Breast Reconstruction (Breast Repair)
Breast reconstruction, or breast repair, is a surgical procedure usually performed for women who have had a mastectomy (breast removal) due to breast cancer. This surgery is important from an aesthetic and psychological perspective and can help patients feel better. Breast reconstruction can be performed with a variety of techniques:
Use of a Prosthesis or Implant: One of the most common approaches is to create an artificial breast using a prosthesis filled with silicone gel or saline solution. The prosthesis can be placed directly during the mastectomy or later in a separate operation.
Core Tissue Transfer (Otoplasty): Breasts can be created using the patient’s own tissues. In this method, tissue taken from the abdomen, back, thigh or hip is generally used. This technique can provide a more natural look and feel, but the surgery is more complicated and the recovery time is longer.
Combined Approaches: In some cases, both the prosthesis and the patient’s own tissue can be used together in breast reconstruction.
Nipple and Areola Reconstruction: The final stage of breast reconstruction is usually the reconstruction of the nipple (nipple) and areola (colored area around the nipple). This can be done through tattooing or surgical techniques.
Breast reconstruction is customized based on the patient’s overall health, personal preferences, and the aesthetic results they expect. This surgery can improve a patient’s body image and help them feel more complete after breast cancer treatment.
How is Breast Reconstruction Done?
Breast reconstruction is a surgical procedure usually performed for women who have had a mastectomy (breast removal) after breast cancer treatment. The goal of this surgery is to recreate the shape, size and appearance of the breast. Breast reconstruction can be performed using different techniques, and the method chosen varies depending on the patient’s preferences, health status and body structure:
Reconstruction with Implant: In this method, a prosthesis (implant) filled with silicone gel or saline solution is used. The prosthesis can be placed directly during the mastectomy or later in a separate operation. The implant is placed under the breast tissue or behind the chest muscle.
Otoplasty (Own Tissue Transfer): In this method, a new breast is created using tissue taken from the patient’s own body. Tissue taken from the abdomen, back, thighs or buttocks can be used to create the breast shape. This technique can provide a more natural look and feel, but the surgery is more complicated and the recovery time is longer.
Combined Approach: Sometimes, the breast can be reconstructed using both the implant and the patient’s own tissue. This may be preferable for more complex cases.
Nipple and Areola Reconstruction: After the breast tissue is reconstructed, the nipple (nipple) and the surrounding colored area (areola) can also be reconstructed. This can be accomplished through surgical techniques or tattooing methods.
Healing Process and Aftermath: The healing process after breast reconstruction varies depending on the techniques used and the general health condition of the patient. Patients should follow their doctors’ recommendations during the recovery process.
Breast reconstruction can improve the patient’s quality of life after breast cancer treatment by making them feel better.
Who is Suitable for Breast Reconstruction (Repair)?
Breast reconstruction (repair) is usually suitable for women who have lost their breasts due to mastectomy (breast removal). This surgical procedure is important both aesthetically and psychologically and aims to increase self-confidence and quality of life for patients treated for breast cancer. Suitable candidates for breast reconstruction can be identified by:
General Health Condition: The patient must have sufficient general health condition for breast reconstruction. When considering surgical procedures, anesthesia, and the recovery process, it is important that the patient is healthy enough to withstand the surgery and recovery process.
Breast Cancer Treatment: Women who have had or are scheduled to undergo a mastectomy are good candidates for breast reconstruction. Women who have had breast-conserving surgery (lumpectomy) may also be eligible for breast reconstruction if necessary.
Radiotherapy History: Radiotherapy can affect reconstruction options and timing. In patients undergoing radiotherapy, the healing capacity of the tissue may change, so the surgeon must take this factor into account in treatment planning.
Personal Preferences and Expectations: It is important that the patient has realistic expectations about breast reconstruction and understands the causes, consequences, and possible risks of this surgery.
Age and Lifestyle: Age is not an absolute limitation for breast reconstruction, but lifestyle and personal preferences should also be considered.
Smoking Status: The risk of surgical complications is higher in patients who smoke. Smoking can slow the healing process and increase the risk of complications.
