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Fain. Colectiv tânăr și răbdător. Doamnele de la recepție deși interacționează cu sute de persoane zilnic, sunt de fiecare dată pline de zâmbet și amabilitate. Mulțumesc mult doamnei doctor Zecheru pentru bunătatea, calmul și promptitudinea de care dă dovadă. Un doctor bun care inspiră încredere.🙂
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Breast reconstruction is a reconstructive procedure to reform or reshape the breast(s) after a mastectomy or lumpectomy. A mastectomy is a surgical procedure that removes the entire breast, usually including the nipple and areola, in order to treat or prevent breast cancer, while a lumpectomy is the removal of a piece of the breast where there is a smaller tumor. This reconstruction process can help a woman find her self-confidence again and feel better during her cancer recovery.
Breast reconstruction can be performed right after breast cancer surgery (immediate reconstruction) or months or years later (delayed reconstruction). The procedure might be performed to reconstruct both breasts or to replace/reshape one breast to match the other.
There are two main types of breast reconstruction: flap reconstruction (autologous/skin flap surgery) and tissue expander (implants/prosthetics). There are many factors that determine what kind of breast reconstruction surgery would best suit an individual, such as your body type, the type of mastectomy, and the cancer treatments you had.
The procedure for flap reconstruction and tissue expander differs from each other. Both begin with anesthetizing the patient so that she may not suffer from pain and discomfort during the surgery. After this, the procedures go as follows:
Flap reconstruction: in this technique, a tissue flap is taken from a donor site of your body, such as the abdomen, thighs, buttocks, or back. The flap is grafted at the place of your breasts. Its blood supply can be taken from the donor site, or it can be cut off from there, and a new supply is established. In both cases, the nutrition of the flap is not disturbed. Stitches are applied, drainage tubes are inserted to drain excess fluid or blood from the site, and bandages are applied over it.
A tissue expander (breast implant): this is the most common technique used worldwide. A synthetic implant is inserted under the pectoralis major muscle. Silicone implants are most commonly used. Animal dermal grafts are used to cover the site to give it a more aesthetic appearance. Within a few months, saline solution is injected to expand the tissue until it reaches the appropriate size.
Following these surgeries, other procedures can be carried out to reconstruct a nipple. A nipple prosthesis is used to restore the normal physical appearance of your breasts.
The actual procedure and time needed in the operation theatre differ for the two types of breast reconstructive surgeries mentioned above, with the breast implant procedure taking less time as compared to flap reconstruction. One or two days of stay in the hospital is needed after tissue expander surgery. While after flap reconstruction, you might need two or three days stay at the hospital. Follow-ups are needed for both of these procedure. You should stay in Romania for at least 14 days after the surgery. During this period, your health condition is monitored, stitches and drainage tubes are removed and you can go home when allowed by your physician.
Your period of recovery depends upon the type of reconstructive surgery you have. A couple of weeks are needed by most of the women to recover. There is swelling and soreness around the site in the first week. This continues to reduce and ultimately, after 8 weeks you should start to see signs of a full recovery. Medicines are given to relieve pain and discomfort. You will need to take 2-3 weeks off work. On average, 3-4 weeks are needed to recover from tissue expander surgery and 4-6 weeks for flap reconstructive surgery. Wear surgical bras to support your reconstructed breasts while you are recovering. Regular activities can be restarted after 2 months. Almost 1-2 years are required to get the proper shape and for the scars to fade away.
The following points should be considered post-operation:
Breast reconstruction surgery has a high success rate, with complications usually only occurring in case of infection or a blood clot formation. According to a study by the American Society of Plastic Surgeons, the success rate is found to be 98% in the case of flap reconstruction surgery. While for tissue expander surgery has a success rate within the region of 94-96%. Owing to its tremendous success rate, the percentage of women going through the surgery is increasing day by day.
It's important to remember, however, that any surgical procedure come with risks and side effects. These may include infection at the surgery site, itching, pain and discomfort, tingling, numbness, or fluid collection under the wound. If you see any fluid leaking from incision sites, experience increased pain or swelling, notice a change in color in the scar area or the breast, or you have a fever above 100° Fahrenheit/37.7° Celcius, be sure to contact your doctor right away.
For an in-depth analysis of the Tissue Expander process, watch this short video.
Surgery should never be the first option. Other options should always be considered before opting for it. Following are some alternatives to breast reconstruction surgery:
Whilst the information presented here has been accurately sourced and verified by a medical professional for its accuracy, it is still advised to consult with your doctor before pursuing a medical treatment at one of the listed medical providers. This content was last updated on 24/02/2022.