Reconstructive Breast Surgery
Reconstructive breast surgery is a vital component of oncoplastic breast surgery aimed at restoring the shape, symmetry, and appearance of the breast following mastectomy or lumpectomy. It involves rebuilding the breast mound using various techniques to create a natural-looking result.
Types of Reconstructive Breast Surgery
There are several types of reconstructive breast surgery, including:
Implant-based reconstruction: In this approach, breast implants are used to recreate the breast mound. Implants filled with silicone gel are placed directly on top of the chest muscle.
Autologous tissue reconstruction: Also known as flap reconstruction, this technique uses the patient's own tissue from elsewhere in the body, such as the abdomen (TRAM or DIEP flap), back (latissimus dorsi flap), or thighs (TUG flap), to reconstruct the breast mound.
Combination reconstruction: Some individuals may benefit from a combination of implant-based and autologous tissue reconstruction techniques to achieve optimal outcomes.
Why is Reconstructive Breast Surgery recommended?
Reconstructive breast surgery is recommended for individuals who have undergone mastectomy or lumpectomy for breast cancer and desire breast reconstruction to restore their appearance and self-confidence. It offers physical and psychological benefits, helping patients feel more comfortable and positive about their bodies following cancer treatment.
Before the Operation
Before undergoing reconstructive breast surgery, patients will have extensive consultations with their surgical team to discuss their goals, preferences, and medical history. Preoperative planning may involve imaging tests and measurements to determine the most suitable reconstruction approach.
The Operation
The duration of reconstructive breast surgery varies depending on the technique used and whether it's performed in conjunction with mastectomy or as a delayed procedure. On average, the surgery can take anywhere from 2 to 8 hours. During the operation, the surgeon meticulously reconstructs the breast mound, striving for symmetry and a natural appearance.
Risks and complications
Reconstructive breast surgery is considered major surgery, and like any surgery, has some risks and complications that should be carefully considered beforehand. These include infection, bleeding, implant complications (if used), tissue necrosis, asymmetry, and changes in sensation. However, these risks are relatively low, and most patients achieve good outcomes with proper preoperative assessment and postoperative care. Patients should discuss any concerns with their healthcare provider and carefully weigh the benefits against the potential risks for their individual situation.
After the Operation
After reconstructive breast surgery, patients will spend time in the recovery area under close monitoring. They may experience temporary discomfort, swelling, and bruising, but pain relief medication will be provided as needed. Patients will receive instructions on wound care, activity restrictions, and follow-up appointments.
The length of hospital stay following reconstructive breast surgery can vary depending on factors such as the type of surgery performed, individual recovery progress, and any potential complications. Generally, patients can expect to stay in the hospital for 1 to 5 days after the surgery.
Expected Recovery Time
Recovery time after reconstructive breast surgery varies depending on the individual and the complexity of the procedure. Most patients can expect to return to light activities within a few weeks, gradually increasing activity levels as advised by their surgeon. Full recovery may take a few months, during which time the reconstructed breast will continue to settle and heal.
