Breast reconstruction surgery is a surgical procedure that aims to rebuild the shape and appearance of a breast after a mastectomy (removal of the breast) or lumpectomy (removal of a portion of the breast). The surgery aims to restore the natural shape and size of the breast, as well as the nipple and areola (the dark area around the nipple).
Several different techniques can be used for breast reconstruction surgery, including using a breast implant, tissue from another part of the body (such as the abdomen or back), or a combination of both. The type of reconstruction best for a particular patient will depend on factors such as the patient's overall health, the size and shape of the breast, and the patient's preferences.
Breast reconstruction surgery can be done at the same time as the mastectomy or lumpectomy (immediate reconstruction) or a later date (delayed reconstruction). Many women choose to have breast reconstruction after a mastectomy to improve their body image and self-esteem, but it's not necessary for everyone. Some women choose not to have the surgery, while others may not be good candidates due to health or other factors. Women need to discuss the pros and cons of breast reconstruction with their surgeons and make the decision that is best for them.
A good candidate for Breast Reconstruction Surgery
The patient must have completed the therapy for breast cancer
The patient needs to revise the breast scar that causes a burn or accident.
No previous radiation on the breast areas
Stop smoking
No active connective tissue diseases such as SLE, Rheumatoid disease, and scleroderma
Kamol Cosmetic Hospital offers two main options for Breast Reconstruction.
Reconstruction with implants: The surgeon inserts a silicone gel or saline-filled prosthesis inside the cavity under the muscle. Before inserting the implants, the surgeon may use a tissue expander technique for fragile skin and scarring.
Reconstruction with flaps: Kamol Cosmetic Hospital offers a variety of flaps for breast reconstruction as follows:
TRAM flap (Transverse rectus abdominis muscle flap): the surgeon uses the skin, parts of the rectus muscle, and fat below the umbilicus with the vascular pedicle. Then, it moves to the breast area. This technique is the most reliable, but the patient will lose parts of the rectus muscle and might have a weakness in the abdominal wall.
DIEP flap (Deep inferior epigastric perforator flap): The surgeon uses skin and fat without muscle and then moves to the breast area with a microsurgery technique. This method can preserve the abdominal muscle function but takes risks of vessel thrombosis with microsurgery.
Other flaps, such as the LD-flap (latissimus dorsi flap), may be used as alternative flaps depending on the patient's preference and other limitations.
Preparation for Breast Reconstruction Surgery
Consult with the surgeon about your goals, lab test, and medical evaluation
Stop smoking at least two weeks before and after surgery
Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements that may increase bleeding
Post-operative Care for Breast Reconstruction Surgery
Reconstruction with implantation
Keep bandage for 7th days after surgery
Remove stitches on the 7th day
The patient may need breast massage depending on the type and shape of the implants.
The nipple and areola reconstruction can be reconstructed in the second stage.
Reconstruction with flaps: the patient needs more specialized care.
If a pedicled TRAM-flap is used, the patient needs to maintain light activity for at least two weeks after surgery.
For DIEP flaps with the microsurgery technique, the patient needs hospitalization for at least seven days and limited activity for four weeks.
Risks and Complications for Breast Reconstruction Surgery
Flap loss: The surgeon will use the most reliable flap for each patient. However, in some situations and individual cases, the patient might need better wound healing and more blood supply due to the previous treatment.
Delayed wound healing: mainly occurred in case of fragile skin
Loss of breast sensation
Bleeding, hematoma, and seroma
Surgical wound infection
Abdominal wall weakness/Loss of sensation at the donor site
Unfavorable results: The patient might notice the new breast's unequal, symmetric, or unnatural look, particularly in flap reconstruction.
Recovery from Breast Reconstruction Surgery
The recovery of breast reconstruction varies depending on the surgical technique performed.
The patient who has reconstruction with the implants needs two weeks for the recovery time
If a tissue expander is used, the patient needs to expand the pocket by gradually increasing the volume for about 4-6 weeks before inserting the implants. The patient will need to stay longer than with simple implantation.
The patient who has undergone reconstruction with flap needs to stay for the recovery around 2-4 weeks.
The patient who has undergone the flap technique must wait 6-12 months for secondary nipple-areola reconstruction.
How to recover from Cancer-Related Breast Reconstruction Surgery?
Recovering from cancer-related breast reconstruction surgery can take several months. The specific recovery process will depend on the type of surgery you had, but generally, it's important to follow your surgeon's instructions for post-operative care, which may include:
Resting and limiting physical activity: You may need to avoid strenuous activities and heavy lifting for several weeks after surgery.
Incision care: Your surgeon will give you instructions on how to care for your incisions, which may include keeping them clean and dry and changing bandages as directed.
Pain management: You may experience some pain and discomfort after surgery, and your surgeon may prescribe medication to help manage it.
Monitoring for complications: It's essential to monitor for signs of infection, bleeding, or other complications and to contact your surgeon if you notice anything unusual.
You may also need to attend follow-up appointments with your surgeon to monitor your recovery and address any issues that may arise. Additionally, taking care of your overall health is important, as is eating a balanced diet, getting enough rest, and avoiding smoking and excessive alcohol consumption.
Physical therapy or occupational therapy may be recommended to help restore range of motion, strength, and function.
It's also important to seek out support from friends and family, as well as professional support groups, to help cope with the physical and emotional effects of breast cancer surgery.
Video : Testimonials of Breast Reconstruction Surgery
How can Kamol Cosmetic Hospital assist you in obtaining attractive breasts following Cancer Related Breast Reconstruction?
