Plastic surgery
Mammary reconstruction surgery
Recovery (reconstruction) of the breast is a rather complex operation aimed to recreate the size and shape of the breast after a total, subtotal, subcutaneous mastectomy. As a rule, it is carried as deferred stage after radical interventions for oncological breast disease. But it can be carried out simultaneous and (simultaneously) with the resection of the prostate.
In recent years, it is gaining popularity prophylactic subcutaneous mastectomy on anamnestic and genetic reasons. If the patient is included in the high risk group (breast cancer in the female line in the family, with positive samples oncomarkers breast disease, etc.). When this operation is carried out one-stage breast ectomy subcutaneously with preservation of the nipple-areola complex and the immediate restoration of the lost volume and shape with the help of silicone breast implants.
It is also quite common breast reconstruction technique using a movable skin-muscle flap on the pedicle. (Latissimus dorsi, DIEP and TRAM flaps).
Operation results:
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Restored lost volume after mastectomy
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Prevention of mammary glands cancer
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Psychological self-confidence
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The ability to feel free to visit public places that require outdoor clothing
- Status after mastectomy
- Oncology in anamnesis
- Eliminating asymmetry after unilateral mastectomy
- Socio-aesthetic indications
- Private patient's desire
- Severe somatic disorders
- Diabetis
- Less than a month after cessation of chemotherapy and radiation therapy
- Violation of the blood coagulation system
- Hematopoiesis pathology
- Recurrence of cancer
Preparation
two or three weeks before surgery one must pass all necessary tests
Mammary USI
MRI of torax
Fully normalize hormones
Stop taking drugs that affect blood clotting
Operation
Preoperative planning
Preoperarive marking
local anesthesia
Insision by the marking
Glandular tissue removal. Coagulation
Implant placement in the created cavity
Draines and sutures
Elastic and aseptic bandaging
Operation stages
Patient stays in clinic 2-3 days
Daily bandaging
Compression garment wearing for 2 month
Physical restrictionns for 2 month
Implants position control every 2 months during the first year