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12.11.2014
Breast Reconstruction Surgery Our body is a fragile mechanism, its health and form always influences mental integrity and general well-being.
Breast reconstruction is a surgical procedure that aims to rebuild the breasts and the nipples to achieve a normal-looking result after mastectomy.
A healthy body image is essential, especially for women, so it is natural that you will take all the hardships of the treatment.
It can be breast reconstruction after mastectomy (within the same operation) or a delayed, separate operation carried out when you have already recovered from mastectomy and radiation therapy. Prepare yourself emotionally for a brand new body-image, and that maybe the outcome will not be perfect. After mastectomy usually there is no sufficient tissue to hold the implant, so before it is placed, a tissue expansion or flapping is necessary.
It takes tissues, skin, fat and muscles from less visible parts of the body and reconnects it at the reconstructed site. Taking measures from the patient with the help of a laser scanner and 3D printer, a mold is used to guide the doctors to achieve symmetry. Although, nipple-saving mastectomy is a wide-spread method, very often there is a need to reconstruct them from scratch. Breast reconstruction surgery often involves breast lifting, augmentation of reduction on the other breast, to achieve more symmetry.
Right after the surgery you will be instructed to wear a special bra and elastic bandage to hold the breast. Reconstruction with implant has the advantage of a faster recovery, which might be around 3 weeks, whereas in flap-based surgery, it might be 6 weeks and the tissue donor body parts remain week and sensitive because of the muscle removal. You are advised to go on regular cancer checkups, especially mammography to monitor recurrence. Fluid collection under the wound – one of two sorts of fluid can collect under your wound, hematoma or blood, and seroma or fluid under flap. Breast reconstruction without implants is actually a lot more involved than ‘traditional’ silicone or saline implant procedure. While tissue from the buttocks or back can be used, the standard flap technique uses skin and muscle taken from the stomach. Those who have had breast cancer and a surgical removal of one or both breasts have several options for rebuilding their breasts. Breast reconstruction surgery after a mastectomy can help you return to a normal life following your successful breast cancer treatment.
After a battle against breast cancer, all many women want is to get back to their normal lives. Women who have lost one or both breasts to breast cancer can regain their figure and their old selves with breast reconstruction. The breast reconstruction procedure that we perform here in Savannah is known as DIEP flap reconstruction. Your Coastal Empire plastic surgeon will discuss the details of breast reconstruction plastic surgery during your consultation in one of our convenient Coastal Georgia or South Carolina offices. 1-Stop resource for health-related information and online directory of general physicians and specialists in the Philippines. In honor of the end of breast cancer awareness month, I found it an appropriate time to discuss life AFTER cancer. In a recent poll of more than 600 women conducted by Breast Cancer Care, the overwhelming majority of people who have had breast cancer (88%) said the disease and its treatment has had a negative impact on the way they now feel about their bodies.
While there is no cookie cutter method for everyone, there are a few things you can do to help regain your confidence after a mastectomy or cancer therapy treatment.
It may help to look at yourself in a full-length mirror fully clothed and pick out three things you really like about yourself.
Reconstructive surgery can be done in several ways, including removing skin from the upper thigh, or from the lower abdominal area in order to replace the tissue that was lost during the mastectomy. Learn about the Federal Women's Health and Cancer Rights Act of 1998, as well as individual state guidelines for breast reconstruction insurance coverage. Creating the nipple areola is the final component to making your breast reconstruction complete. After optimal symmetry between the breasts has been achieved, the nipple areola reconstruction can be done. Historically, one technique included sharing a piece of the nipple from the opposite breast.
In modern approaches to nipple reconstruction, the nipple mound is created from skin taken as a local flap on the reconstructed breast.