Kamol Cosmetic Hospital is a specialized facility offering various cosmetic surgery services, including breast reconstruction after cancer treatment. The hospital has a team of experienced and skilled plastic surgeons who use advanced surgical techniques to help women achieve a more aesthetically pleasing appearance after undergoing mastectomy or lumpectomy.
Breast reconstruction after cancer is a multi-step process that can involve one or several surgeries and may take several months to complete.
"The reconstruction process is personalized to meet each patient's unique needs and goals. The surgeons at Kamol Cosmetic Hospital work closely with patients to determine the best approach to achieve their desired results."
One of the most popular breast reconstruction techniques offered at Kamol Cosmetic Hospital is implant-based reconstruction. This involves placing a breast implant in the breast to restore its shape and volume.
In addition to breast reconstruction, Kamol Cosmetic Hospital also offers a range of breast enhancement procedures, including breast augmentation, breast lift, and reduction. These procedures can help women achieve their desired breast shape and size and enhance their overall self-confidence and body image.
In conclusion,
Kamol Cosmetic Hospital can help you achieve beautiful breasts after cancer-related breast reconstruction by offering a range of advanced surgical techniques and a personalized approach to care. The hospital's experienced plastic surgeons will work with you to determine the best approach to meet your unique needs and goals and help you achieve a more aesthetically pleasing appearance.
Frequently Asked Questions
A: Breast reconstruction is a surgical procedure that recreates the shape and appearance of a breast that has been removed due to mastectomy, lumpectomy, or due to other reasons. It's a powerful option for women who have undergone breast cancer surgery or those who have experienced breast asymmetry, congenital deformities, or trauma.
Breast reconstruction can help restore body image, confidence, and improve overall quality of life.
A: There are two main approaches to breast reconstruction:
Implant-based reconstruction:This involves using silicone or saline implants to create the breast mound.
Autologous reconstruction:This utilizes tissue from your own body, such as from your abdomen, back, or thighs, to reconstruct the breast.
The choice of technique depends on a number of important factors, including your body type, overall health, and personal preferences.
A: Breast correction surgery encompasses a range of procedures designed to address various concerns related to breast size, shape, and symmetry. These procedures can include:
Breast reduction:Reduces the size and weight of overly large breasts.
Breast augmentation:Increases breast size using implants or fat transfer.
Mastopexy (breast lift):Lifts and reshapes sagging breasts.
Nipple correction:Corrects inverted or protruding nipples.
Asymmetry correction:Addresses differences in size or shape between the breasts.
A: Ideal candidates for these procedures are typically:
In good overall health.
Non-smokers.
Have realistic expectations about the outcome.
Are motivated to improve their body image and confidence.
We recommend scheduling a consultation with one of our experienced surgeons at Kamol Cosmetic Hospital. They can then assess your individual needs and discuss your goals in order to determine the most suitable procedure for you.
A: Breast reconstruction can be performed at different times:
Immediate reconstruction:Performed at the same time as the mastectomy itself.
Delayed reconstruction:Performed months or even years after the mastectomy.
The timing of reconstruction can vary depending on your overall health, cancer treatment plan, and your personal preferences.
A: Implant-based reconstruction offers several advantages:
Shorter surgery and recovery time:Compared to autologous reconstruction.
Less extensive scarring:As it typically involves smaller incisions.
Predictable outcome:Provides a consistent and well-defined breast shape.
Natural feel and appearance:The reconstructed breast is made from your own tissue, providing a more natural look and feel.
Long-lasting results:The reconstructed breast will age naturally with your body.
Reduced risk of complications:Such as capsular contracture, which can occur with implants.
A: Recovery times will vary depending on the specific procedure and a number of individual factors. You can generally expect:
Some swelling, bruising, and discomfort, which can easily be managed with medication.
To wear a supportive bra or compression garment in order to aid the healing process.
To limit any overly strenuous activities and heavy lifting for several weeks.
To attend follow-up appointments in order to allow your surgeon to monitor your progress.
Please rest assured that our team at Kamol Cosmetic Hospital will provide you with a detailed post-operative plan and support you throughout your recovery process.
A: As with any surgical procedure involving incisions, there will likely be some scarring. However, our skilled surgeons use the latest and most advanced techniques in breast surgery and will make every effort to minimize scarring and place incisions in discreet locations.
Over time, these scars will begin to fade and become less noticeable.
A: The ability to breastfeed naturally after breast reconstruction depends on the specific technique used and the extent of the surgery itself.
We strongly advise that you discuss your breastfeeding goals with your surgeon during your initial consultation – as this can influence the techniques used during the procedure.
A: The cost of these procedures can vary quite a bit depending on the overall complexity of the surgery itself, the type of reconstruction techniques performed, and whether any additional procedures are needed.
During your initial consultation, and before you make any final commitments, our team will provide you with a detailed, accurate, and personalized quote.
A: Kamol Cosmetic Hospital is a leading provider of plastic surgery in Bangkok, Thailand. When you choose us, you can expect:
Highly experienced and well-trained surgeons:Our surgeons are well-versed in the latest breast reconstruction techniques and have a proven track record of success.
World-class facilities:Our hospital is well-equipped with advanced technology and we provide a safe and comfortable environment for your surgery.
Personalized care:We tailor each treatment plan to your individual needs and aesthetic goals.
Comprehensive aftercare:We’ll provide you with thorough post-operative care and support to ensure a smooth and successful recovery.
Excellent reputation:We are committed to patient satisfaction and delivering natural-looking, beautiful results.
A: If you wish to schedule an initial consultation with one of our expert surgeons, please do not hesitate to contact usthrough our website, via email, or by phone.
We can then answer any further questions you may have and help you take the first step towards achieving your breast reconstruction goals.
