Breast Reconstruction

breast reconstruction

Why breast reconstruction?

The presence of breasts is a defining feature of adult mammalian gender. It must, therefore, be considered an essential element of human femininity, and the role it plays in female psychology cannot be understated. Hence, breast reconstruction is almost exclusively consequent to surgery for breast cancer.

Hence reconstruction of breast is almost exclusively consequent on surgery for breast cancer.

What are the aims of breast reconstruction?

Creating a symmetrical ptotic conus precisely positioned on the breast footprint embodies the art of breast reconstructive sculpture. The ultimate goal of breast reconstruction is to create symmetrical, natural-looking breasts and not necessarily a specific shape or volume.

Indications for breast reconstruction:

1) Mastectomy for breast cancer.
2) Development of breast conservative surgery for breast cancer.

Delayed Reconstruction:

  • More certainty about cancer clearance.
  • Adjuvant therapy is completed, such as radiotherapy.
  • Allows the patient to adjust to life without a breast.
  • Less surgical time.
  • Provides time for consideration of the reconstructive options and their risks.

Primary Reconstruction:

One-stage reconstruction facilitates reconstruction when much of the breast skin envelope and the IMF can be preserved.

Immediate Delayed Reconstruction:

This is indicated when the patient may require adjuvant therapy such as radiotherapy. In this reconstruction, an expander is placed in the skin envelope, which helps maintain a suitable subcutaneous cavity to accommodate an implant or tissue for reconstruction at a later stage.

What are the types of reconstruction?

  • Autologous tissue
  •  Implants
  •  Combination of autologous tissue and implants

Which flaps are used for breast reconstruction?

  • Latissimus dorsi flap
  • Pedicled transverse rectus abdominis myocutaneous flap
  • Pedicled or Free TRAM flap
  • Deep Inferior epigastric artery perforator flap
  • Superior gluteal artery perforator flap
  • Inferior gluteal artery perforator flap
  • Transverse upper gracilis flap

Complications

  •  Blood loss
  • Infection
  • Necrosis
  • Hematoma
  • Seroma
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