The replacement of a breast removed for cancer or similar reasons is called “breast
called reconstruction. Today, surgeries that are important in terms of making the patient happy
ranks first among Thanks to the developing new techniques and technologies, it is now possible to apply to the other breast.
very similar reconstructions are possible. Removal of the breast in most patients
Reconstruction can be done immediately after (mastectomy). Performing two surgeries in the same session
it ensures that the patient is missing an operation, and the place of the removed breast tissue is empty
It also supports the patient psychologically. “Postmastectomy” in these patients
Depression that develops after breast removal, called “depression”, is also less common.
Breast surgery after mastectomy is not a simple procedure. There are various options,
The plastic surgeon and the patient decide together which method will be applied.
Who Is This Surgery Suitable For?
In the vast majority of patients who have undergone mastectomy, there is no medical obstacle for this surgery,
In most cases, it can be performed in the same session as a mastectomy.
In some cases, there may be good reasons to delay the reconstruction. Some women have cancer
may not want the reconstruction to be added to the mental and physical burden of the surgery. Extreme
Obese, high blood pressure, or smokers may need to wait. Even if it is to be expected,
Discussing the reconstruction options before the mastectomy improves the morale of the patient who will have the surgery.
will make it better.
Breast reconstruction has no known effect on cancer recurrence. Moreover,
Chemotherapy (drug therapy) or radiotherapy (radiation therapy) that can be done after mastectomy
does not affect.
Delaying the reconstruction will bring more psychological burden. from mastectomy
loss of breast tissue in patients who are not immediately reconstructed after
getting used to the feeling of incompleteness it will bring, and then to the new breast after the reconstruction.
getting used to it causes additional psychological trauma.
As soon as breast cancer is diagnosed, reconstruction alternatives should be considered. the ideal one
Discussion between the general surgeon who will perform the mastectomy and the plastic surgeon who will perform the reconstruction.
It’s up to them to choose the best option for you.
The patient’s general health status, anatomical structure, tissue characteristics and purposes will be determined by the method to be determined.
influences the selection.
Since breast reconstruction is not an aesthetic surgery, many health insurance
cover all or at least some of the costs.
Breast reconstruction surgery can sometimes be performed in two sessions instead of a single session.
Reconstructions Using Tissue Expansion and Breast Prosthesis
It is the most common breast reconstruction option. This surgery implants (breast prosthesis)
is done using Prostheses are materials that are filled with silicone gel and have a silicone sheath outside. First
In addition to the methods in which tissue expander is applied in the session and silicone prosthesis is placed in the second session,
Nowadays, breast implants that can both expand tissue and replace prosthesis
Thanks to this, the transaction can now be completed in a single session. Expansion of tissue after surgery
It may take 2-3 months, and at the end of this period, the newly made breast reaches its real size. Tap this time
the time required for expansion. Nipple and surrounding dark part (nipple-areola)
It can also be done in another session that can be performed under local anesthesia. Some
breast skin in patients may remain in sufficient amount after mastectomy, in this case the tissue
There is no need for enlargement, the procedure is completed in a shorter time with simpler prostheses.
Reconstructions with Tissue Transfers
With the transfer of tissues prepared from areas such as the abdomen or back to the breast area,
reconstruction is possible.
Tissue transfer can be done in two ways. The main nutrition from one end of the tissue to be transferred in one type
transferred to its place. In the other, tissue containing skin, fat and muscle is transferred freely and
where it is transferred, the veins are repaired again. For this second method, the plastic surgeon’s breast
In addition to the necessary experience for reconstruction, microsurgery should also be mastered.
Breast prosthesis is not used in repairs made with tissue transfer, the newly made breast
The patient’s own tissues provide fullness.
Depending on the type and duration of the surgery, the patient stays in the hospital for two to five days.
must. Stitches are usually removed within two weeks of surgery. to normal activities
It may take up to a month to return. This period is longer in reconstructions made with prosthesis only.
The newly made breast tissue has exactly the same shape and characteristics when compared to the other one.
may not be. The goal is to achieve as similar a result as possible. But this minimal
changes will be perceived only by you and not by those around you.
Breast reconstruction surgery affects patients both in their appearance and in their outlook on life.
It is an operation that makes significant changes. breast in the United States
In a study conducted in patients who had undergone reconstruction, 98% of the patients had the same problem.
They stated that they would want to have breast reconstruction if they met.
Surgery to the Other Breast
In order to achieve better symmetry, the opposite breast is also applied with breast reconstruction.
can be intervened in the session. The other breast to ensure compatibility with the newly made breast.
can be reduced, enlarged or erected. Some high-risk people who have had breast cancer surgery
breast prosthesis by evacuating the breast tissues in the contralateral breast even if patients do not have cancer
applicable. Thus, the risk of developing cancer in the other breast in the future is eliminated.
It is possible.