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Breast reconstruction

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Indication:

ThBreast reconstruction surgery aims to improve the quality life of women who removed their breasts due to cancer. e procedure is performed through one of the various plastic surgery techniques that attempt to restore the breast considering the shape, appearance and size after mastectomy.

Anesthesia Type:

Intravenous sedation or general anesthesia, depending on each patient.

Surgical Techniques:

The use of breast implants for reconstruction often requires one or more flap or tissue expansion techniques, as mastectomy or radiation may leave insufficient tissue in the chest wall.

The techniques used depend on the amount of tissue removed and its location. The most common are those that make use of their own breast tissues and fill in the voids left by the cancer removal.

Reconstruction Types:

Silicone prosthesis

Breast reconstruction with silicone prosthesis is indicated for patients who do not have enough tissue to perform breast reconstruction and have not removed large amounts of skin, allowing the skin envelope to be sufficient to receive the implant and provide a good shape to the reconstructed breast.

Expanders

This procedure allows the reconstruction of tissues with similarity of color and texture, without the addition of new scars. The tissue expander is placed under normal skin and is gradually inflated with saline, expanding the tissue to the desired size.

A second surgical procedure may be performed to remove the expander and replace it with the permanent implant or to use prostheses that are permanent expanders, which reduces the amount of surgical procedures.

Skin Flap Transfer

The musculocutaneous flap technique usually removes a segment of skin and fatty tissue from the abdominal or dorsal region and leads to the site for surgery. Tissue from this region is used for breast reconstruction through an abdominal tunnel or microsurgery transplantation.

The flap remains attached to its original place through a tissue called a pedicle, which leads to the necessary vascularization so that this tissue does not die. The most common types of skin flap transfer procedures are: Abdominal Straight Muscle Myocutaneous Flap, Dorsalis Muscle Flap, and DIEP Flap.

Postoperative:

Pain may occur after the procedure, but it often subsides with common painkillers.

The recovery time in prosthetic surgery is about 15 days. In TRAM surgery and reconstruction with the great dorsal, the recovery is longer, requiring three to four weeks.

Possible complications

Possible complications in the breast reconstruction procedure are:

• Occurrence of bleeding and infection;

• Poor incision healing;

• Partial or total loss of flaps or grafts performed;

• implant rupture;

• Loss of sensitivity at the flap donor site.

The result of breast reconstruction, as in all cosmetic surgeries, will depend on the reaction of the patient's organism and zeal with pre and postoperative indications.

Preoperative Recommendations


The patient's lifestyle and care before the operation are decisive factors for every surgical outcome. Check out the most important recommendations:

• Fast for at least 8 hours before surgery, including water, avoiding drinks and overeating on the days before the procedure;

• Smoking should be stopped 30 days before surgery;

• Communicate changes in health and medication use on the eve of surgery;

• Do not wear dark colored nail polish on the day of surgery and avoid wearing jewelry and watches;

• Attend surgery with a companion.

 

Result:

Among the results of breast reconstruction, it may be mentioned that certain breast tenderness may return and scars tend to improve, although they do not disappear completely.

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