All nipple reconstructions lose some projection over time as part of the normal wound healing process.
It uses muscle, fat, and skin from the upper back that is pulled under the skin to the chest area. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Women who have undergone the toils of a breast cancer and mastectomy would like to go back to their normal routine and lead a full life again as soon as possible. It is usually not performed at the same time as mastectomy, because it would carry too many risks.
Then saline solution is injected to expand the tissue, which can take 4-6 months until the desired size is reached.
Aesthetically very satisfactory results are achieved, however one should know that the touch and sensitivity cannot be compared to the former state.
You might be given ice-therapy to relieve pain, swelling and hematoma, medication to avoid infections. Once fully recovered, you can be sure, your self-confidence and life quality will improve enormously. What’s more, like all main invasive techniques, it carries the risk of several serious complications, including poor healing, bleeding and even infection.
Using free flap method or tunneling or, body fat, muscle and skin transplanted from the stomach to patient’s chest area. In case the woman doesn’t wish silicones, she can opt to have breasts reconstructed with her own tissues through what’s usually referred to as a flap procedure. Our reconstructive breast surgery has helped to empower many breast cancer survivors looking to put cancer completely behind them. Our reconstructive procedures are always designed to meet your own specific needs so that we are able to achieve beautiful, natural looking results. Service areas include: Savannah, Atlanta, Hinesville, Statesboro, Rincon, Pooler, Richmond Hill, Wilmington Island, Augusta, Hilton Head Island & St. For anyone who has been through the process, or knows someone who has, you know that breast cancer is not only physically taxing, but also an emotionally draining disease as well. While it may be uncomfortable, Research has shown that the sooner you confront the physical changes to your body, the easier you may find it to gain confidence in the way you look. While it may seem like a silly exercise, coming to terms with your new appearance is the easiest way to feel more confident. However, it is important to move forward, celebrate you, your health, and all life has to offer you!
There have been numerous approaches to nipple reconstruction over the last 30 years, and with several options available, surgeons can utilize whichever method is most suitable for their patients.
There are a number of factors that help determine which method of nipple reconstruction is right for you. This surgery is not used today, because it transfers breast tissue to the reconstruction that could potentially form a new cancer. Various local flaps have been described, including the Skate flap, the C-V flap and the Star flap.
The risk of wound complications in nipple reconstruction is very low in patients with no history of prior radiation, but common in the radiated breast.
The rate of recovery depends on what other revisions are done simultaneously, and where the donor site for the areola graft is located.
Breast reconstruction can be the last step towards complete physical and psychological healing. It is quite a complex procedure sometimes requiring multiple surgeries with weeks or months of follow-up care. To complement the flap technique a silicone or saline implant is usually placed under the relocated tissues. It can happen by taking tissues from the other, intact areola and nipples and reconstruct it creating a raised skin mould at the right place, make and incision around it and suture it back. The doctor will inform you about the necessary follow-up steps or programme the next surgery for corrections or the nipple and areola reconstruction. After she goes home, a woman should expect some bruising, soreness and swelling for 2 – 3 weeks. These complications, on the other hand, should they occur, can be treated at the medical center.
As soon as the flap of body tissue has been transferred, the doctor shapes it into the contour of a breast.


This solution includes moving healthy tissue from one area of her body to the chest using one of two techniques, free flap or tunneling. Meghan McGovern performs a variety of reconstructive surgical procedures to satisfy our patients' individual cosmetic or reconstructive needs. The procedure can be performed immediately after a mastectomy or can be spaced out over a period of time. Forums, online organizations, and groups promoting local breast cancer survivor unions are all quite prominent online. These include the quality of tissue on the reconstructed breast, and whether you are having nipple reconstruction with or without a surrounding graft. Another method used in the past involved taking a full thickness skin graft from the labia to create a dark colored areola.
In the case of failed nipple reconstruction, it may be necessary to revise the reconstruction with another local skin flap. On the other hand, in case the fluid collection is not small, the doctor may perhaps have to drain the area using a surgical needle & syringe.
Flap surgeries leave additional scars on the woman’s stomach, buttocks or back and require a longer hospital stay when compared to implant procedure. The doctor can use tissue from the back and even from the buttocks in reconstructing breasts, if the abdominal flap isn’t an option. Using free flap method, the patient’s tissue is disconnected from the original blood supply and next reconnected, with micro-surgical procedures, to an existing blood supply in the chest area. A full complement of reconstructive surgical procedures are performed to help her patients return to a normal and functional lifestyle. Treatments such as surgery, chemotherapy, radiotherapy and hormone drugs can leave a woman with many physical and emotional changes to deal with. For many, breast reconstruction surgery is a way to help regain your confidence and restore your body to a more natural appearance. Some patients are comfortable without having a nipple, and do not wish to have further surgery. The areola can then be either tattooed, or it can be reconstructed with a skin graft taken from elsewhere on the body. Sometimes, the use of dermis or fat grafts, and fillers such as Radiesse, may be necessary to improve nipple projection.
If you wish to have only an implant and no tissue placement, this is the best solution for you. Using tunneling method, the transplanted section of body tissue is attached to its original blood supply.
Some women feel that breast reconstruction enhances their quality of life and helps them to feel more confident overall after a mastectomy. Also, these grafts may be hair bearing, and areolar pigment is easier achieved with medical tattooing. Common donor sites for the graft include the abdominal scar from a flap reconstruction, the inner thigh, or the buttock crease.
AlloDermA® has also been utilized by some surgeons at the time of nipple reconstruction to maximize projection and correct flattening. Also you may refer to the Post-Operative Nipple Reconstruction section to learn about care after nipple surgery. Breast reconstruction without implants will leave areas of numbness where the procedure was done. The doctor tunnels the section of tissue under the patient’s skin and places it at the reconstruction area. This allows color pigmentation to simulate the nipple areola without the contour of an actual nipple. Tingling sensations or numbness – a patient may perhaps feel these sensations since the part of the nervous system have been affected. A woman may feel tightness as well as numbness, instead of feeling pain where the tissue was taken. Still, the reconstruction of the nipple areola helps to put the finishing touches on the new breast after a long journey in reconstruction.



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Comments »

SimpotyagaChata:
Untangle, understanding the biology behind.
12.11.2014 | 14:14:52
8899:
300cc inserted following but this experience has been nevertheless.
12.11.2014 | 18:42:34
NOD32:
Combined with one or more instances, may recommend other types quite often after the surgery, patients.
12.11.2014 | 19:34:44