The best breast reconstruction techniques for the best results


23 August 2020

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There are many factors that need to be considered when determining the best breast reconstruction technique or techniques to use for the best results. You should speak with your consultant to decide the technique that will work best for your particular circumstances. The desired result, physical composition and health are the main factors that influence the decision. The factors include;

Your history and details of cancer therapy.
The remaining amount of postmastectomy natural tissue.
Do you want breast implants or not?
Your current weight, general well-being, and medical history.
The surgery schedule (whether or not it will be combined with the mastectomy).
The current size of your breasts and the post-operative look you want.
The technique that will finally be selected will be the safest one that offers a natural, symmetrical and beautiful result. There are basically two types of breast reconstruction techniques. One is done with breast implants and the other without them.

Implant / tissue expander technique
The tissue expander technique is very common and consists of two steps. The first step is the placement of a temporary implant for a few weeks or months after the mastectomy. This is so that you can slowly extend your chest muscles and skin to create the space that the permanent implants will later occupy. A sterile saline injection is injected periodically into the temporary implants to expand them. Once enough space has been created, it's time to take the second step.

The second step is the replacement of the temporary expanders with permanent implants once enough space has been created. There are also options for permanent expanders and different types of implants. The choice will need to be reviewed during your consultation with your surgeon.

Flap technique (without implants)
This technique involves the removal of tissue from other parts of the body such as the buttocks, thighs, abdomen, or back. The tissue is then used to rebuild your breast mound. The technique has different procedural options. Which option is most effective for you will depend on your aesthetic preferences, as well as your particular physical and medical circumstances. Options include;

TRAM flap: This technique builds the mound of your breast using fat tissue, muscle, and skin from your lower abdomen. The muscle is directed upward in your chest area while still being attached to its original channel for the blood supply. This is done through a small incision in the lower abdomen. The skin that was removed is attached to your breast to complete the procedure. This option offers the benefit of a smoother and firmer tummy in addition to the benefit of implant-free breast symmetry.

DIEP flap: This technique is similar to the tram but does not remove any muscles. The technique uses vascular microsurgery to provide the grafted tissues with the necessary blood supply. It collects tissue along with your blood vessels. The vessels are then carefully attached to those in your chest in the grafting process. The connection prevents the grafted skin from dying. Typically this technique offers the same benefits as the TRAM technique with a little extra. The added benefit is that it doesn't interfere with your stomach muscles at all.

Latissimus dorsi technique: This old standard technique uses the muscles and skin of the latissimus dorsi. Recreate your breasts by bringing them closer to your chest. To improve results, the technique is sometimes combined with the use of implants. While there is a decrease in the number of patients currently choosing this technique, it is the one that takes the least time and is the least complex of the three.
You should consult your consultant for a complete breakdown of all available options. This will allow you to discover which of the best breast reconstruction techniques will give you the best possible results,


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