Mammary cancer

Breast reconstruction with silicone implants and expanders

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- This is the restoration of the breast after its complete or partial removal along with a cancerous tumor (mastectomy).

Breast reconstruction may be:

  • primary / immediate (immediately after tumor removal)
  • secondary / delayed (depending on the situation of the patient for a period of 6 to 12 months or up to several years after the completion of radiation therapy and chemotherapy).

It is important for the patient to know that after reconstruction, further surgical intervention may be necessary for correction.

Nipple reconstruction

Sometimes it is not possible to maintain the nipple during removal of the tumor. One way to reconstruct a nipple with a unilateral mastectomy is to divide the nipple of a healthy breast and build a new one. Another possibility is to use tissue from the outer ear or big toe.

Areola can also be restored from the patient’s own tissue, for example, using tissue from the inner thigh. However, micropigmentation, the so-called tattoo, can be less traumatic: after the new nipple has completely healed, under local anesthesia, areola pigmentation is performed under the natural color of the skin. This procedure is performed on an outpatient basis and painlessly.

The best implant for you

Manufacturers of all types of implants always make a shell of silicone elastomer. Implants vary in shape, surface and filling.

The shape of breast implants is determined by the following parameters: base, shape, profile.

  • Base - this is the side that rests on the chest (can be round, shortened, narrow).
  • The form can be round (with the highest point in the center) or anatomical (with the highest point in the lower third).
  • Profile may be low, medium, high or extra high.

Implants with a round shape and a round profile are suitable for reconstruction of a younger breast, while implants of anatomical shape have a natural curved shape of an adult female breast.

Surface

  • smooth
  • textured
  • coated with micro-polyurethane foam (Microthane®).

The normal reaction of an organism to any foreign body is the appearance of a connecting capsule around it. The same thing happens when an implant is placed. The capsule can tightly surround the implant and begin to contract. Such contracture can change the shape of the implant and cause pain in the breast tissue. There is a so-called capsular contracture. The tendency to develop capsular contracture largely depends on the direction of the fibers. The more linear the fibers are distributed, the greater the risk of capsular contracture. This is exactly what happens with smooth implants.

In order to avoid the formation of such a capsule around the implant, the surface of the implant was made rougher due to surface texturing or Microthane® coating. As a result, the contraction possibilities of the fibers are limited.

The development of capsular contracture when installing textured implants compared to smooth implants can be halved, and when placing implants coated with Microthane®, it can be reduced to 3% or less (watch video).

Implant life span

Since each organism reacts differently to a foreign body, there are no generally accepted recommendations on how long implants can remain in the body. According to studies, the average duration of implants was ten years, however, these studies relate to implants that were made in the 80s. The use of modern technologies and the improvement of the quality of the casing led to a significant increase in this period. For your own safety, the condition of the implants must be monitored once every six months - a year, being examined by a mammologist.

Polytech Health & Aesthetics implants are certified as medical devices and have a CE mark. Regularly conducted tests show that the quality of our implants always meets the standards and even exceeds the requirements of some standards. In addition to the extended implant warranty, Polytech Health & Aesthetics guarantees lifetime personal safety.

What do I need to remember after implantation?

Passport for implants.

Your doctor will give you an implant passport after surgery. This passport is issued for every Polytech Health & Aesthetics implant since 1995.

For your own safety, inform the doctors you visit about the availability of implants. This is also necessary when undergoing mammography.

Method advantage

  • This procedure is shorter than restoration with your own tissues (less blood loss),
  • The recovery period is usually faster
  • The time of the stage of the installation of the implant is only about 1 hour.

Endoprosthetics is a common method of breast reconstruction. It is performed using silicone expanders and implants or, in other words, enoprostheses. In this case, the anatomical layer for installation is under the muscle of the anterior chest wall.


An expander is a special balloon made of silicone, which is designed to form a pocket under the pectoral muscles by stretching the skin. The expander is equipped with an integrated port, which is located on the front surface. In this way, the volume can be controlled by filling the balloon with saline. After the necessary stretching of the skin is ensured, the expander is replaced with a permanent implant.

Implants for breast reconstruction are similar to those used for breast augmentation - as a rule, these are high-projection textured anatomical implants.

Features of breast reconstruction using implants and expanders

  • Before the operation, a suitable implant or expander is carefully selected, then the doctor marks the main landmarks directly on the body.
  • The operation is performed under sedative anesthesia.
  • After the main stage of the operation, thin silicone drainage is introduced into the expander installation area for 2-3 days.
  • Cosmetic skin sutures are usually removed after 10-12 days.
  • During the rehabilitation period, it is necessary to wear specialized compression underwear.
  • It may take several visits to the doctor to fill out the expander, and subsequently, to introduce the implant.

