Breast Reconstruction
Following breast cancer treatment or for individuals with a genetic predisposition, the removal of breast tissue can be physically and emotionally challenging. However, with advanced surgical techniques, breast reconstruction can achieve results that closely resemble a natural breast.
In this article, we provide a detailed overview of breast reconstruction, addressing common questions and concerns regarding the procedure.
Breast Loss Is Not Your Destiny!
Breast Cancer Treatment and Reconstruction
Breast cancer is a health condition that affects one in ten women. The primary goal of cancer treatment is to restore the patient's health. Throughout the treatment process, a multidisciplinary team—including a general surgeon, radiology specialist, plastic surgeon, and oncology specialists—works together to provide comprehensive care.
What Is Breast Reconstruction?
Breast reconstruction is a surgical procedure performed to restore the breast shape after breast cancer treatment or other breast-related conditions that require tissue removal.
Thanks to modern surgical advancements, breast reconstruction can now be performed simultaneously with a mastectomy, allowing patients to avoid experiencing a period without a breast.
How Is Breast Reconstruction Performed in Breast Cancer Patients?
Breast Reconstruction Methods
1. Breast Reconstruction with Silicone Implants
✅ Who Is It Suitable For?
This method is ideal for patients diagnosed with early-stage breast cancer or those with a high genetic risk of developing breast cancer.
✅ How Is It Done?
During mastectomy, the breast skin is preserved, and suitable silicone implants are placed. In some cases, back muscles or synthetic dermal matrices can be used for additional support.
2. Breast Reconstruction Using the Patient’s Own Tissue
✅ Who Is It Suitable For?
This technique is preferred for patients who have had a full mastectomy and want a natural-looking breast reconstruction.
✅ Back Tissue Reconstruction
- Uses back muscle and skin tissue to create a new breast.
- Offers strong blood circulation, ensuring a successful outcome.
- Allows for simultaneous breast reshaping procedures, such as breast lift, reduction, or augmentation on the other breast for symmetry.
- The procedure takes approximately 6 hours, and the patient is encouraged to walk within 4 hours after surgery.
- Hospitalization is usually 3 days, during which drains are used to remove excess fluids.
- After discharge, a special bra and compression garment are provided for support.
✅ Abdominal Tissue Reconstruction
- Uses skin and fat from the abdominal area to reconstruct the breast.
- Can be performed via microvascular surgery (free flap) or non-microvascular (pedicled flap) transfer techniques.
Why Is Pre-Surgical Evaluation So Important?
Determining the most suitable breast reconstruction technique requires a detailed examination. During the consultation:
✔️ A special imaging device is used to assess blood supply in the back or abdominal tissues.
✔️ The advantages and potential risks of each technique are discussed with the patient.
How Will My New Breast Look?
Regardless of the surgical technique chosen, patients can review pre-and post-operative images of previous cases to understand potential outcomes.
Additionally, patients have the opportunity to meet others who have undergone breast reconstruction during experience-sharing sessions, where they can ask questions and receive support from former patients.
The Breast Reconstruction Process
Pre-Surgery Preparation
✔️ Blood tests are conducted before surgery.
✔️ Patients who smoke should quit at least 3 weeks before the procedure, as smoking can impair healing.
Surgical Process
✔️ Performed under general anesthesia and lasts 4-6 hours, depending on the method.
✔️ A specialized bra and compression garment are provided after surgery for support.
Post-Surgery Recovery
✔️ Patients typically stay in the hospital for 3 days.
✔️ Drains are removed within 1-4 days after surgery.
✔️ Light physical activities are recommended during recovery.
Frequently Asked Questions
What Will My New Breast Look Like?
The final result depends on the chosen technique and patient preference. Patients may review before-and-after images of similar cases for reference.
How Long Does Recovery Take?
Full recovery varies from patient to patient, but most can return to daily activities within a few weeks.
Which Reconstruction Method Is Right for Me?
The best method depends on individual aesthetic goals and anatomical structure. A detailed consultation will determine the most appropriate approach for each patient.