Breast Reconstruction

Post-mastectomy breast reconstruction is not a simple procedure. Reconstruction of a breast is done when the natural breast has to be removed due to cancer or other diseases. Breast removal is referred to as mastectomy. The best candidates are women whose cancer has been eliminated by breast removal. Women with other health conditions such as obesity, high blood pressure or smoking, may be advised to wait.

Surgeons are now able to create a breast that can come close to looking like a natural breast. Reconstruction can be done immediately following mastectomy. The patient will wake up with a breast mound already in place. So the woman does not have to go through the trauma of waking up without her other breast. A tissue expander is inserted following the mastectomy to prepare for reconstruction. The expander is gradually filled with saline through a separate tube to stretch the skin enough to accept an implant beneath the chest muscle. After the surgery the breast mound is restored. The areola is reconstructed at a later date. With flap surgery, tissue is taken from the back and tunneled to the front of the chest wall to support the reconstructed breast. The transported tissue forms a flap for a breast implant, or it may provide enough bulk to form the breast mound without an implant. Tissue may be taken from the abdomen and tunneled to the breast or surgically transplanted to form a new breast mound. After surgery, the breast mound, and areola are restored. Scars at the breast,