Before deciding on breast reconstruction, patients are recommended to discuss this issue in detail with a plastic surgeon and determine the best option for their situation.
Why is the entire breast removed?
Removal of the entire breast, that is, mastectomy, is a surgical method generally used in the treatment of breast cancer. This procedure is done to prevent the spread of cancer and ensure the best treatment outcome for the patient. Some basic reasons underlying the necessity of mastectomy are:
Stage and Spread of Cancer: In cases of advanced breast cancer or where the cancer has spread to a large area within the breast tissue, it may be necessary to remove all of the affected tissue.
Presence of Multiple Tumors: If there is more than one tumor in the breast, mastectomy may be preferred to remove all of these tumors.
High Risk of Recurrence: In some patients, the risk of cancer recurring (recurrence) is very high. In these cases, a mastectomy may be performed to reduce the risk.
Genetic Factors: Individuals who carry genetic mutations such as BRCA1 or BRCA2 have a significantly higher risk of breast cancer. Preventive (prophylactic) mastectomy may be recommended for these people.
Personal Preferences and Medical History: Some patients may choose mastectomy due to personal preferences or types of cancer that have not responded to previous treatments.
Conditions Not Responding to Treatment: Mastectomy may be necessary in cases of cancer that does not respond adequately to other treatment methods such as radiotherapy or chemotherapy.
Mastectomy plays an important role in the treatment of breast cancer and can improve patients’ survival rates. However, this decision is made as a result of a detailed evaluation between doctors and patients, taking into account the patient’s general health condition, the characteristics of the cancer and personal preferences.
How to replace the removed breast with a new one?
Breast reconstruction, which is the replacement of the removed breast, is a surgical procedure generally performed for breast cancer patients after mastectomy (breast removal). This procedure is important from an aesthetic and psychological perspective and can help the patient feel better. Breast reconstruction can be done using different methods:
Implant Use: One of the most common methods of breast reconstruction is to use an implant (prosthesis) filled with silicone gel or saline solution. The implant is usually placed under the chest muscle. This method is a relatively simpler surgical procedure and is a suitable option for most patients.
Otoplasty (Own Tissue Transfer): This method involves creating a new breast using tissue taken from the patient’s own body (usually from the abdomen, back, thigh or hip). Otoplasty may offer a more natural feel and appearance, but the surgery is more complex and recovery time is longer.
Combined Approach: Sometimes, breast reconstruction is performed using both the implant and the patient’s own tissue.
Nipple and Areola Reconstruction: After the breast tissue is reconstructed, the nipple (nipple) and the surrounding colored area (areola) can also be reconstructed. This can be done through surgical techniques or tattooing methods.
Healing Process: The healing process after breast reconstruction varies depending on the techniques used and the general health condition of the patient. Patients should follow their doctors’ recommendations during the recovery process.
Breast reconstruction requires a personalized approach to each patient. It is recommended that patients discuss their surgical options, expected results, and possible risks in detail with a plastic surgeon before undergoing this procedure.
When is breast reconstruction performed?
The timing of breast reconstruction may vary depending on several different factors, and the patient’s health condition, treatment plan, personal preferences, and surgeon’s recommendations are taken into account when making this decision. The timing for breast reconstruction may be as follows:
Immediate Reconstruction: In this method, breast reconstruction is performed during the same surgical session as mastectomy. Immediate reconstruction may be suitable for most patients and less psychologically challenging, as the patient only needs to go under anesthesia once. However, it may not be a viable option for every patient, especially those who need additional treatments (chemotherapy or radiotherapy).
Delayed Reconstruction: In this approach, breast reconstruction is performed months or years after mastectomy. Delayed reconstruction is preferred when it is necessary to wait for additional cancer treatments to be completed or when the patient’s health condition is not suitable for an immediate reconstruction.
Delayed-Immediate Reconstruction: This approach can be used in some cases, especially when the stage of the cancer and the treatment plan are uncertain. Here, a tissue expander is placed during the mastectomy and the final reconstruction is performed after completion of cancer treatment.
The patient determines the most appropriate time for reconstruction as a result of detailed interviews and evaluations with doctors. The patient’s general health condition, type and stage of cancer treatment, lifestyle and personal preferences play an important role in this decision.
