Breast reconstruction’s goal is to reconstruct an amputated breast after cancer surgery, using an implant, a flap, or a combination of both.
Breast reconstruction is basically done in three stages. 1 volume reconstruction, 2 nipple reconstruction and 3 areola reconstruction.
- Volume reconstruction is made either with:
a. An implant when local cutaneous laxity is sufficient
b. An expanding period when cutaneous laxity is insufficient. The expander is progressively pumped up during a few weeks and an implant can be put in place sufficient skin laxity is obtained
c. A musculocutaneous dorsal flap can be used with or without an implant.
d. A musculocutaneous abdominal flap
2. Nipple reconstruction can be done with a local flap or a graft. During this procedure it is possible to symmetries the remaining breast with a reduction or lifting technique.
3. Areola reconstruction is done with a tattoo.
Postoperative care varies with the different techniques described. Basically the simpler the procedure, the shorter and easier the recovery.
Whatever the procedure chosen you are seen regularly in consultation