Frequent questions
Is breast reconstruction done at the same time as removal?
Although breast reconstruction can be performed at the same time
as mastectomy, this is not always the case. Breast reconstruction surgery can
be done at any time after breast removal.
There are women who decide to wait a while, due to emotional
issues or health-related aspects that may interfere, for example, in healing.
The best thing is to consult all the possibilities and let
yourself be advised by the team of experts that is treating us.
Does this procedure intervene in other cancer treatments?
No scientific evidence linking breast reconstruction with
cancer recurrence has been found. Generally, this procedure does not interfere
with any treatment following the removal of the breast, such as radiation
therapy and chemotherapy.
Will I recover the sensitivity of the breast?
It is possible to recover the sensibility after a breast
reconstruction after a mastectomy. The process is slow and may not notice
anything until the year, and it is likely that the touch is not the same.
Everything depends on each patient.
Does radiotherapy influence breast reconstruction?
Radiotherapy can condition breast reconstruction when
deciding on one technique or another. In these cases it is usual to resort to
procedures that involve the use of tissues from other body parts.
This is because the skin is sensitive to the effects of
radiotherapy, showing less elasticity. Therefore, it is necessary to relax it
or replace it with another that is more flexible.
What differences will there be between the reconstructed
breast and the natural breast?
Breast reconstruction surgery is very effective and usually
the shape and symmetry of the breast removed is recovered in such a way that
the change is hardly appreciated. Finding the symmetry between both breasts is
one of the priority objectives of plastic surgeons.
In the same way, modifications can also be made to the other
breast in which case the patient so wishes or if necessary.
Does breast
reconstruction affect the ability to check if breast cancer has returned?
Several studies have shown that breast reconstruction does
not mean an increase in cancer reproducing again. Nor does it imply that it is
more difficult to control possible recurrences through mammography.
Procedure in breast reconstruction
How to plan this surgery?
Breast reconstruction can be considered from the moment
cancer is diagnosed. It is best that the general surgeon or gynecologist /
oncologist and plastic surgeon, agree and plan what is the best strategy for
reconstruction is performed under the best conditions.
After evaluating the health status of the patient, we
proceed to explain what are the reconstructive options available, and which is
the most appropriate depending on age, anatomy, tissues, and particular
objectives.
Preparation
Both the oncologist and we will tell you the specific
instructions on how to prepare breast reconstruction surgery. In addition, we
give you fasting guidelines, guides on habits such as smoking, and instructions
on the intake of medicines and vitamins.
It is important that the first two or three days are
accompanied by a responsible adult, in order to meet the possible needs that
may arise in the postoperative period.
Types of anesthesia
The first part of the reconstruction, that is, the one that
corresponds to the creation of the volume of the breast, is usually performed
under general anesthesia.
Regarding the rest of the procedures, it will depend on the
characteristics of the procedures, but some of them only need to be performed
under local anesthesia and sedation or only with local anesthesia.
The intervention
There are different options for undergoing breast
reconstruction. It is necessary that the patient know what they are and
determine which is the most convenient.
The reconstructive surgeries performed after a mastectomy
are several: with expanders and implants, using tissue from other parts of the
body such as the abdomen or back, or with a wide dorsal flap, which uses
techniques from both surgeries.
Similarly, it must be borne in mind that breast
reconstructions are associated with complementary treatments that can be
extended over 12 months. They are usually procedures to achieve the symmetry of
the other breast or reconstruct the areola and nipple, among others.
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