Who cannot undergo breast reconstruction?
Breast repair (reconstruction) is usually appropriate for patients who have had a mastectomy for breast cancer, but in some cases this surgery may not be recommended. Breast reconstruction can be risky, especially in patients with serious cardiac problems, active infections or uncontrolled diabetes. Additionally, this procedure may not be recommended in heavy smokers or patients who have undergone extensive radiotherapy, as the risk of postoperative complications increases. In advanced stages of cancer or rapidly spreading types, doctors may refrain from performing breast reconstruction, taking into account the patient’s general health condition and treatment priorities. Therefore, each patient’s condition must be evaluated individually by the surgeon.
How many sessions does breast reconstruction take?
Breast reconstruction can be a simple procedure that can be completed in a single surgical session, or it can be a complex process that requires multiple sessions. Simple reconstructions using implants can usually be completed in one go, but more complex procedures such as autoplasty may require more than one surgery. Additionally, nipple and areola reconstruction can be performed months after the main reconstruction procedure. Because patient recovery will vary depending on the type of surgery and the patient’s overall health, the full reconstruction process may take several months to a year. It is important for the patient to determine the most appropriate treatment plan together with his surgeon, depending on his condition.
What are the Risks in Breast Reconstruction?
Breast reconstruction, like any surgical procedure, carries some risks. These risks include infection, bleeding, failure of the implant or tissue flap, and delayed wound healing. Additionally, there is a risk of complications in additional surgical areas, especially in complex procedures such as core tissue transfer. In cases where a prosthesis or implant is used, problems may arise such as the prosthesis leaking or its position changing. Risks associated with anesthesia should also be considered. Since each patient’s health status and response to surgery is different, it is important for them to have a detailed discussion with their surgeon about potential risks and complications.
What are the Prosthesis Types in Breast Reconstruction?
The types of prostheses used in breast reconstruction are implants, usually filled with silicone gel or saline solution. Silicone gel-filled implants tend to provide a more natural feel and appearance and are preferred by most patients. Saline solution-filled implants, on the other hand, pose less risk in case of leakage and their volume can be adjusted during surgery. In some cases, prostheses of special shapes or sizes can be used in accordance with the patient’s body structure and wishes. Additionally, reconstruction can be performed using core tissue, which provides a more natural look and feel for some patients. It is important for the patient to undergo a detailed evaluation with his surgeon to choose the type of prosthesis that best suits his condition and preferences.
Frequently asked Questions
Can prosthetic breast reconstruction be performed on everyone?
Prosthetic breast reconstruction is generally applied to patients who have undergone mastectomy after breast cancer treatment, but it may not be suitable for every patient. This procedure may not be recommended, especially for patients with serious health problems, active infections, or who may have difficulties in the healing process. In heavy smokers or patients who have undergone extensive radiotherapy, the postoperative recovery process may be risky, and these situations are important factors in determining whether prosthetic breast reconstruction is appropriate. In addition, a detailed evaluation and risk analysis between the doctor and the patient is required for each patient who may undergo prosthetic breast reconstruction. Patients’ general health conditions, cancer treatments and personal preferences should be taken into account in this decision.
Can I breastfeed after breast reconstruction?
The ability to breastfeed after breast reconstruction may vary depending on the type and extent of surgery performed. Especially in cases where breast tissue and milk ducts are preserved, some patients can breastfeed. However, in cases where a mastectomy or extensive breast tissue removal has been performed, breastfeeding is often not possible. During breast reconstruction, damage to the milk ducts or nerves may have occurred, which may affect milk production or the ability to breastfeed. It is important for patients who plan to breastfeed to discuss this issue in detail with the surgeon who will perform the surgery.
What does breast reconstruction mean?
Breast reconstruction is a surgical procedure usually performed in cases where breast tissue has been lost due to mastectomy or other reasons. This procedure aims to recreate the shape, size and appearance of the breast. Breast reconstruction is important to improve the patient’s aesthetic appearance and psychological well-being. It can be performed using different techniques, including the use of implants, transfer of the patient’s own tissue (otoplasty), or a combination of both. Breast reconstruction requires a personalized approach to each patient and is planned taking into account the patient’s health status, cancer treatment and personal preferences.
