(General Information)
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Body Parts: Breasts
Anesthesia: Depends on the doctor and the case
Surgery time: Depends on each case
Clinic stay: On average, 24-48 hours
Scar: Less visible as possible
Pre-operative: Lab exams and mammogram
Post-operative: Bandage in the shape of a bra during the first 24 hours after surgery; avoid sleeping "face-down" for 10 days after surgery
Recuperation period: On average, 10-20 days
Results duration: Variable
Breast Reconstruction is a procedure that provides new breasts to women that lost a breast due to cancer or other condition. It improves self-image and self-confidence. After the procedure, it is possible to obtain a relatively natural-looking breast. However, a reconstructed breast will never look or fell the same as the original one. Your surgeon will be able to describe expected results to you.
First of all, it is important to remind that you should do it for yourself, not because of someone else or looking for an ideal image. For a successful procedure you should have a positive outlook and realistic goals about the procedure. Besides, you must not have additional medical conditions or other illnesses that could interfere in healing; and also, be able to cope well with your diagnosis and treatment.
The breast reconstruction can begin at the same time as mastectomy (removal of the whole breast), or it can be delayed and done after recovering and healing from other treatments. It is extremely important to be emotionally ready for the big change of a whole new breast. [ Top ]
Most women that go through a breast reconstruction say that it has helped them to restore their natural appearance and sense of wholeness. They say it also improves appearance and self-confidence and quality of life.
It is important to say that a reconstructed breast will not have the same sensation and feel as the original one. The incision lines will be visible on the breast, and you must know that maybe your scars would be in exposed areas of the body.
If only one breast is reconstructed, it is recommended that the other one gets a breast lift, reduction or augmentation, to improve the final result. [ Top ]
For a Breast Reconstruction, it can be chosen between intravenous sedation and general anesthesia. In case of general Anesthesia, you will sleep through the entire operation. If the option is intravenous sedation, sedatives will be injected to help you relax. The best anesthesia method depends on your individual case and what your doctor is recommending. You will decide with him what is better for you. [ Top ]
The technique used depends on each patient case, but the most common one is called Tissue Expansion Technique. It combines a gradual expansion of chest tissue with breast implants. A balloon expander is also inserted beneath the skin and inflated with injections of salt-water solution for a few weeks. When the breast area is sufficiently stretched, the expanded is removed and replaced with a permanent implant.
Another technique is the Flap Reconstruction Technique. A skin flap is created using some tissue taken from another part of the body, like abdomen or back. The flap can be used to create a pocket for and implant or to build up a breast mound. This procedure allows women to have mastectomy and breast reconstruction in one surgery, instead of multiple surgeries.
The last step is the reconstruction of the nipple and areola. It can be done through several techniques. [ Top ]
Your incisions will be covered with gauze or bandages and an elastic bandage or support bra will support the reconstructed breast and minimize swelling as well. It may happen that a small and thin tube is placed under the skin to drain the excess of blood or fluid.
The healing process usually takes some weeks and over time swelling decreases and breast shape and position improve. It is extremely important to continue following your plastic surgeons instructions, even after recovery, and to attend follow-up visits when needed.
Also over time, some breast sensation may return and scar lines may get more discreet. Most women that go through this surgery procedure say that the trade-offs are nothing when compared to the improvement in their quality of life. To long-term health, it is important to keep monitoring breast health through self-exam, mammography and other diagnostic techniques. [ Top ]
Just like any surgery procedure, there are some risks. It is important to ask your plastic surgeon everything you would like to know and share with him all your feelings and fears.
Remember that, for long lasting results, it is important to maintain your weight and keep a healthy lifestyle.
In some situations, it is necessary to have additional surgery to achieve better results. It is also extremely important to follow your physician’s instructions, ensuring best results. The incisions should not be subjected to excessive force, abrasion or motion during the healing process.
And also, Breast implants do not impair breast health. You can find further information about implants at www.breastimplantsafety.org
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