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Post-mastectomy Breast Reconstruction

Реконструкція грудей після онкології

Breast cancer is an unfortunately widespread condition, that often calls for radical surgical treatment – mastectomy. This surgical procedure removes mammary gland tissues that may carry risk of malignant transformation, and in certain cases the whole breast may be removed. Such a radical surgical intervention is often a significant shock for the patient, causing lasting anxiety and body dysphoria, as the resulting visual change is prominent. Fortunately, modern cosmetic surgery allows for aesthetic restoration and even full rebuilding of breast. This vector of aesthetic surgery is commonly known as reconstructive surgery. Breast reconstruction surgery requires thorough preparation and is obligatorily preceded by a round or several of consultation with a cosmetic surgeon.

Indications and contraindications for post-oncology breast reconstruction 

Cosmetic surgery offers safe and reliable ways to permanently deal with physical and psychological discomfort caused by mastectomy. It is important to recognize that such surgery is not mandatory, as it is primarily performed for aesthetic purposes. 

Common indications for reconstructive breast surgery: 

  1. prominent breast asymmetry;
  2. significant changes in musculoskeletal system caused by uneven distribution of weight, and associated physical discomfort.
  3. significant psychological discomfort.

Breast reconstruction surgery is often a complex procedure, that requires careful examination and thorough planning. Medical testing for possible contraindications is an essential part of this process.

Common contraindications for reconstructive breast surgery:

  1. cancer recurrence;
  2. heart, liver or kidney issues;
  3. infectious disease;
  4. certain chronic conditions (hypertensia, diabetes, etc.);
  5. blood coagulation issues.

How is breast reconstruction performed?

The exact surgical procedure is determined by individual features of each case. Typically, breast reconstruction is a complex procedure, which may require several separate operations. One of the most powerful techniques is TRAM-flap surgery combined with placement of silicone implants.

The essence of this method lies in transplantation of a part of the patient’s own muscle and skin tissue, typically taken from abdomen or back. The transferred tissue is taken with minimal damage to its “infrastructure” – the blood vessels and fat deposits, and then carefully reconnected at the target area. There, it is modeled so that natural shape is achieved. More often than not, placement of silicone implants or additional fat transfer is required to achieve necessary volume.

Surgical breast reconstruction is a viable and reliable way to restore breast shape, volume and texture after post-traumatic or post-oncological breast removal. It’s important to choose the correct surgical technique, size of silicone implants if required, and the way to achieve this is through addressing a team of professionals, who will lead the patient through the whole process – from pre-surgical consultation to full postoperative recovery and beyond. In Alpha Cell Clinic, we take pride in quality of our services and individual approach to each patient, as we put the patients’ well-being above all.

Published: 25.04.2024
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