Breast reconstruction, nipple, mammy areola

Breast reconstruction, nipple, mammy areola

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  1. What is the operation of breast reconstruction, nipple, breast areola?

The operation of breast reconstruction after the extirpation of a breast due to cancer (mastectomy) can be one of the inspiring ones between operations for a woman. The diagnosis of breast cancer can be as frightening as it is devastating. However, with early detection and treatment followed by subsequent reconstruction of the breast after mastectomy, a woman can have a natural form of breasts and better confidence in her health and appearance.

  1. The costs of the operation of the reconstruction of the breast, nipple, breast areola.

The costs of the operation of breast reconstruction, nipple, breast areola depend on the operative technique used and concomitant procedures. The cost will be explained and discussed by the surgeon. Because there are very many variables this cost will be individualized, and for some selected cases the operation may be included in a pro bono program.

  1. What happens before the operation?

The breast reconstruction operation can be carried out immediately after mastectomy or later. Women usually choose the immediate reconstruction of the breast to reduce the emotional impact of the removal of the breast. In some cases, a woman may want to delay the surgical intervention of breast reconstruction until the diagnosis of breast cancer is confirmed and will have time to discuss all the options she has with both the attending surgeon and the plastic. There have been numerous advances and new reconstruction techniques in the area of breast reconstruction, and your plastic surgeon will explain in detail during the consultation. The surgeon will help you decide which approach is most beneficial to your goals and you will work closely with the other physicians to determine the optimal mode of action. Be sure to contact your surgeon. Plastic any questions and discuss any concerns you may have during direct and open consultation. It is very important that you have a comfortable understanding of this procedure.

  1. How can I help the operation to be a success?
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  1. How is the operation of breast reconstruction, nipple, breast areola done?
How is breast reconstruction done?

Whether you opt for tissue expansion or flap reconstruction, you will likely need to perform more than one surgery to achieve optimum results. In general, the first surgical intervention is the most complex, and subsequent surgical interventions will be to replace the Salin expansor, to place a silicone implant or a saline or to recreate the nipple and areola. Your plastic surgeon will discuss all this in detail before surgery.

The various methods of reconstruction of the breast include:

  • Expanding tissues with an implant
    This is a very common type of breast reconstruction surgery that involves placing an expasor under the skin and under the thoracic muscle. The expansor is injected several times with a saline solution over a period of weeks or months to stretch the skin. After the skin is stretched and the pocket is created, the expansion is removed and replaced with a chest implant, as in breast augmentation. This is carried out as a brief outpatient procedure with minimal recovery time. If the tissue does not need to be expanded, an implant is placed without the need to expand with saline solution.
  • Flap
    Reconstruction
    The reconstruction of the flap is a method that uses tissue on the back, abdomen or buttocks to form the new breast. In some cases, this tissue and attached blood vessels are shifted through the body to the breast area. In other cases, the tissue is removed and then moved to the breast area.

Your plastic surgeon will discuss each of these different approaches during the pre-surgical consultation.

  • Reconstruction of the nipple and the breast areola.
    Reconstruction of these elements of the breast is usually done in the second stage after the breast has been rebuilt. There are several variants for the reconstruction of the nipple and the breast areola.
Reconstruction of the nipple using its own tissue

During this procedure, the plastic surgeon will use the skin near or around the nipple to form a shape resembling the edge of the nipple. This is the part that comes out of the breast relief. In some cases, a surgeon will graft the skin from other areas to create areola.

About 3 months after the start of the procedure, an artist in specially trained medical tattoos adds the latest finishes by tattooing a permanent nipple. Color and shading are used to produce results that occur naturally.

Tattoo without reconstruction of the nipple

The second option is to perform a nipple tattoo on the reconstituted breast tissue, without rebuilding the nipple itself.

In this case, the shading procedure is the one used to create the illusion of a 3D nipple, but the tissue itself remains smooth. Unlike the reconstruction of the nipple, there is no graft and no more incisions on the body.

Because the rebuilt breast tissue is not as sensitive as a natural breast, the tattoo process tends to be less painful than a traditional tattoo. A single session is generally required although some women choose to remake their tattoo from time to time.

Nipple prossation

Many survivors of breast cancer prefer to avoid subsequent surgery to reconstruct the breasts. In this case, removable polyurethane nipples are available,

  1. How long does the operation take, hospitalization is required?

The initial operation of breast reconstruction is usually carried out with the help of a general anesthetic. You will be completely asleep and you will feel comfortable during the procedure. Further surgical interventions can often be performed using a combination of local anesthesia or sedation to ensure your comfort.
Hospitalization is usually required at least 1 night.

  1. What do I expect after the operation?

Recovery after breast reconstruction depends on whether you have an implant or a reconstruction of the flap. Each heals at its own pace, you can expect the recovery process to be carried out in general as follows:

The first few days

In most cases, patients with breast reconstruction stay overnight in the hospital and return home the next day. Often, a drainage tube is used to remove excess fluids from the operated area immediately after surgical intervention.

1 to 2 weeks

It is normal to feel fatigue and pain for 1-2 weeks after your operation. Your plastic surgeon can prescribe medicines that will help you feel more comfortable. Stitches are usually removed after a week.

6 weeks

In general, most women feel a degree of normality approximately 6 weeks after the breast reconstruction operation. It is important to keep yourself in this recovery period. Avoid lifting, sports and sexual intercourse for up to 6 weeks after surgery.

  1. Risks and side effects associated with the operation.

All surgical interventions involve some risks, including the development of an infection around the surgical area or an adverse reaction to anesthesia. If these rare situations occur, they can be treated by medications prescribed by your plastic surgeon. An unusual complication after surgical intervention of breast reconstruction is the development of the capsule contration, which determines the scar tissue around the implant to tighten and pressure the implant. The risk decreased due to new implantation technology and stretching exercises.

If the reconstruction has been carried out with a flap, there is a risk that this own tissue does not live consecutively and the new breast is lost. If this happens then there will be a need to apply another method of reconstruction.

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  1. Recovery and some tips for a good recovery.
  • Reconstruction of the nipple using its own tissue

During this procedure, the plastic surgeon will use the skin near or around the nipple to form a shape resembling the edge of the nipple. This is the part that comes out of the breast relief. In some cases, a surgeon will graft the skin from other areas to create areola.

About 3 months after the start of the procedure, an artist in specially trained medical tattoos adds the latest finishes by tattooing a permanent nipple. Color and shading are used to produce results that occur naturally.

  • Tattoo without reconstruction of the nipple

The second option is to perform a nipple tattoo on the reconstituted breast tissue, without rebuilding the nipple itself.

In this case, the shading procedure is the one used to create the illusion of a 3D nipple, but the tissue itself remains smooth. Unlike the reconstruction of the nipple, there is no graft and no more incisions on the body.

Because the rebuilt breast tissue is not as sensitive as a natural breast, the tattoo process tends to be less painful than a traditional tattoo. A single session is generally required although some women choose to remake their tattoo from time to time.

  • Nipple prossation

Many breast cancer survivors prefer to avoid subsequent surgery to reconstruct the breasts. In this case, removable polyurethane nipples are available, simulating its texture and natural colouring. Prostatic nipples are provided with a layer of glue on the back and can be worn and removed easily after desire.

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