consultations

If you have had a mastectomy and are considering reconstruction or if you are preparing for a mastectomy and would like to discuss your breast reconstruction options, surgeons are Carle Plastic Surgery Center are available for consultation to discuss the options that are best for you.

To schedule your consultation, please call (217) 326-2000.

Source: Breast Reconstruction Awareness Day; American Society of Plastic Surgeons; retrieved October 2015 from breastreconusa.org.

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