Breast Reconstraction After Mastectomy

Breast Reconstruction

Reparation breast after mastectomy is necessary when you consider the permanent maiming and psychological problems, social and appearance created by this surgery. The patient can visit the plastic surgeon prior to mastectomy and discussed with him the possibility of restoring either directly (simultaneously with mastectomy) or distal (after 6 months) and how to make this recovery. There are many ways that apply to breast reconstruction; the choice depends on the condition of the area (kind of mastectomy, radiation, etc.) desire of the patient and experience of the plastic surgeon.

 

 

Breast reconstruction with skin dilators.

Skin Expanders:


This method leverages the ability of the skin to be increased gradually as the skin of the abdomen during pregnancy. The placement of the skin dilator is placed either directly concurrently with mastectomy or ulterior without additional incisions from the mastectomy incision under the pectorals major muscle. Through a small valve placed under the skin at regular intervals until the dilatation fill it after a few weeks or months. When the skin is stretched sufficiently the dilator is removed with a second operation and the permanent implant is placed. Some dilators are designed to remain permanently. In a second phase created the cluster nipple - areola. Some patients do not require dilation and the doctor can place the insert in the first surgery.

 

 

Breast reconstruction with latissimus dorsi muscle

For the breast reconstruction when we need extra skin we use latissimus dorsi muscle in the back with a strip of skin. The muscle spindle together with a skin islet transported through a tunnel that is under the skin in the axils anterior chest wall and creatBreast reconstruction with latissimus dors i muscle For breast reconstruction,when we need extra skin, we use latissimus dorsi muscle in theback with a section of skin. The muscle spindle together with a skin islet transferredthrough a tunnel under the skin in the axils anterior chest wall and create a pocket to place
an expander or an implant-if necessary. The disadvantage of this method is the creation of a new scar on the back, more scars on the breast and the discoloration in the breast area since the skin of the back is not the same color as that of the anterior chest wall. The scar on the back is placed horizontally. This method is commonly used when radiation therapy has been completed on the skin of the anterior chest wall. Reconstruction with the rectus abdominis muscle. For this method we do not use implants. The method is ideal for patients who have some excess fat and skin in the lower abdominal wall.It enables recovery even of a massive droopy, breast and can have a more natural shape than an implant.. The skin and the belly fat are transferred through a tunnel created under the skin along with the rectus abdominis muscle and the vessels.A scar is left on the abdomen ,on the same horizontal section of classic abdominoplasty. The disadvantages of the method are the severity of the operation
and many days spent in the clinic as well as new scars in the abdomen and the breast. One advantage is that the result is more natural especially if the breast reconstructed is large. In both methods that we described above, we transfer the muscle and tissue via a tunnel without detaching from the donor site. In another technique, the tissue is surgically transplanted to the chest reconnecting blood vessels with the vessels of the chest wall with
microsurgical techniques. Often after breast reconstruction surgery,one more surgery is necessary to correct the other breast ( breast reduction, or breast augmentation) to obtain a symmetrical breast. Six months after the recovery of the breast a second procedure is required for the creation of the nipple and areola. This is performed under local anesthesia and usually a skin graft is taken from the inguinal region to create the areola and a local
turn over flap is used to restore the nipple.e a pocket to the intent or dilator.
The disadvantage of the method is the creation of a new scar on the back, most scars on the breast and the discoloration in the breast aria cause that the skin of the back is not the same color as that of the anterior chest wall. The wound on the back closes with the horizontal section. This method is commonly used when radiation therapy has done on the skin of the anterior chest wall.

 

Reconstruction with the rectus abdominis muscle.

In this method we do not use inserts. The method is ideal for patients who have some excess fat and skin in the lower abdominal wall. Enables recovery even the falling of a massive breast shaped more natural than an insert. The skin and the belly fat transported through a tunnel created under the skin along with the rectus abdominis muscle and the vessels. Abdomen left a scar on the same horizontal section of classic abdominoplasty. The disadvantages of the method are the severity of the operation and many days spent in the clinic and new scars in the abdomen and the breast. The advantages are that the result is more natural especially if the breast to be reconstructed bulky. On two methods that we described above, the transfer of the muscle and tissue became via a tunnel and without detached from the donor site. In another technique the tissue transferred surgically transplanted to the chest reconnecting blood vessels with the vessels of the chest wall with microsurgical techniques. Often after breast reconstruction surgery is necessary, and the other breast ( breast reduction, or breast augmentation) to obtain a symmetrical breast. Six months after the recovery of the breast we make to a second procedure for the creation of the nipple and areola. This is performed under local anesthesia and usually take a skin graft from the inguinal region to create the areola and use a local turn over flap to restore the nipple.

 

plasis_small
ATHENS - GLYFADA
Agg. Metaxa & GR. Labraki  21 Street
Post Code. 166 75
Phone.: 210 8940930
Fax: 210 8940915
Mobile.: 6974832064
Mobile.: 6932193181
E-mail: tzamadaki@yahoo.gr
E-mail: krasotitos@yahoo.gr

κατασκευή ιστοσελίδων aboutnet