Can reconstructive surgery be performed after breast surgery?
Modern medicine is very advanced and breast reconstruction is perfectly possible.
What is the value and significance of breast reconstruction surgery?
Covering difficult to heal wounds and repairing breast shape defects. Restoring women’s confidence, physical and psychological treatment.
Which patients need breast reconstruction?
1.Patients whose breasts have been completely or partially removed after breast cancer surgery, resulting in breast deformity.
2.Patients who have difficult to heal wounds and radioactive ulcers after breast cancer surgery and radiotherapy.
3.Patients with difficult to heal trauma due to diabetes and other factors that cause incision not to heal after breast surgery.
4. Patients with congenital unilateral or bilateral breast dysplasia or agenesis.
Introduction of common methods of breast reconstruction surgery and their advantages and disadvantages
1, the expansion of the skin after the placement of breast prosthesis breast reconstruction surgery.
Advantages: simple surgery, easy to operate, short surgery time.
Disadvantages: long expansion time, requires two operations, not suitable for difficult to heal wounds, poor postoperative feel, poor shape, can not tolerate high doses of radiotherapy and breast implant infection, exposure, rupture, leakage, deformation, pericardial contracture, poor postoperative drape.
2.Breast reconstruction with a tipped latissimus dorsi flap transfer and then placed into the breast prosthesis.
Advantages: the volume of the reconstructed breast is sufficient, the shape is good, and the refractory trauma can be eliminated.
Disadvantages: poor drape and scarring on the back after surgery. Postoperatively, it affects the motor function of the shoulder and back.
3, free transverse lower abdominal flap transfer to reconstruct breast free transverse lower abdominal flap breast reconstruction (free DIEP breast reconstruction).
Advantages: the volume of the reconstructed breast is sufficient, the color is similar to the breast, the shape is good, the texture is soft, the drape feels good, and the fat loss of the abdomen does not affect the function after the operation The damage to the donor area is very small. It can tolerate normal radiotherapy after surgery.
Disadvantages: need to anastomosis small blood vessels, the operation is more difficult.
With the continuous development of micro surgery technology, the risk of this surgery has been greatly reduced and more and more patients are undergoing this surgery to recreate their breasts using excess fat and flab from the waist and abdomen, thus obtaining a breast with elasticity and three-dimensional beauty. Free DIEP breast reconstruction is also recognized as the most effective breast reconstruction with minimal damage to the donor area.
Timing of breast reconstruction
There are two types of breast reconstruction: (1) immediate first-stage breast reconstruction after excisional surgery and (2) second-stage breast reconstruction after chemoradiotherapy and healing of the surgical wound.
Immediate first-stage breast reconstruction can be considered after resection of benign tumors or small non-metastatic malignant tumors.
After the removal of malignant tumors in the breast, it is usually necessary to undergo chemoradiotherapy and wait for at least one year after the tumor has stabilized without recurrence before undergoing stage II breast reconstruction.