We provide professional support in Breast repair.
Breast reconstruction requires a multidisciplinary approach. Immediately after
the diagnosis of the disease, reconstruction should be included in the
treatment before the breast is removed. In short, two different timings
are preferred as early reconstruction and late reconstruction. This timing
can be decided by the general condition of the patient and the stage of the
Generally, in early stage breast cancers, it is the plastic surgery team involved in the
operation and regenerating the breast in the same surgery where the breast was
removed. The advantage of this operation is that the patient avoids the
second surgery and most importantly, the woman feels less of limb loss and
psychological trauma as a result of replacing the breast removed immediately. In
the same surgery, both cancerous tissue is removed and a new breast is made.
It is the case of late reconstructions when it is decided to perform reconstruction after
these treatment methods with the joint decision of the oncologist, general
surgeon and plastic surgery specialists in line with the need for additional
treatments such as chemotherapy and radiotherapy after operations. It is
expected that the cancerous area is brought under control or additional
treatment is completed in order to replace the lost breast.
Removing the breast and repairing the breast are entirely
the work of separate specialties. The repair of the breast should be done
by a plastic surgeon, not by a general surgeon. Patients have the right to
question and demand how to replace the breast taken in the first consultations.
Plans are made according to the general condition of the patient, the effects of the
radiotherapy treatment and the psychological state of the patient. Either
prosthesis options that can be placed externally or operation options using the
patient’s own tissue can be preferred.
While making the decision, it is taken into consideration whether there is any vascular
damage in the breast due to radiotherapy, the presence of other diseases such
as diabetes, heart disease and smoking. Different parts of the patient
such as the back, abdomen, buttocks and inner thighs can be used in these
The most preferred area in surgeries is the abdominal region. In women who have
given birth and have fat and sagging in the abdomen, the skin and adipose
tissue of this area can be used for breast production. The patient can
transfer the already excess fat tissue for breast production by performing a
procedure similar to a tummy tuck surgery. This transfer can be used in
microsurgical methods. Thus, while the patient’s breast is being made,
abdominal stretching is performed at the same time.
Since the breast skin remains intact in simultaneous reconstructions, prosthesis can be
placed under the muscle tissue. In late reconstructions, on the other
hand, tissue expanding applications and then prosthesis applications can be
performed in order to gain skin elasticity.
The aim of reconstruction is to repair the lost tissue as closely as possible. The
first step is to create the breast that disappears in the anterior chest wall. In
the second step, while the other breast is likened to this breast, a nipple is
created on the newly made breast. In the next step, it is planned to
obtain the brown appearance of the nipple.
Every patient diagnosed with breast cancer or who has undergone mastectomy surgery
can apply to a plastic surgeon for breast reconstruction with the surgery
planned according to him, if there is no obstacle in the evaluations. It
should be performed by a plastic aesthetic and reconstructive surgery
specialist in the field of breast reconstruction.
It is possible to encounter general problems like all surgical procedures. The
risk increases slightly in patients who smoke or have systemic problems such as
diabetes and heart disease. In the operations where the patient’s own
tissue is used, circulatory disorders that may occur in the transferred tissue,
and partial or complete tissue losses can be seen, albeit rarely. For
this, secondary options should be kept at hand while the operations are