Being
Breast cancer the most common in women, the breast reconstruction appears
as a surgical procedure to restore the appearance
of a breast for women who have had a breast removed (mastectomy)
to treat breast cancer.
The surgery rebuilds the breast so that it is about the
same size and shape as it was before it was removed.
The nipple and areola (the darker area surrounding the nipple)
can also be added. Most women who have had a mastectomy
can have reconstruction. Women who have had a lumpectomy
usually do not need reconstruction. Breast reconstruction
is done by a plastic surgeon. Breast reconstruction surgery
after a mastectomy can help to renew a woman’s sense
of femininity and beauty by recreating both the size and
shape of the natural breast.
There are three ways to get a breast reconstruction:
- An
implanted tissue expander, like a balloon, is placed beneath
the skin and chest muscle. Through a tiny valve beneath
the skin, the surgeon injects a salt-water solution at
regular intervals to fill the expander over time. After
the skin over the breast area has stretched enough, the
expander is usually removed in a second operation, and
a permanent implant is put in its place. Some expanders
are left in place as the final implant.
- A
TRAM flap (transverse rectus abdominis muscle flap), which
uses tissue from the tummy area, this procedure
uses tissue and muscle from the lower abdominal wall (tummy
tissue). The tissue from this area alone is often enough
to create a breast shape, and an implant may not be needed.
The skin, fat, blood vessels, and at least 1 of the abdominal
muscles are moved from the abdomen to the chest area.
This procedure also results in a tightening of the lower
abdomen, or a "tummy tuck."
- And
the latissimus dorsi flap, which uses tissue from the
upper back, moving muscle and skin from your upper
back when extra tissue is needed. The flap is made up
of skin, fat, muscle, and blood vessels. It is tunneled
under the skin to the front of the chest. This creates
a pocket for an implant, which can be used for added fullness
to the reconstructed breast.
Studies to date have shown that reconstruction has no known
effect on the recurrence of breast cancer. It should not
cause problems with chemotherapy or radiation treatment
if cancer does recur.
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