What is breast reconstruction with implant only?
The use of only implants in breast reconstruction is a method in which prostheses or implants are used to reconstruct the breast. This procedure usually uses implants filled with silicone gel or saline solution and is placed under the chest muscle. Breast reconstruction with implants can be a relatively simpler and less invasive procedure. However, since each patient’s body structure and health condition is different, implant selection and surgery technique should be individualized. Reconstruction with implants may be a suitable option, especially for patients who are not suitable for the use of their own tissue or who want a less complex procedure.
Will sagging occur again after breast lift surgery?
There is a possibility of sagging again after breast lift surgery, but this risk depends on many factors. After breast lift surgery, sagging may occur over time and with the aging process, due to gravity and the natural decrease in skin elasticity. Additionally, pregnancy, breastfeeding, and significant weight changes can also cause the breasts to sag again. Lifestyle changes after surgery, such as regular exercise, a healthy diet, and appropriate bra use, can help prevent sagging. It is important for patients who have breast lift surgery to maintain their weight and maintain a healthy lifestyle in the postoperative period for long-term results. Since each patient’s body structure and skin elasticity are different, surgical results and long-term effects may also vary from person to person.
How long does breast aesthetics last?
The effects of surgical procedures such as breast aesthetics, that is, breast augmentation or reduction, are generally long-lasting, but “how many years it lasts” may vary from patient to patient. Implants used in breast augmentation surgeries are generally durable for 10-20 years, but this period may vary depending on the type of implant and the body structure of the patient. Over time, due to body changes, aging and the effects of gravity, the appearance of the breasts may change. In particular, factors such as weight changes, pregnancy and breastfeeding can lead to changes in the size and shape of the breast. Therefore, some patients may consider repeat breast aesthetic surgery over time. To maintain the long-term results of breast aesthetic surgeries, it is important for patients to maintain a healthy lifestyle and have regular check-ups.
Will the breast grow after breast surgery?
Breast growth after breast surgery may vary depending on the type of surgery and the patient’s body structure. Breast augmentation surgeries increase the size of the breasts through implants or fat injection, but the breasts are not expected to grow naturally after this surgery. However, factors such as weight gain, pregnancy, and hormonal changes can cause an increase in breast size after surgery. After breast reduction surgery, breast regrowth is generally rare, but due to the factors mentioned above, an increase in breast size may occur in some cases. It is important for patients to follow a balanced diet and exercise program, manage their weight and pay attention to hormonal changes after surgery.
How many months does it take for breast aesthetics to heal?
Recovery time for breast aesthetic surgeries usually ranges from a few weeks to a few months. The full recovery process depends on the type of surgery, the patient’s overall health, and the body’s ability to heal. During the first few weeks, patients may experience swelling, bruising, and mild pain at the surgery site. During this period, it is important for patients to follow their doctor’s recommendations, avoid heavy lifting and use a suitable bra. Most patients can return to their daily activities and work within a few weeks after surgery, but full recovery and final results may take several months to see.
How many days after breast surgery does it take to return to normal life?
The time it takes to return to normal life after breast surgery varies depending on the type of surgery and the general health condition of the patient. Most patients can return to their normal activities at home within a few days after breast plastic surgery, but returning to a completely normal routine can often take up to several weeks. In the first few weeks, it is recommended to avoid heavy exercises, lifting and activities that strain the body. It is important for patients to carefully follow their doctor’s instructions to speed up the post-operative recovery process and reduce the risk of complications.
How many days does it take to recover from breast surgery?
Breast surgery recovery time can usually range from a few weeks to a few months. During the first few days, patients may experience pain and swelling at the surgery site, but these symptoms usually subside within a few days. Most patients can return to light activities one week after surgery, but they may need to avoid heavy exercise and strenuous activities. Full recovery and final results may take several months to see, depending on the type of surgery and the rate at which the patient’s body heals. Since every patient is different, doctors’ recommendations and follow-up checks are important in this process.
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