RESTORATION OF BREAST VOLUME AFTER AMPUTATION
Breast reconstruction
What is a breast reconstruction ?
A breast reconstruction is intended to restore breast volume after a mastectomy. The breast is an important symbol of femininity, intimacy, and sensuality. This reconstruction helps to bring the body back into balance and to restore it, which has a positive impact on self-confidence and the feeling of being "restored." Although some believe that breast reconstruction is not necessary, many people find that regaining their feminine identity brings them happiness in life.
A breast reconstruction can be performed using a prosthesis or by utilising your own body tissue. The choice of method depends on your personal preferences, the possibilities, and the advice of the treating physician. A fundamental principle in plastic surgery is: "What has been removed from the body must be replaced or restored with something that resembles it as closely as possible." Therefore, reconstruction with your own tissue is often preferred..
With own tissue With prosthesis
TECHNIQUE
Breast reconstruction methods
An autologous breast reconstruction, using one's own tissue, involves the removal of skin and fat tissue from other parts of the body and transplanting it to the breast using microsurgery. This can include tissue from the abdomen (DIEP flap), the buttocks (SGAP flap), or the lower back (LUMBAR flap). During the microsurgical procedure, blood circulation is restored while the surrounding muscles remain intact at their original location.
The use of a prosthesis for breast reconstruction is often not the best choice, unless it is a temporary solution. Prostheses are made from artificial materials, and the body will form a capsule around the prosthesis. Over time, this capsule can lead to discomfort and distortion of the breast. Additionally, a breast with a prosthesis can feel cold. However, a hybrid breast reconstruction offers a better solution by combining the prosthesis with lipofilling, resulting in more natural and longer-lasting results. The placement of a prosthesis in a radiated area should also be approached with caution..
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