Breast ReconstructionWith breast reconstruction we try to recover not only the skin`s harmony but also self-esteem
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Breast reconstruction is achieved through several plastic surgery techniques, the aim will be to restore your breast so that is as close to their natural form, in shape and size.
Current surgical techniques allow plastic surgeons to reconstruct a breast that has been removed due to cancer or other disease getting very satisfactory results. Thanks to these treatments has been shown to improve the quality of life of women with mastectomies.
In your initial consultation, Dr. Martinez Gutierrez will perform a complete medical evaluation and consider the appropriate procedure to obtain the best result in each case
When performing breast reconstruction?
You should know that breast reconstruction can be performed in the same mastectomy surgery, or if you prefer you can program it for later, but the first option is the most recommended, so long as your senologist advises.
It is preferable, since the reconstruction has no effect on the recurrence of disease, nor interfere with the treatment of chemotherapy or radiotherapy, nor interfere with subsequent studies that may be needed in reviews.
What is the procedure?
The surgery for breast reconstruction is performed in an operating either in a clinic or hospital. Generally required hospitalization. This surgery is usually performed under general anesthesia, so the patient is asleep during the operation.
Depending on the technique used in the mastectomy, the quality and quantity of remaining skin, treatments performed, the age of the patient, the prognosis of the disease and the patient’s wishes, there are several surgical options:
» Implant: if the breast skin sufficient to reconstruct, can be used directly a prosthesis, without placing an expander before. The prosthesis is placed below the pectoral muscle to prevent it is close to the skin and can move.
» Breast expander-implant: implant an expander (vacuum sealed and deflation device) under the skin and chest muscle, and fill it with serum for several weeks through a valve located on the expander. When the skin has stretched enough, the expander is replaced by a definitive prosthesis silicone gel, adapted in size and shape to the healthy breast.
» Latissimus Dorsi flap, took a back muscle and a segment of skin and fat from the same location, which together with a breast prosthesis allows us to recreate a breast similar to the healthy breast, leaving a scar on the back that is hidden under bra.
» DIEP abdominal flap: using microsurgical techniques take skin tissue and fatty tissue from the lower abdominal region, so we reconstruct the breast while practicing an intervention similar to abdominoplasty.
Frequently asked questions about breast reconstruction
Are there risks?
When using breast implants, you should know that sometimes after radiotherapy you may suffer a reaction scar around it or encapsulation, which may require further surgery.
In the case of the use of flaps, you should know that the snuff can jeopardize the viability of the transplanted tissue, so it is recommended to stop smoking before surgery.