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About the procedure Breast Reconstruction

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Disclaimer:

The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual’s genetics, diet and exercise. Some images may have the patient’s tattoos, jewellery or other identifiable items blurred to protect patient identities.

Our Philosophy on Breast Reconstruction

The surgeons who operate at AR Plastic Surgery have many years of experience performing breast reconstruction procedures and take great pride in aiming for results that align with the aesthetic expectations discussed with each patient. Their skill and dedication help ensure that both medical and personal goals are met.

We focus on providing personalised surgical solutions that cater to each patient’s unique needs. We believe in empowering patients through comprehensive education and support throughout the decision-making process. By fostering open communication, we help patients navigate the complexities of reconstruction, ensuring they feel informed and comfortable with their choices.

Every patient’s treatment plan is tailored to their medical history, cancer treatments, and personal preferences. We carefully consider factors such as the stage of cancer, ongoing or completed treatments like radiation or chemotherapy, and the patient’s physical health to determine the most appropriate timing and method for reconstruction. By balancing aesthetic goals with medical considerations, we create a comprehensive plan that supports the patient’s overall well-being and intended outcome.

Different Methods of Breast Reconstruction

Implant-Based Reconstruction

This method involves using breast implants to recreate the breast shape. Implants can be filled with either silicone or saline, and the choice depends on the patient’s body type, preferences, and aesthetic goals. In many cases, a tissue expander is used initially to gradually stretch the skin and create enough space for the permanent implant.

Autologous or Flap Reconstruction

Autologous reconstruction uses the patient’s own tissue from another part of the body, such as the abdomen, back, or thighs, to form a new breast. This technique, known as flap surgery, includes various methods like the TRAM flap, DIEP flap, or latissimus dorsi flap, depending on the donor site. Flap reconstruction may be suitable for patients who prefer not to use synthetic implants.

Combination Reconstruction

This approach combines both implants and autologous tissue to provide breast volume. By using an implant for structural support and adding tissue from areas such as the abdomen or back, this method offers flexibility in adjusting the overall breast appearance, particularly when the patient’s tissue alone is insufficient. This technique can be suitable for patients seeking the support of an implant along with the adaptability of natural tissue.

Understanding Breast Reconstruction Surgery

Breast reconstruction is a surgical procedure that rebuilds the breast following mastectomy or lumpectomy, typically due to cancer or other diseases. This procedure is potentially suitable for patients who want to address breast volume loss or other changes in the breast structures following the removal of a part or the entire breast. The surgery can involve various techniques to recreate the breast shape using artificial implants or tissues from other parts of the patient’s body.

The primary goal of breast reconstruction is to create a new breast that closely resembles the natural breast in form, size, and appearance. Surgeons work to achieve symmetry while considering the patient’s body type and individual preferences. During consultations, surgeons provide detailed explanations about the different types of reconstruction, such as implant-based reconstruction or autologous tissue reconstruction using the patient’s own tissue. They also discuss the stages of surgery, which may include multiple procedures over time, depending on the chosen method.

Breast reconstruction is a highly individualised procedure and can be performed immediately following breast removal or delayed until after other cancer treatments are completed. The timing and approach depend on various factors, including the patient’s overall health, cancer treatment requirements, and personal preferences. Surgeons work closely with oncologists to determine the most suitable strategy for each patient, ensuring that the reconstruction aligns with their ongoing treatment and recovery.

Suitable Candidates for Breast Reconstruction Surgery

Suitable candidates for breast reconstruction are patients who have undergone mastectomy or lumpectomy and want to address breast changes resulting from these procedures. The procedure is possibly suitable for those who understand the surgical goals and have realistic expectations about the outcomes, particularly regarding the look and feel of the reconstructed breast.

During the initial consultation, surgeons thoroughly assess the patient’s overall health, the status of their cancer treatment, and the condition of the mastectomy or lumpectomy site to determine the most suitable reconstruction method. Factors such as the availability of tissue for autologous reconstruction, the patient’s body type, and any previous surgeries or radiation treatments are taken into consideration. Surgeons also evaluate skin elasticity and the remaining breast tissue to decide whether an implant-based reconstruction or a tissue-based approach is more appropriate.

Suitable candidates are well-informed about the various stages of reconstruction and physically and emotionally prepared for the process. Patients must have completed any necessary cancer treatments and have a stable health condition that supports healing and recovery post-surgery. Surgeons want to ensure that all candidates receive comprehensive counselling to fully understand the benefits, risks, and commitment involved in breast reconstruction.

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What to Expect During the Day of the Procedure

On the day of breast reconstruction surgery, patients go through final pre-operative preparations to help ensure everything is ready for the procedure. This includes a thorough review of the surgical plan, where any last-minute questions or concerns are addressed to make sure the patient feels fully informed and comfortable. In addition, anaesthesia is administered to minimise discomfort during the procedure.

The surgical team meticulously follows the planned procedure, making precise adjustments to create a new breast that aligns with the patient’s expectations and needs. Each step of the surgery is carefully executed, from preparing the implant or tissue to ensuring proper symmetry and positioning. The chosen reconstruction method is based on the patient’s anatomy, health status, and the surgical plan, whether it involves implant-based reconstruction, autologous tissue, or a combination of both.

Following the surgery, patients are taken to a recovery area where they are closely monitored as they recover from anaesthesia. The initial recovery phase involves managing discomfort and providing detailed aftercare instructions. These guidelines include caring for the surgical sites, managing swelling, and recognising signs of potential complications.

Procedure gallery View our patient results

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Disclaimer: The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual’s genetics, diet and exercise. Some images may have the patient’s tattoos, jewellery or other identifiable items blurred to protect patient identities.

Aftercare and Recovery

Recovery from breast reconstruction requires specific care to promote proper healing and minimise the risk of complications. Patients are provided with detailed post-operative care instructions, including guidelines on activity restrictions, wound care, and how to manage discomfort. Special post-surgical garments are worn to support the new breast structure, reduce swelling, and help maintain the breast shape during the healing process.

Patients are advised to avoid strenuous activities and any direct pressure on the breast area for several weeks to allow the body ample time to heal. Regular follow-up appointments are essential to monitor the healing progress, allowing the surgeon to assess recovery, address concerns, and make any necessary adjustments to the post-operative care plan. These visits also provide an opportunity to help ensure that the incisions are healing well and that there are no signs of infection or other complications.

Adhering closely to aftercare instructions is vital for recovery. Patients should keep the surgical area clean, consistently wear any recommended support garments, and strictly avoid activities that may interfere with the healing process. Swelling, bruising, and discomfort are normal in the early stages of recovery, and medication may be prescribed to help manage pain and inflammation. Additionally, patients are encouraged to avoid smoking and maintain a healthy lifestyle to support healing and recovery outcomes.

Potential Risks

Breast reconstruction carries potential risks, like any surgical procedure, which need to be thoroughly discussed during pre-operative consultations. These risks include:

  • Infection at the surgical site
  • Bleeding or haematoma
  • Changes in breast sensation
  • Scarring, which may be visible depending on the technique used
  • Complications related to anaesthesia
  • Issues with flap viability or implant problems such as rupture or capsular contracture

Risk management in breast reconstruction relies on meticulous surgical techniques, thorough pre-operative health assessments, and diligent post-operative care. Patients are fully educated on recognising early signs of complications and are provided with clear post-operative care instructions to minimise risks. Our proactive approach emphasises patient education, transparency, and continuous support throughout the recovery process, ensuring that patient safety is prioritised at every stage.

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