Reconstruction of a lost part or all of the breast. These are usually multi-stage operations. There are methods of restoring the gland using your own tissues (flaps) from the abdomen or back. They are transferred to the area of the new breast on vascular pedicles or using microsurgical techniques. However, these techniques are very expensive, time-consuming and with a high risk of complications.
Therefore, in our clinic, reconstruction is performed using a specially designed implant expander, which stretches the missing skin and then remains in the tissues for life, completely resembling the lost breast. This technique is the "gold standard" in breast reconstruction worldwide. The next step after any technique is the reconstruction of the nipple and areola.
Lipofilling can be used to bring the restored breast to perfect naturalness or to reconstruct small defects in the gland.
Results of the operation
- Restoration of lost volume after mastectomy
- Prevention of breast cancer
- Psychological self-confidence of women
- The ability to visit public places requiring open clothes without shame
Work examples
Operation time
2-4 hours
Anaesthesia
General
Inpatient
1-2 days
Rehabilitation
7-14 days
Result.
Restored shape and volume of the mammary glands
Why you should do it
- Conditions after breast resections
- A history of breast cancer
- Elimination of asymmetry after unilateral mastectomy
- Social and aesthetic evidence
Contraindications.
- Age under 18, when the mammary glands are not yet fully formed
- Severe diseases of internal organs
- Infectious diseases
- Autoimmune disorders, diabetes mellitus
- Less than a month after stopping chemotherapy and radiotherapy
- Blood clotting disorders, hypertension
- pathologies of haematopoiesis
- Recurrence of cancer
Preparation
- You must quit smoking 4 weeks before the operation
- 3 weeks before the operation, pass all the necessary tests prescribed by the doctor
- Ultrasound of the mammary glands
- MRI and CT scan of the chest area
- An ECG of the heart and a lung x-ray are required
- Additionally, an immunogram and blood for prolactin are taken
- Fully normalise hormonal levels
- Stop taking medications that affect blood clotting
- Before the operation, the doctor takes the necessary measurements, selects breast implants, and discusses the incision site
- The patient comes to the clinic, signs a contract and pays for the operation
- Photographs are taken to compare the results
Operation.
- preoperative marking
- Infiltration of tissues with anaesthetic solution
- Cut according to the markings
- Removal of glandular tissue (in case of simultaneous surgery), haemostasis
- Implant placement in the created cavity
- Suturing of the surgical wound and drainage
- Aseptic and compression dressings are applied
Stages of the operation
- The patient spends 2-3 days in the clinic
- Daily bandaging is carried out
- Sutures are removed on the 7th - 10th day
- Postoperative swelling subsides within 10-15 days
- Compression garments should be worn continuously for 1-1.5 months
- Compression garments should be worn during sports for 1 year
- Prohibition on driving a car and lifting a child weighing more than 10 kg and sleeping on the side - 2 weeks
- You should refrain from physical activity for 1 month after surgery
- Refrain from stressing the muscles of the upper shoulder girdle for 3 months
- Monitoring the position of implants every 3 months in the first year after surgery
Popular queries
Is it possible to perform subcutaneous mastectomy at the patient's request?
With an appropriate medical history and tumour marker values, this operation can be indicated for clinically healthy patients
Is there a guarantee of oncology prevention in case of subcutaneous mastectomy?
The surgery technique involves the removal of 95-99% glandular tissue, which is a sufficient measure of prevention of mammary cancer
Can the lost volume be restored with an implant?
Thus, silicone implants, along with autotissue, are one of the main methods of correcting the shape and volume of the breast.