Possible complications

  • The risk of hematomas after breast reconstruction,
  • The possibility of rupture of the implant,
  • The likelihood of capsular contracture.

At the consultation, be sure to ask questions that concern you, express your wishes for the aesthetic result that you would like to achieve.

It is important to understand that the choice of method is a balanced decision of the doctor, which takes into account all factors, including the wishes of the patient. At the same time, the task is to minimize any risks and ensure the desired result.

Content:

Breast reconstruction - This is an operation aimed at restoring the original form of the mammary glands. This operation is performed if part of the mammary glands has been removed due to a breast cancer (mastectomy). In some cases, simultaneous surgery to remove the tumor and reconstruction of the mammary gland is possible.

Breast reconstruction surgery is aimed at solving the following problems:

  • Restoration of the initial volume of the mammary gland,
  • Giving the mammary glands an aesthetically attractive shape,
  • Restoration of damaged skin,
  • Restoring the original appearance of the areola and nipple zone,
  • Breast symmetry restoration

Breast reconstruction solves the problem of asymmetry

  • Restoring breast consistency.

Is carried out breast reconstruction by introducing a special expander, or an implant, under the pectoralis major muscle, which lifts the chest and restores its volume. After a correctly performed breast reconstruction, the external difference between the restored breast and the “real” breast is practically not noticeable.

Indications and contraindications

Indications:

  • Breast reconstruction after surgery to remove the breast,

Breast reconstruction after breast removal - one of the indications for reconstruction

  • The presence of a sufficient amount of skin and muscles of the chest for surgery to restore it,
  • The need to restore the shape of the mammary glands after the injury

Contraindications:

  • Obesity,
  • Breast cancer
  • Diabetes,
  • Viral infectious diseases in the acute stage,
  • Cardiovascular diseases,
  • Blood clotting disorder

Breast reconstruction methods

  • Reconstruction with implants and expanders,
  • Reconstruction through the use of the patient’s own tissues,
  • Combined reconstruction (combines the first two methods)

Breast reconstruction is performed under local anesthesia.

The choice of surgical procedure depends on the volume of tissues that were removed during mastopexy.

Reconstruction through the use of patient's own tissues

It is based on the use of the patient’s own tissues. For this purpose, skin taken from the abdomen, back, or buttocks is used. This method is used when a part of the mammary gland has been removed along with the pectoral muscle. A flap taken from the patient’s back (buttocks, abdomen) is sewn in the area of ​​her mammary glands. Sometimes, simultaneously with the reconstruction of the mammary glands, an operation to restore the areola and nipple is performed. The formation of these areas is due to the use of pigmented skin from the areola of the opposite breast, or taken from the perineum

Stages of breast reconstruction due to own tissues

The total duration of breast reconstruction surgery is 1.5 to 3 hours.

Pros: the mammary gland looks natural.

Minuses: Breast reconstruction using the patient’s own tissues is a technically difficult method. After it, noticeable scars remain both in the area of ​​the mammary glands and in the area of ​​tissue borrowing. As a rule, after this operation, an additional operation is required to restore the symmetry of the mammary glands.

Combined breast reconstruction

This method involves the simultaneous use of the patient’s own tissues and the implant. An endoprosthesis is placed under a musculocutaneous flap that has been transplanted from the abdomen, back or buttocks.

Pros: the result can be seen immediately after the operation.

Minuses: it is not always possible to install an implant. Correction of the second mammary gland may be required.

After the procedure

During the operation, self-absorbable sutures are applied, which disappear a week after the completion of the operation. The recovery period lasts for 2-3 weeks, during which should:

  • refrain from excessive physical exertion,
  • do not visit baths, saunas, tanning salons during the week after the operation,
  • wear compression garments during the entire rehabilitation period that will prevent deformation of the mammary glands,

The patient is discharged from the hospital 3-5 days after breast reconstruction. For several days, patients have an increased body temperature, as well as pain in the operated area, which disappear on their own. The final result of the operation is visible 2-3 months after the procedure.

Photos before and after breast reconstruction

Side effects of breast reconstruction

  • temporary discomfort and pain in the area of ​​the mammary glands,
  • decreased sensitivity of breast tissue,
  • possible swelling and violation of the symmetry of the chest,
  • scars at the incision site,
  • decrease or sharp increase in sensitivity of the nipples and areola.

The final result of breast reconstruction: a complete restoration of the shape, symmetry and sensitivity of the mammary glands.

Breast reconstruction result

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