Muscle tissue or even fat and skin tissue is taken from the back or the belly, to thus form a new breast. The "ideal" weight of the breast will be prized with approximately 300 to 500 grammes. Bigger breasts can cause postural defects due to their weight.
It is important to decide what type is desired the reconstruction before surgery for cancer. There is of course also the mental factor involved very large, because for an immediate reconstruction of the patient "Amputation of the breast" is not so much aware.
Because in this case, also the operation takes longer, the patient's State of health must be very good. Usually the patient is undergoing chemotherapy followed by, is recommended with breast reconstruction have to wait, as the healing period is may delay. The same also applies to radiation therapy. The reconstruction is performed under general anesthesia.
Types of operations
- Tissue removal from the back (latissimus dorsi)
- Lobe removal from the lower abdomen (DIEP flaps)
- Tissue removal from the abdominal muscles (TRAM flap approx. 20-30 cm in length removal in the pubic hair)
The new nipple itself can be performed only after the completed healing process, to a piece of skin is (mostly from the ear lobe or the upper eyelid skin) removed, and may then be tattooed in several sessions. This can be done as an outpatient procedure with local anesthesia.
There is a difference in the firmness and shape of the breasts, an additional operation must be carried out possibly on the healthy breast, which is usually not so elastic, this can be done in the form of a normal lift or an implant must be inserted. This operation is performed only if the patient mentally suffers from the diversity of the breasts.
After the surgery, drainage tubes lays for a few days, so the wound secretions to drain. This means that hospitalization will be mostly a 1-2wöchigem.
3-6 Hours at the own tissue sampling
assess at the earliest 2 months
Ability to work
Prior to surgery:
- 10 Days before any blood-thinning agents
- 10 Days before no cigarette and alcohol consumption
- Hormone supplements or pills without
After the surgery:
- Poor as often as possible up store
- at least 2 weeks not shower
- avoid any pressure on the surgical field
- After the second day of the operation begin special exercises
- If muscle tissue was removed in the abdominal region, it is then recommended to wear a corset for a few months
- for several months no heavy lifting and carrying
- no sporting activity for several months
- Cancer follow-up inspection is always recommended