Breast reconstruction after breast resection (i.e. due to breast cancer) or due to congenital abnormalities of the breasts (lack of breasts, lack or dysmorphic breasts, lack or dysmorphic nipples and/or aureola)
anesthesia : general
procedure: this procedure should be performed at least 6 months after the resection and requires the use of expanders (which slowly stretch the tissue) and silicone implants. In cases where the second breast is large it can also be reduced. Reconstruction of the nipple and aureola are also possible, although a good cosmetic effect can be obtained by tattoo. The length of time expanders are in use depends on the expected amount of tissue enlargement and tends to last several weeks.
POST OPERATIVE CARE :
special bra + elastic bandage
The patient must sleep on her back or side for at least 1 month.
In the case of implants placed under the pectoralis major muscle, there is a lot of pain that may require painkillers. For her own safety and comfort, the patient stays in the hospital for 2 days (minimize complications, pain control)
The procedure lasts 1-1.5 hours and does not carry much risk. As with any surgical procedure, there is the possibility of hemorrhage, hematomas, and infections around the implant or site of incision. Complications are seen very rarely and are relatively non-threatening. Infections can be treated with antibiotics, or the implant may be removed and replaced with a new one once the infection is treated. Implants are foreign bodies, so a fibroid cyst may be formed, which requires surgical removal of the cyst.
LENGTS OF TIME PATIENT MUST REMAIN AFTER THE PROCEDURE:
TIME NEED FOR RECUPERATION:
The patient is forbidden from raising her shoulders for 6-8 weeks and from sports (swimming, aerobics, weightlifting, etc.) for 3 months. Heavy physical exertion is contraindicated. The final effect of the procedure is seen after a few weeks. Normal activities may be resumed 7-10 days after the procedure.
It is best to perform the surgery 2 weeks into the menstrual cycle, 6 months after stopping breastfeeding, and/or after the last planned birth of a child. The patient must quit smoking at least 2 weeks prior to the procedure, and no medications affecting coagulation may be used (ex. Aspirin). The patient must be in overall good health, and laboratory test results must be within normal limits. Emotional unsteadiness and lack of specific expectations (or unrealistic expectations), of the final effect of the procedure on the part of the patient may be contraindications for going ahead with the surgery.
REQUIRED TEST :
coagulopathies,uncontrolled diabetes,vascular hemorrhagic diathesis,infections in the treated area
Patients are encouraged to have an ultrasound or breast mammogram before the procedure. The surgical procedure performed by our staff allows for the precise analysis of the results of these tests. The technician performing the ultrasound or mammogram must be informed of the presence of implants before the start of the tests.
coagulopathies, uncontrolled blood pressure disturbances, uncontrolled diabetes, infections in the area that is to be operated are absolutely contraindicative of the procedure
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