Breast Reconstruction is a surgical procedure to rebuild the contour of the breast, along with the nipple and areola (the pigmented area surrounding the nipple) if desired. Recent advances in reconstructive techniques have given patients more choices when it comes to Breast Reconstruction, including the option to have Breast Reconstruction during the same operation in which the breast is removed. While a breast cancer diagnosis requires timely treatment decisions, most women have a sufficient amount of time to research treatment and reconstructive options before breast cancer surgery.
Though some women are not interested in Breast Reconstruction, many Plastic Surgeons support reconstructive surgery as an important option for patients to consider. Women are encouraged to weigh both the advantages and disadvantages of Breast Reconstruction with their Plastic Surgeons and cancer treatment team and make an informed decision based on their own situation. Breast Reconstruction is most often an option for women who have had mastectomy if their entire breast has been removed.
There are different types of Breast Reconstruction available to most mastectomy patients: Breast Implants and expanders are 2 common procedures. The insertion of breast implants is usually a two-part procedure. The first implant operation involves placing a tissue expander in the intended breast area beneath the skin and chest muscle. The tissue expander is similar to a balloon, and the Plastic Surgeon will fill the expander with salt-water solution periodically (usually once a week). The procedure to insert the tissue expander into the breast area typically takes about forty-five minutes. After the skin has sufficiently stretched, the surgeon will replace the tissue expander with a permanent implant, usually three to four months after the first implant surgery. Occasionally, a woman will not need a tissue expander. If this is the case, then the Plastic Surgeon will proceed directly to permanent implant surgery. Muscle flap procedures take much longer than implant operations, lasting about four to five hours, and patients typically stay in the hospital three to four days, compared to one day with the implant operation. Though the recovery is slower, the breast usually looks and feels more natural to most women. Microsurgery flap procedures also are used in Breast Reconstruction.
Because many breast cancers involve the nipple areola complex, the surgeon usually removes the nipple during mastectomy. After the breast volume has been rebuilt with a tissue expander or muscle flap procedure, the nipple may be recreated. Most nipple recreation takes place two to six months after the initial Breast Reconstruction to allow the new breast area ample time to heal. A new nipple may be created from a skin graft from a woman’s inner thigh or from the areola (the pigmented region surrounding the nipple) on her natural breast. Occasionally after a skin graft, the skin of the newly created nipple turns white. Some Plastic Surgeons prefer to tattoo the skin graft of the new nipple to ensure that the colour matches the colour of the nipple from the natural breast.
Dr Harris Zavrides is presenting his experience in Breast reconstruction in Plastic Surgery Seminars like:
Breast Reconstruction after Mastectomy and Radiotherapy. Combination of Latissimus Dorsi Muscle Flap and Tissue Expander with an Embodiment Injection Site.
13th Pan-Hellenic Oncology Congress.
Scientific Council of Greek Anti-Cancer Hospitals.
November 24-27, 2005, Athens – Greece.
Surgical Reconstruction of Tuberous Breasts Utilizing Tissue Expansion.
Andreas Foustanos, Harris Zavrides.
10th European Congress of Plastic Reconstructive and Aesthetic Surgery.
European Society of Plastic Reconstructive and Aesthetic Surgery.
Austrian Society of Plastic Reconstructive and Aesthetic Surgery.
August 30-September 03, 2005. Vienna-Austria.
Dr Harris Zavrides has also presented his experience in Breast Reconstruction in several prestigious Plastic Surgery Journals like the “Journal of Plastic Reconstructive and Aesthetic Surgery” (JPRAS) which is the official Journal of the “British Association of Plastic Surgeons”, “the Aesthetic Plastic Surgery” Journal which is the official Journal of the “International Society of Aesthetic Surgery” and the “Plastic and Reconstructive Surgery” (PRS) Journal which is the official journal of the “American Society of Plastic Surgeons”.
Delay Breast Reconstruction using a combination of Latissimus Dorsi Muscle Flap and Tissue Expander with embodiment injection site.
Journal of Plastic Reconstructive and Aesthetic Surgery (JPRAS) 2007. Vol: 60, No 5: 530-536.
Surgical Reconstruction of Tuberous Breasts.
Aesthetic Plastic Surgery.2006 May-June; 30(3):294-300.
Surgical Reconstruction of Iatrogenic Symmastia.
Plastic and Reconstructive Surgery (PRS) Journal. 2008, volume121, issue 3.