Reconstructive Surgery

Breast Reconstruction

With advancements in diagnostics and more effective management of breast cancer, more and more women decide to add breast reconstruction to their treatment.

There are a number of methods to reconstruct a breast lost as a result of mastectomy, injury or a congenital defect. Most frequently the procedure involves implantation of a breast prosthesis following preparation of the tissues using a tissue expander or using additional tissue transferred from other body areas.

 

Usually, the reconstructed breast is slightly smaller than the healthy breast. Therefore, breast symmetrisation is required which is the second stage of reconstruction. For this purpose, the second breast needs to be reduced or lifted. The last stage of the process is the reconstruction of the nipple / areola complex.

Breast reconstruction with an implant

The method consists in inserting a silicone breast implant under the pectoralis major muscle. The insertion may be performed simultaneously with mastectomy or as a separate procedure.

 

Most common indications:

  • preventive mastectomy;
  • bilateral reconstruction;
  • small breasts;
  • good tissue quality.

Main advantages:

  • short procedure;
  • quick recovery;
  • possibility to perform a simultaneous reconstruction.

Breast reconstruction with a tissue expander and implant

The method has two stages. During the first surgery, a tissue expander is implanted in the place of the removed breast and, by inflating gradually, it enables tissue expansion. After a suitable volume has been reached, the expander is replaced with a silicone breast prosthesis.

 

Most common indications:

  • preventive mastectomy;
  • bilateral reconstruction;
  • small breasts;
  • good tissue quality.

Główne zalety:

  • short procedures;
  • quick recovery;
  • possibility to perform a simultaneous reconstruction;
  • possibility to obtain a desired size of the reconstructed breast.

Breast reconstruction with a latissimus dorsi flap

This method is dedicated for radiotherapy patients. It consists in replacing the tissues damaged by radiotherapy with a used together with a fragment of the skin from the back. Covering of the silicone breast prosthesis with such skin fragment gives a good aesthetic result.

 

Most common indications:

  • past radiotherapy;
  • extensive post mastectomy scars;
  • lack of suitable coverage for the breast implant.

Main advantages:

  • short procedures;
  • quick recovery;
  • possibility to obtain a desired size of the reconstructed breast.