Breast Reconstruction

What Is Breast Reconstruction?

Breast cancer is the most common type of cancer in women worldwide. One in eight women is faced with breast cancer. The complete treatment can be achieved, especially when diagnosed early. The main treatment approach is often the removal of the cancerous breast tissue (mastectomy). "Breast reconstruction" refers to the rebuilding of the breast tissue lost after cancer treatment. It can be reconstructed as a result of modern plastic and reconstructive surgery approaches, significantly improving the patient's psychological recovery and body image.

Breast reconstruction is a specialized surgical process focused on rebuilding breast tissue that has been lost due to cancer treatment or physical trauma. As breast cancer remains the most prevalent type of cancer among women globally, this procedure serves as a vital component of the restorative journey for many patients. The primary goal of the intervention is to restore the breast’s natural shape, appearance, and volume to help the individual regain physical symmetry. By addressing the aesthetic and structural loss, the surgery plays a critical role in enhancing the patient's psychological well-being and self-confidence. Beyond oncology-related needs, reconstruction is also utilized to correct deformities arising from congenital issues or significant injuries. Every procedure is tailored to the individual’s unique anatomy and medical history to ensure a balanced and natural-looking result. Ultimately, this intervention aims to align the patient's physical profile with their recovery milestones.

‍

‍

Breast Reconstruction Methods

Autologous Breast Reconstruction

The breast reconstruction using the patient’s own tissues is called as the “Breast Reconstruction with the Autologous Tissue”. Usually “Abdominal” or “Back” tissue (wing muscle and skin) is used for this. The operation in which the abdominal tissue is used is medically called TRAM Flap (Transversus Rectus Abdominus Myocutaneous Flap). Another alternative method is the use of the Latissimus Dorsi muscle, known as the Wing muscle, and / or the skin island on it. It is also known medically as the LD Flap (Latissimus Dorsi Muscle Skin Flap).

Breast Reconstruction with the Implant

The breast reconstruction, in which the modern prostheses (Silicone Breast Prostheses) are used to reconstruct the breast tissue, is called Breast Reconstruction with the Implants. Today, depending on the developing technology, the modern and safe breast prostheses (implants) are used for the reconstruction. It is basically made of silicone. The outer parts, called the shell, are produced in a rough structure to assort with the surrounding tissue and reduce the development of the capsule contraction. The inner silicone has a consistency similar to and compatible with the density of the normal breast tissue. The breast prostheses are divided into 2 types: Drop (anatomical) and Round. The “Drop” (anatomical) shaped prostheses are frequently used in the breast reconstructions.

Timing of the Breast Reconstruction

The reconstruction surgery can be performed simultaneously with the removal of the cancerous breast tissue (mastectomy) (Immediate Breast Reconstruction) or at a later stage (Late Reconstruction). The patient and physician decide together on the timing of the reconstruction, by taking into account the general condition of the patient and the stage of breast cancer.