BREAST RECONSTRUCTION (AFTER MASTECTOMY)
What is Breast Reconstruction after Mastectomy?
Breast reconstruction after mastectomy is now an integral part of the comprehensive treatment of breast cancer. It is a reconstructive procedure that goes beyond aesthetics, as it has a profound impact on a woman’s psychology, enhancing her self-confidence and overall well-being.
What is the purpose of Breast Reconstruction and which patients does it concern?
Breast reconstruction involves the recreation of the breast that was removed after a partial or total mastectomy. Its purpose is to replace the skin, breast gland, and nipple that were removed, ultimately aiming to create a new breast that is in symmetry with the healthy breast.
Most patients who have undergone or are about to undergo mastectomy—either due to cancer or prophylactically (based on genetic criteria)—are suitable candidates for reconstruction.
When can Breast Reconstruction be performed?
Reconstruction can be performed at two different time points:
• Immediate Reconstruction:
Performed at the same time as the mastectomy. The main advantage is that the woman wakes up from surgery with a new breast already in place, avoiding the psychological impact of amputation.
• Delayed Reconstruction:
Performed at a later stage, weeks, months, or even years after mastectomy and completion of all related treatments. It is usually chosen when chemotherapy or radiotherapy is required.
What are the main techniques for Breast Reconstruction?
The decision for breast reconstruction is highly personal and offers significant benefits:
• Psychological uplift: Improves mood, boosts self-confidence, and reduces anxiety and the feeling of loss.
• Improved body image: Restores natural balance and symmetry, allowing comfortable movement and clothing without external prostheses.
• Long-term solution: Unlike external prosthetics, surgical reconstruction provides a permanent result.
• Oncological safety: The procedure does not increase the risk of cancer recurrence nor negatively affect the clinical course or survival.
What are the advantages of Breast Reconstruction?
The decision for breast reconstruction is a deeply personal one with important benefits:
• Psychological uplift: Improves mood, enhances self-confidence, and reduces anxiety and the feeling of mutilation.
• Improved body image: Restores natural balance and symmetry, allowing the woman to dress and move comfortably without the need for external prostheses.
• Long-term solution: Provides a permanent result compared to external prosthetic options.
• Oncological safety: Does not increase the risk of disease recurrence or negatively impact prognosis or survival.
Can removal and reconstruction be performed in a single surgery?
Breast reconstruction can begin during the same surgical session as the mastectomy, in coordination with the general surgeon. This offers a major advantage, as it eliminates the need for an additional operation in the reconstruction process.
What does nipple reconstruction involve?
Complete breast reconstruction often includes the recreation of the nipple–areola complex, when feasible. This stage is usually performed in a second, smaller procedure and may include:
• Nipple reconstruction: Using local tissue from the breast or other areas.
• Areola reconstruction: Using a skin graft or medical tattooing to achieve natural color.
What does the Breast Reconstruction process include and how long is recovery?
The process may involve multiple procedures, depending on:
• The specifics of the initial mastectomy
• The requirements of cancer treatment
• The individualized surgical plan for each patient
Is surgery on the healthy breast sometimes needed for symmetry?
Yes, it is quite common to adjust the healthy breast to achieve optimal symmetry. Depending on the case, the plastic surgeon may recommend:
• Breast augmentation
• Breast lift
• Breast reduction
These procedures are usually performed after the main reconstruction, once the reconstructed breast has reached its final shape and volume.
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Dr. Konstantinos Floros was born in Athens, studied Medicine at the University of Thessaloniki, and specialized in Plastic Surgery in the United Kingdom. He has participated in specialized aesthetic surgery seminars in London and New York. In Greece, he practices privately with a focus on aesthetic plastic surgery and modern applications of cosmetic medicine and anti-aging. He has served as a Plastic Surgery registrar at the university hospitals Queen Mary’s University Hospital in London and Addenbrooke’s Hospital in Cambridge.
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