What Is Breast Reconstruction Surgery?

There are several types of mastectomy reconstruction surgery, including implant-based reconstruction and autologous reconstruction. Implant for breast reconstruction involves the use of a silicone or saline implant to create the new breast mound. This type of reconstruction is typically less invasive and requires a shorter recovery time than autologous reconstruction.

Autologous reconstruction, on the other hand, involves the use of tissue from another part of the body, such as the abdomen or buttocks, to create the new breast mound. This type of reconstruction can provide a more natural look and feel to the breast, but it is typically more invasive and requires a longer recovery time.

Within the category of autologous reconstruction, there are several different techniques available, including the DIEP flap which involves using tissue from the lower abdomen.

Another type of breast fix surgery is fat grafting. This technique involves using the patient’s own fat cells, harvested from other parts of the body, to create the new breast mound. Fat grafting can be used alone or in combination with other types of mastectomy reconstruction.

A DIEP flap is a type of breast tissue expander surgery that uses tissue from the lower abdomen to reconstruct the breast. The term “DIEP” stands for “deep inferior epigastric perforator” which refers to the blood vessels that are used in the surgery.

During a DIEP flap procedure, the surgeon removes tissue from the lower abdomen, along with the blood vessels that supply it. The tissue is then shaped into a new breast mound and attached to the blood vessels in the chest. This technique preserves the abdominal muscles, which can help reduce recovery time and minimize complications.

DIEP flap surgery is a type of autologous reconstruction, meaning that the tissue used for the reconstruction comes from the patient’s own body. This can provide a more natural look and feel to the new breast, and can also help avoid the risks associated with implants.

DIEP flap surgery is typically performed as a separate procedure from the mastectomy, meaning that the patient will need to undergo two separate surgeries. However, in some cases, it may be possible to perform the DIEP flap surgery at the same time as the mastectomy.

If you want to discuss all options and potential risks with a qualified plastic surgeon to determine whether the procedure is right for you or not, you can contact MD. Burak now!

The breast reconstruction procedure typically begins with the placement of tissue expanders, which are temporary implants designed to stretch the remaining chest tissue and create space for the final implant for breast. This is done during the mastectomy or after as a mastectomy reconstruction, depending on the patient’s needs and preferences.

Once the tissue expanders are in place, the patient will undergo a series of appointments to gradually increase the size of the expanders. This process can take several weeks or months, depending on the patient’s individual needs.

When the tissue expanders have reached the desired size, the final implant will be placed. If the patient chooses autologous reconstruction, the tissue will be harvested from another part of the body and then used to reconstruct the breast. This procedure typically involves a longer recovery period and may require a longer hospital stay.

Breast repair is basically performed in two ways;

• It takes place with the transfer of the person’s own tissues.
• Microsurgical technique can be used.
• The excess fat tissue in the abdomen of the patient is transferred to the breast area using microsurgical technique and a new breast is created. In this way, while getting rid of the excess tissue in the abdominal region, breast repair is achieved. In patients who do not have sufficient amounts of tissue in the abdomen, breast reconstruction can be performed using tissues in areas such as the hip, thigh, and waist.
• Generally, a more natural breast is obtained compared to the prosthesis.
• It is more resistant to possible radiotherapy.
• Requires slightly more surgical experience and skill than repair with a prosthesis.

• Although it can be done with prosthesis used in breast augmentation, in cases where skin is needed, tissue expander prosthesis can be placed first and then it can be replaced with the permanent breast prosthesis.
• It is technically easier.
• The duration of hospitalization and return to normal life is faster.
• Early and late complications are more likely compared to autologous reconstruction.
• Less resistant to radiotherapy.

The recovery period after breast fix surgery can vary depending on the type of reconstruction performed and the patient’s overall health. Patients may need to stay in the hospital for a few days, especially if they have undergone autologous reconstruction.

In the first few days after the surgery, patients may experience pain, swelling, and bruising. The plastic surgeon will prescribe pain medication to help manage these symptoms. Patients may also be required to wear a compression garment to help reduce swelling and support the reconstructed breast.

On the other hand, it is important to avoid any strenuous activity or lifting heavy objects for several weeks. Patients should also avoid driving until they are no longer taking pain medication.

Patients should attend all follow-up appointments with the plastic surgeon to monitor the healing process and ensure that there are no complications. Patients should also perform regular breast self-exams and attend routine mammograms as recommended by their healthcare provider.

Breast repair surgery is a complex procedure that carries certain risks and potential complications, as with any surgical procedure. Understanding these risks can help you make an informed decision about whether the breast tissue expander is right for you or not.

Infection: Infection is a potential risk with any surgery. Antibiotics may be prescribed before and after surgery to help prevent infection. Fever, redness, and swelling are some of the infection’s symptoms.

Bleeding: Bleeding during or after surgery is also a possible risk. In some cases, additional surgery may be required to stop the bleeding.

Fluid Accumulation: Fluid accumulation (edema or seroma), can occur in the surgical site after mastectomy reconstruction. This can cause swelling, discomfort, and even delay the healing process. In some cases, the fluid may need to be drained through a needle or additional surgery.

Implant Problems: In implant for breast reconstruction, complications can arise with the implant itself, such as rupture or leakage. These issues may require additional surgery to remove or replace the implant.

Wound Healing Problems: Wound healing problems can occur after breast reconstruction surgery. This can include delayed healing, skin breakdown, or poor wound closure. Smoking and certain medical conditions, such as diabetes, can increase the risk of wound healing problems.

Nerve Damage: Nerve damage can occur during breast reconstruction surgery, leading to numbness, tingling, or pain in the breast or surrounding areas

Anesthesia Complications: Complications related to anesthesia can also occur during breast reconstruction surgery. These can include allergic reactions, heart or lung problems, or even death in rare cases.

Breast fix surgery is an important option for women who have undergone mastectomy due to breast cancer or other medical conditions. However, women with genetic mutations, such as BRCA1 and BRCA2, have unique considerations when it comes to breast tissue expander surgery. Here are some key factors to consider for breast reconstruction surgery in women with genetic mutations:

Timing of Surgery

For women with genetic mutations who are at high risk for developing breast cancer, it is important to consider the timing of breast reconstruction surgery. In this case, breast tissue expander surgery can be performed immediately after mastectomy or at a later time, depending on the patient’s preference and medical history.

Type of Reconstruction

The type of breast repair surgery chosen may also be influenced by genetic mutations. Women with genetic mutations who choose to undergo prophylactic mastectomy may opt for immediate breast reconstruction surgery using tissue expanders or implants. Alternatively, they may choose autologous reconstruction using their body’s own tissue, such as the DIEP flap to avoid the use of breast implants.

Coordination with Oncologist

Women with genetic mutations should work closely with their oncologist and plastic surgeon to determine the best approach for breast reconstruction surgery. This includes discussing any potential risks and complications associated with breast reconstruction surgery and how it may affect future cancer screening and treatment.

Consideration of Future Risk

Women with genetic mutations may have an increased risk of developing breast cancer in the future, even after breast reconstruction surgery. It is important to consider ongoing surveillance and screening for breast cancer, including regular mammograms, MRI scans, and clinical breast exams.