by Choosing a Reconstruction Method
There are several factors to consider when choosing a breast reconstruction method including desired results, medical suitability, lifestyle and timing. The most common types of reconstruction are:
Implant Reconstruction
For implant reconstruction, the surgeon places a Breast Reconstruction under chest muscle or chest wall. Implants are a good option if you want a natural size and shape with less scarring. However, there is a risk of capsular contracture where scar tissue forms around the implant causing hardening. Implants also need to be replaced every 10-15 years.
Autologous Flap Reconstruction
This uses tissue from your own body to recreate the breast rather than implants. The tissue is often taken from the lower abdomen, back or thighs. This allows for a very natural result without implants or capsular contracture concerns. However, it is a more invasive procedure requiring tissue donation from another part of the body and recovery is typically longer.
Timing of Reconstruction
Reconstruction can either be done at the same time as a mastectomy or any time after. Immediate reconstruction means reconstruction is done during the initial mastectomy surgery. Delayed reconstruction refers to reconstruction performed during a separate surgery after mastectomy and any other cancer treatments have been completed. Choising timing depends on personal preference, medical circumstances and cancer treatment plan.
Breast Reconstruction Process
If you choose implant reconstruction, here is an overview of the multi-step process:
1. Mastectomy – Breast tissue and sometimes lymph nodes are removed. Expander or temporary implant may be placed under chest muscles at this time.
2. Tissue Expansion – If expander was placed, it is gradually inflated over several weeks with saline injections to stretch skin and muscles.
3. Implant Exchange – Expander is removed and replaced with a permanent breast implant. Additional lipofilling may be done to enhance contours.
4. Nipple Reconstruction (optional) – Nipple-areolar complex tattooing or grafting can recreate natural appearance once healing is complete.
5. Massage and Scar Care – Massaging the area helps integrate the implant and reduce scar traces over 6-12 months.
Autologous Flap Reconstruction Process
Here are the typical steps involved in autologous flap reconstruction:
1. Tissue Flap Harvest – Donor tissue such as a TRAM (toros rectus abdominis myocutaneous) flap is removed from the lower abdomen area.
2. Mastectomy – Breast tissue is removed and chest shaped to receive new tissue.
3. Flap Placement – Harvested tissue is transferred and connected to the chest area’s blood vessels. Potential donor sites include abdomen, back and thighs.
4. Post-Op Drainage – Drains remove fluid buildup as the new tissue settles into place which can take 6 months or longer.
5. Nipple Reconstruction – Can be done once healing is complete using skin grafting or tattoo techniques.
6. Scar Management – Massages help reduce scarring from both donor and chest sites. Multiple sessions usually needed.
Deciding on Reconstruction
The Breast Reconstruction decision is very personal and depends on one’s lifestyle, medical factors and how well informed they feel. Speaking to various surgeons experienced in different methods helps understand all the options available. Ultimately going with what feels most comfortable emotionally and physically empowers patients to take control and move forward after mastectomy. With thorough planning and consultations, desired results become more achievable.
*Note:
1.Source: Coherent Market Insights, Public sources, Desk research
2.We have leveraged AI tools to mine information and compile it
About Author - Priya Pandey
Priya Pandey is a dynamic and passionate editor with over three years of expertise in content editing and proofreading. Holding a bachelor's degree in biotechnology, Priya has a knack for making the content engaging. Her diverse portfolio includes editing documents across different industries, including food and beverages, information and technology, healthcare, chemical and materials, etc. Priya's meticulous attention to detail and commitment to excellence make her an invaluable asset in the world of content creation and refinement. LinkedIn Profile
