What is breast reconstruction?

Whether you have undergone lumpectomy, radical mastectomy or mastectomy, you may lose a portion of the breast or an entire breast due to cancer. At Cutis, expert cosmetic surgeons can rebuild your breasts through post cancer breast reconstruction surgery.

Types of Breast Reconstruction Surgery

  • Implant reconstruction
  • Autologous ‘flap’ reconstruction
  • Reconstruction using a combination of implant and tissue flap

Benefits of Breast Reconstruction Surgery

At Cutis, your breasts are rebuilt via breast reconstruction surgery whilst maintaining their natural shape/droop/size following radical mastectomy/mastectomy/lumpectomy.

Post Cancer Breast Reconstruction procedure

Steps of surgical procedure depends on the type of breast reconstruction surgery; 

  • Implant reconstruction
  • Autologous flap reconstruction
  • Combined method (Implant + Flap)

Recovery

The recovery period also depends upon the surgical procedure for breast reconstruction. You may need to stay at Cutis hospital for one day or for several days, depending upon the extent of surgical procedure.

Aftercare 

At Cutis, a plastic surgeon will advise you about showering, bathing, and wound care on the day of discharge.

Why Cutis Hospital for breast reconstruction? 

At Cutis,

A team of skilled & experienced surgeons

  • They can determine what type of post cancer breast reconstruction surgery will be ideal for you after having a detailed conversation regarding the outcome of the procedure and your personal choice.

Expert nursing staff

  • Provide adequate perioperative and postoperative care.

Advanced surgical tools and sanitized set-up/tools

  • Ensure the best possible outcome whilst eliminating all possibilities of infection.

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    Get the Shape You Want: Your Guide to Breast Surgery

    Before and After Surgery

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    FAQ's

    Yes. At Cutis, we can reconstruct your breast using either breast implants or tissue flaps (autologous flaps) from your body.

    • When using an implant for breast reconstruction, we use either saline or silicone-gel implant after discussing the advantages and disadvantages of both implants in details with a patient.
    • When using autologous flaps, our surgeons will harvest the tissue flaps from different parts of your body. A variety of factors are considered and discussed before harvesting the flaps.

    A cosmetic surgeon will talk to you regarding different methods of breast reconstruction and regarding the suitability of a particular method based upon your unique conditions. A surgeon may consider the following factors to determine the suitability of a method for breast reconstruction.

    • Patient’s overall health condition and other problems 
    • Health of the tissue at the expected site of reconstruction
    • Volume of tissue to be removed during lumpectomy/mastectomy/radical mastectomy
    • Possibility of radiation therapy
    • The amount of muscle and fat available for reconstruction
    • Shape and size of a patient’s body
    • Shape and size of the opposite breast if it is unaffected

    Implant based breast reconstruction can be performed immediately or a few months after the mastectomy or radical mastectomy. There are three types of reconstruction surgery using breast implants.

    Immediate Reconstruction

    • Simple procedure

    A surgeon inserts an implant in front of the chest muscle or under the muscle.

    This procedure is suitable in the following scenarios.

    The cancerous tissues have been removed without taking away a lot of skin.

    The remaining breast is not large and does not have a significant droop.

    • Complex procedure

    A surgeon may use a dermal sling to provide additional support to the implants if you have large breasts.

    A dermal sling is made from your own tissue that is harvested from the lower half of the breast.

    Delayed Reconstruction

    A delayed breast reconstruction is suitable in the following scenarios. 

    • A patient is supposed to undergo radiation therapy and immediate reconstruction is not possible.
    • A patient wants the reconstruction to be performed after the healing of scars due to mastectomy/radical-mastectomy.

    In this scenario, a permanent/temporary tissue expander is placed in order to preserve the empty space. The tissue expander is placed behind the chest muscle at the time of mastectomy.

    • Radiation Therapy
      • Permanent Expander

    A surgeon does not inflate the expander until the completion of radiation therapy.

    It is inflated gradually over time using a port attached to the implant.

    The implant is filled with a saline solution every one- or two-weeks’ time.

    A patient may feel a little tightness or stretching sensation due to expansion of muscle or overlying skin.

    The expander is inflated until the new breast is slightly larger than the remaining breast.

    The port is taken out later under local anesthesia.

    • Temporary expander 

    A small operation is performed after the radiation therapy to remove the expander and port.

    It is replaced with a permanent implant that is in the final breast shape of a patient

    • Healing of Scar

    The aforementioned steps are performed depending upon the type of expander if a patient wants to wait for the healing of scar before reconstructing the breast.

    A surgeon may use the flaps of your own tissue along with the skin, fat and muscle for the reconstruction of breast.

    • Pedicled flap

    Flap remains attached at one end to the blood vessels.

    Hence, the blood supply to the muscle remains intact.

    • Free flap

    A flap is fully detached from the body along with the blood vessels

    It is reattached through microsurgery in the position of reconstructed breast

    Types of flaps depending upon the site wherefrom the flaps have been harvested – 

    • LD Flap

    A large muscle that remains in the back, below the shoulder blade, is used as a flap.

    • DIEP Flap

    A free flap that contains skin and fat and is devoid of any muscle

    • TRAM Flap

    Rectus abdominis muscle is used to create this flap

    The skin is removed transversely

    • SIEA Flap 

    The skin and fat from the lower abdomen are used without removing any muscle.

    Superficial vessels are harvested.

    • SGAP or IGAP Flap

    Fat and skin are harvested from the upper or lower buttock to develop a flap.

    • TMG Flap

    Tissue is harvested from the upper inner thigh

    It consists of skin, fat and a strip of muscle

    The complications of post cancer breast reconstruction surgery vary depending upon the surgical method.

    Immediate Complications

    • Excessive bleeding
    • Infection
    • Accumulation of fluid/blood
    • Bruising
    • Pain and discomfort

    Long-Term Complications

    • Capsular contracture

    Tough fibrous tissue may build up around the implant and form a ‘capsule’

    It happens if your body regards an implant as a foreign object and wants to isolate it.

    • Rupture of a silicone implant and leakage of silicone gel into the fibrous capsule
    • Wrinkling of the skin over an implant
    • Development of hernia wherefrom the tissue has been harvested
    • Loss of sensitivity of the reconstructed breast
    • Fat necrosis 

    Formation of lump in the reconstructed breast if the area of fatty tissues is damaged or blood supply is inadequate

    • Soreness/bruising/swelling for 2-3 weeks
    • Showering/bathing as per a cosmetic surgeon’s instruction
    • Changing dressing/bandages at home
    • Return to normal activities within 6-8 weeks after the surgery
    • Avoid strenuous activities for several weeks after the surgery 
    • Feeling of numbness at the site of reconstruction and wherefrom the tissue has been harvested
    • Reconstructed breast’s shape improves gradually
    • Annual mammogram

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