Breast Reconstruction
Breast reconstruction is a series of surgical procedures performed to recreate a breast. Reconstructions are commonly done after one or both breasts are removed as a treatment for breast cancer. Also, a breast may need to be refashioned for other reasons, such as trauma or abnormalities that occur during breast development.
A breast that appears natural offers a sense of wholeness and normalcy, which can aid in the psychological recovery from breast cancer. It eliminates the need for an external prosthesis (false breast), which many women find physically uncomfortable as well as inconvenient
Precautionsions
Not all women are good candidates for breast reconstruction. Overall poor physical health or specific problems such as cigarete smoking,obesity,high blood pleasure or diabetes will increase the chance of complications. Also a difficult and/or prolonged recovery period or failure of the reconstruction may be result.A womens physical ability to cope with major surgery and recuperation also need to be considered
Consultations:
It is important for you to understand the implications of such procedures and that the reconstruction will not resolve a psychological problem the woman had before mastectomy, nor make an unstable relationship strong. An expectation of physical perfection is unrealistic. Complete understanding of the benefits and limitations of this surgery is necessary for a satisfactory result...
Pre -Operation work UP
Breast reconstruction is done in, with the ultimate goal of creating a breast which looks and feels as natural as possible. It is important to remember that while a good result may mimic a normal breast closely, there will inevitably be scars and loss of sensation. The reconstructed breast cannot be exactly like the original.
At first a breast mound is created this is complished by using tissues from other parts of the womens body or using artificial materials called breast implants. In the next step involves creating a balance between newly constructed brest and the breast on opposite side by different procedures such as grafting,tattooing.. to create the nipple aerolar complex this is usually done several months after the mound is created Other procedures may be necessary, such as lifting the opposite breast, or making it larger or smaller to match the reconstructed breast.
Timing, immediate or delayed reconstruction
Immediate: While immediate reconstruction is not recommended for women with breast cancer who need to under-go other, more important treatments, breast reconstruction can be done almost anytime. It even can be done during the same procedure as the mastectomy or it can be delayed. The advantages of immediate reconstruction are the cost is generally lower, there is one fewer operation and hospital stay, Surgeons fees may be lower for a combined procedure than for two separate surgeries. The disadvantages include longer duration of surgery, causing more time under anaesthesia, more post-operative pain, discomfort and longer recovery time..
Delayed reconstructionoffers different physical and psychological advantages. The initial masatomy procedure alone takes less time, and has a shorter recovery period and less pain. The patient has more time to adjust to her diagnosis and recover from additional therapy. She is better able to research her options, and to formulate realistic goals for reconstruction. The psychological stress of living without a breast, higher costs, and the extra procedure are some of the disadvantages of delayed reconstruction.
Breast reconstruction surgery may be performed by inserting an artificial substance, or implant, to replace breast tissue. Autologous reconstruction, in which a womans own tissues are used, includes the latissimus dorsi flap, where skin and muscle taken from the back is rotated around to the breast area, and the TRAM flap, in which abdominal fat and muscle are tunneled under
Post -Operative Instructions
Results
A normal result of breast reconstruction depends on the womans goals and expectations. It will not be the same as the breast it replaces. In general, it should be similar in size and shape to the opposite breast, but will have less sensation and be less mobile than a natural breast. A reconstruction using implants will usually be firmer and rounder than the other breast. Scars are unavoidable, but should be as unobtrusive as possible.
FAQ'S
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Cost
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