Studies and our own experiences show that breast reconstruction surgeries provide psychological support to women.
We are able to perform breast reconstruction surgeries simultaneously with breast removal (mastectomy) surgery. Thus, when our patients come out of surgery, they have a new breast and do not have to experience the psychological distress that a breastless period can cause.
The breast created in reconstruction surgeries can be very similar to the natural breast thanks to the new technologies in the procedure.
Who are suitable candidates for breast reconstruction (repair)?
Nearly all mastectomy patients can be suitable candidates for breast reconstruction. In these patients, breast reconstruction (repair) can be performed at the same time as mastectomy (breast removal).
However, some patients may be advised by their surgeons to wait for reconstruction surgery (for example, if the breast is to be repaired with the patient’s own tissue (flap transfer), obesity, high blood pressure, smoking, etc.).
What are the risks that can be observed in breast reconstruction?
Can be observed after all surgical operations; the risks of bleeding, edema/fluid collection or anesthesia problems can also be observed after breast reconstruction surgeries.
In those who are smokers, wound healing may be delayed or scarring may appear more frequently. If a prosthesis is to be used, there may rarely be a risk of developing an infection. In such cases, it may sometimes be necessary to remove the prosthesis and put it back in months later.
Capsular contracture is the most common problem in prosthesis use. In capsule contracture; The scar tissue around the prosthesis compresses the prosthesis, which creates the feeling of breast hardness. Capsule contracture can be treated.
Meme reconstruction (repair) has no effect on the recurrence (recurrence) of cancer. It also does not create a condition that prevents radiotherapy or chemotherapy.
What are the types of prostheses used in breast reconstruction?
The outer part of all breast prostheses is made of silicone. Inside, there is silicone gel or saline (saltwater mixture).
How are breast reconstruction (repair) surgeries performed?
Different techniques can be used in breast reconstruction. The method specific to each patient’s condition and physiology is decided by mutual discussion with the patients under the guidance of the surgeon.
Expansion of the skin: The most commonly used technique in breast reconstruction is widening the skin, then placing the prosthesis.
After mastectomy (breast removal surgery), a tissue expander is placed under the breast skin and chest wall muscle. In the weeks or months after surgery, the surgeon injects saline to inflate the tissue expander through the port placed under the skin.
After the skin reaches sufficient width, the tissue expander is removed with a second surgery and a permanent prosthesis is placed in its place. The areola (brown ring around the nipple) and nipple are done later.
In some patients, there is no need to expand the skin and it is possible to place permanent prostheses at the same time as a mastectomy.
Flap reconstruction: The method of making the breast by taking tissue from another part of the body (abdomen, back or hip) instead of placing a breast prosthesis is called flap reconstruction.
There are also different types of flap reconstruction.
Flap reconstruction is a more complicated procedure than the use of prosthesis. After the operation, traces remain in both the places where the tissue is removed and the breast is made. In addition, the healing process may be longer than the prosthesis method. On the other hand, the result may be more natural in breast reconstruction performed with your own touch. Sometimes getting rid of excess skin and fat in areas such as the abdomen and hips where the tissue is removed can also be a separate gain for you.
What awaits you after breast reconstruction (breast repair) surgery?
After breast reconstruction surgery, your pain can be controlled with painkillers and you will be discharged from the hospital in 2 to 5 days. Usually, a drain is inserted to remove the fluid accumulated between the tissues from the body. Drains are removed 1-2 weeks after surgery. Stitches are removed in about a week and 10 days.
It may take 4-6 weeks for you to return to your normal life.
Normal sense is not gained with reconstruction; however, some sense may come over time. Most of the postoperative scars become indistinct over time.