Reconstructive surgery for breast

Surgery to remove your healthy breast contralateral prophylactic mastectomy can double the risk of surgical complications, such as bleeding and infection. The decision to have breast reconstruction is a very personal one. Tissue expansion During tissue expansion, a balloon inserted under your chest muscle is gradually filled with saline over a period of several weeks or months. Chemotherapy stops the body from being able to heal itself so well. Mastectomy may be used to reduce the risk of breast cancer developing in women with a high risk of breast cancer.
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Reconstructive Breast Surgery & Procedures

There is significant scarring at the donor site and when muscle is used it may result in weakness at the donor site, but the use of natural tissue results in a breast which has a more natural look and feel. You will need radiotherapy to this remaining breast tissue to reduce the risk of the cancer coming back. The implant is placed under the pectoral muscle and is usually supported by a dermal matrix which supplements the strength and thickness of the mastectomy skin flaps and forms a supportive scaffolding to help hold the implant in place. When to have reconstruction Most women who opt for breast reconstruction have it done at the same time as the initial surgery. Surgeons talk to each patient about options to help her make the best decision based on her health, future breast cancer treatments, projected recovery time, body shape, and other factors. There are several surgical ways to reconstruct a breast, some relatively simple, some quite complicated.
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About breast reconstruction | Breast cancer surgery | Cancer Research UK

Autologous reconstruction involves transferring soft tissues skin, fat from other areas of your body to the chest area. No one can ever take that away from you. In a pedicle TRAM flap procedure, the surgeon cuts a section of skin, muscle, fat and blood vessels from your abdomen, tunnels the tissue underneath your skin to its new location, and uses it to form a new breast mound. Implant Reconstruction This involves inserting a silicone breast implant underneath the skin and the muscle of the chest wall after the breast tissue has been removed. This also helps reduce scar tissue formation around the implant. The aim of this procedure is to restore a balanced and normal look in your bra and clothes; however the resulting breast "mound" usually has no nipple and it's not possible for the surgeon to restore sensation to your breast. Its removal from the back may reduce the ability to perform strenuous overhead activities with your arms.
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Your plastic surgeon may discuss the pros and cons of surgery on your opposite breast, even if it's healthy, so that it more closely matches the shape and size of your reconstructed breast. If you've had only one breast reconstructed, you'll need to have screening mammography done regularly on your other breast. Depending on the type of surgery performed, recovery in hospital is usually between 2 — 7 days requiring a further weeks to heal. Choosing No Reconstruction Prosthetics: Consult a plastic surgeon who's board certified and experienced in breast reconstruction following mastectomy.
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