Breast Reconstruction
Breast reconstruction is most often undertaken to recreate a breast that has been removed due to cancer or advanced breast disease. Advances in reconstruction have provided patients with more choices and improved outcomes. For the initial reconstruction of the breast mound, there are three major approaches to be considered including:
- Placement of Breast Implants
- Tissue Expander Insertion. This involves the placement of a temporary implant which is sequentially inflated over a relatively short period of time. It stretches the overlying skin and promotes the creation of new skin. By enlarging the skin envelope, this allows the later insertion of a more proportionate and longer term implant.
- Soft Tissue Flaps. These techniques entail the transfer of tissue from other areas such as the abdomen, back or buttocks to try and create a more realistic breast mound. Some of the approaches require microsurgery. In general, these types of procedures have greater inherent risks including failure and the frequent need for revisions.
Breast reconstruction is often begun at the time of the mastectomy. It can be performed later in time as well – from weeks to years later. There are pros and cons for each approach which can be discussed prior to the initial mastectomy. Consideration can be given for procedures on the opposite breast in order to allow for better symmetry.
Once the breast mound has been reconstructed, many patients opt for reconstruction of a nipple-areola complex in order to obtain a more complete result. A variety of approaches are available in obtaining a realistic result.
