Breast Reconstruction surgery
Dr. Kapoor's cosmetic surgery clinic offers a full range of cosmetic surgical procedures.
Breast reconstruction is the rebuilding of a breast in women. It involves using autologous tissue or prosthetic material to construct a natural-looking breast.
Often this includes the reformation of a natural-looking areola and nipple. This procedure involves the use of implants or relocated flaps of the patient's own tissues. Breasts need to be reconstructed after Removal for disease. (Cancer), Failure to develop, Unequal development during adolescence resulting in asymmetry.
The three components for reconstruction are :
Skin envelope. Additional skin is created by
- Stretching (Tissue expansion) of the existing skin or
- Transfer of skin from another area of the body to the chest (Lattissimus Dorsi MC Flap, TRAM Flap).
- A breast mound is created by insertion of a breast implant or
- By transfer of tissue from another area of the body. (Lattissimus Dorsi Flap, TRAM flaps).
Reconstruction of a nipple areolar complex may require multiple, staged procedures. Tissue Expander - Breast implants this is the most common technique used in worldwide.
The surgeon inserts a tissue expander, a temporary silastic implant, beneath the pectoralis major muscle of the chest wall and periodically, over weeks or months, injects a saline solution to slowly expand the overlaying tissue). Once the expander has reached an acceptable size, it is removed and replaced with a more permanent implant.
Reconstruction of the areola and nipple are performed in a separate operation in third stage.
Flap reconstruction the second most common procedure uses tissue from other parts of the patient's body.
The Lattissimus Dorsi muscle flap is the donor tissue available on the back. It can be moved into the breast defect still attached to its blood supply under the arm pit (axilla). A Lattissimus flap is usually used to provide soft-tissue coverage over an underlying implant.
Abdominal flap: The abdominal flap for breast reconstruction is the TRAM flap. It uses the abdominal tissue between the umbilicus and the pubis. It can provide enough tissue to reconstruct large breasts. The contour of the lower abdomen is also improved by this procedure which removes the same tissue as an abdominoplasty (tummy tuck.)
Nipple reconstruction is usually delayed until after the breast mound reconstruction is completed. A nipple may be created by raising a small flap in the target area to produce a raised mound of skin. To create an areola, a circular incision may be made around the new nipple and sutured back again. The nipple and areolar region may then be tattooed to produce a realistic color match.