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Friday, June 10, 2011

Doubts breast reconstruction after breast cancer surgery

Breast cancer patients who have accepted or will accept the surgical treatment of breast cancer tumors, often due to the remaining part of the breast or the breast of all defects, causing great psychological trauma. In addition, benign breast tumor patients, will also experience some or total removal of the breast distress. Especially in recent years gradually increased the incidence of breast cancer, younger trend is clearly, more and more young women facing mastectomy distress. The breast reconstruction after breast cancer has brought hope to patients.

1. For those who do breast reconstruction?

For the Ⅰ, Ⅱ, Ⅲ breast cancer, patients with systemic in good condition, with the requirements of breast reconstruction, breast reconstruction can be carried out. For patients with benign breast tumors, but should be part or all of the breast reconstruction.

2. Is there an age limit for breast reconstruction?

In general, there is no age limit for breast reconstruction. For our women, 60 years before breast reconstruction can be done.

3. When the breast reconstruction?

Time is divided into immediate breast reconstruction breast reconstruction and extension of breast reconstruction.

Immediate breast reconstruction is carried out at the same time mastectomy breast reconstruction and repair. It has the following advantages can not be ignored: ① a complete resection and reconstruction, reduce hospital time and expense; ② so that patients do not experience the psychological pain of losing the breast; ③ form of breast reconstruction will be better. It will not delay radiation therapy or chemotherapy auxiliary, it would not increase local recurrence. In addition to have distant metastasis, or those who have surgical contraindication, immediate breast reconstruction adapted Ⅰ, Ⅱ, Ⅲ of patients.

Delayed breast reconstruction after mastectomy can be any time, usually after 9 months, because during this period can be completed chemotherapy and radiotherapy. Some patients need a lot of advanced radiotherapy and chemotherapy, can be considered to be in stable condition after the line delay breast reconstruction.


How much breast reconstruction after breast cancer?

4. What method of breast reconstruction?

Breast reconstruction methods are summarized into two categories: ① breast implants, that is, silicone, saline breast implants and expanders, etc.; ② autologous tissue.

5. Those for breast implants?

Breast reconstruction, small size, local soft tissue coverage with good, young, do not want to sacrifice other parts of the body from tissue of the patients. The method is filled with silicone, silicone gel or saline implants placed under the flap after mastectomy or under the pectoralis major muscle. If, after mastectomy, local organizations can not provide sufficient cavities to accommodate the desired size of the prosthesis can be implanted tissue expander, after periodic water, enough to be the formation of cavities, the second operation to replace the expander breast implants.

6. What is autologous tissue breast reconstruction?

Autologous tissue breast reconstruction is based on their own organizations for the area, using the method of tissue transplantation breast reconstruction.

Transplantation of autologous tissue breast reconstruction, the effect is lasting, lifelike appearance, with the following several advantages: ① patients can take advantage of autologous tissue; ② possible to avoid a series of implant complications; ③ texture, easy shaping, sagging sense of good, while correcting the anterior wall of the subclavian and axillary defects depression deformity; ④ not only withstand postoperative radiotherapy, and can be applied to have received radiation therapy because of recurrence in patients with wide excision line; ⑤ good Since the blood supply can contribute to poor wound tissue and the healing of ulcers.

7. Reconstruction of the breast with the contralateral breast symmetry it?

In general, the reconstruction of the breast is the standard to the opposite breast shaping. If the contralateral breast is too large, too small or drooping breasts can not be recycled and its symmetry, it is necessary for the purposes of the contralateral breast reduction mammaplasty, breast augmentation or breast fixation.

8. What to do when the nipple and areola reconstruction?

Nipple and areola reconstruction breast reconstruction is an integral part. Breast reconstruction nipple reconstruction can be completed simultaneously, but most are stable until the final form of bilateral breast after. Nipple reconstruction in many ways, the current widely used local flap. Areola reconstruction can be used free graft or tattooing skin graft technique.

9. Reconstruction of the breast to you?

During the flap, such as nerve anastomosis at the same time, breast reconstruction is generally about one year after surgery recovery feeling.


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