BREAST RECONSTRUCTION UAE
Many women who have a Mastectomy with implant and reconstruction UAE surgery, wish to get rid of a whole breast to treat or forestall breast cancer have the choice of getting the form of the removed breast rebuilt. A woman can choose from several available options on how she wanted her breast to be rebuilt. Silicone or saline are some of the most popular implants used to rebuild breasts. The rebuilt process takes the help of autologous tissue (tissues from elsewhere in the body). In some cases, it has also been seen that both autologous tissue and implants were used to rebuild the breast.
During the mastectomy procedure surgery to reconstruct the breasts can be done or initiated. This is called immediate reconstruction. The alternative duration to carry out the procedure is after the mastectomy incisions have been healed and after the completion of breast cancer therapy. This is indeed called delayed reconstruction. In case of delayed reconstruction, the procedure can be carried out even years after the mastectomy.
An areola and a nipple may be re-created on the reconstructed breast by the final stage of Breast reconstruction UAE. This is carried out only if these were not preserved during the mastectomy. In order to match the two breasts in size and shape, breast reconstruction surgery Includes a contralateral approach.
How do surgeons use implants to reconstruct a woman’s breast?
Following the mastectomy, skin or chest muscle suits the best to insert the implants. A skin-sparing mastectomy is considered the most popular mastectomy to be performed. During this process, most of the breast skin is saved so that it can be used in reconstructing the breast. There is mainly a two-stage process by which implants are usually placed.
In the first stage, a device named a tissue expander is used by the surgeon. This device is placed under the chest muscle or under the skin that is left after mastectomy. After surgery, the expander is slowly filled with saline. This is done post-surgery, during the periodic visit to the doctor.
In the second stage, the expander is removed and replaced with an implant. This is done only after the chest tissue has relaxed and healed enough. After mastectomy, it takes 4-6 months for the chest tissue to get ready for the implant.
How do surgeons use tissue from a woman’s own body to reconstruct the breast?
In order to rebuild the breast, a piece of tissue containing skin, blood vessels, fat, and sometimes muscle is taken from elsewhere in a woman’s body. This is carried out during the autologous tissue reconstruction process. This piece of tissue is called a flap. These flaps can be collected from different body sites for breast reconstruction.
The abdomen or the back portion of the body is the most commonly preferred flap used for Breast reconstruction UAE. However, it has also be seen that the flaps are also taken from the thigh or buttocks. These flaps can either be free or pedicled, depending on their source.
With a pedicled flap, the movement for the attached blood vessels and tissues goes through the body to the breast area. Blood vessels do not need to be reconnected once the tissue is moved as the blood supply to the tissue used for reconstruction is left intact.
With a free flap, the tissue is cut free from its blood supply. The attachment needs to be done to new blood vessels in the breast area. Microsurgery is the technique used for this procedure. This gives the reconstructed breast a blood supply. The abdominal and back flaps include the following: -
DIEP flap: -
For this flap, the tissues come from the abdomen and contain fat, blood vessels, and only skin without the underlying muscle. This is an example of a free flap.
Latissimus Doris (LD) flap: -
This flap considers the tissues from the middle and side of the back. When used for breast reconstruction, these flap types are pedicled. LD flaps are well known for their numerous benefits over other types of
SIEA flap (also called SIEP flap): -
Like DIEP flap, here the tissues come from the abdomen but the only difference is in terms of blood vessels used. It is a free flap so no cutting of the abdominal muscle takes place. This is also a positive approach for women who don’t have the adequate/necessary blood vessels.
TRAM flap: -
Here the same things repeat as in the DIEP flap but the only difference is the addition of muscles. A different set of muscles are used for the procedure to carry out successfully. It can be either pedicled or free.
If a woman had previous major abdominal surgery or if she doesn’t have enough abdominal tissue to reconstruct a breast, then in that condition flaps are taken from the thigh or buttocks. These are considered to be free flaps. These flaps are often responsible for an implant to provide sufficient breast volume. These are: -
IGAP flap: -
Here the tissues come from the buttocks and contain only fat, blood vessels, and skin.
PAP flap: -
These come from the upper inner thigh and are generally tissues without muscle.
SGAP flap: -
Like IGAP flap, the tissues come from the buttocks but in this case, a different set of blood vessels are considered. Those contain blood vessels, fat, and skin.
TUG flap: -
Unlike the PAP flap, here the tissues Include muscles that come from the upper inner thigh.
In some cases, it has also been observed that autologous tissue and implant are used together. We can consider taking an example of autologous tissue that may be used to cover an implant. This is practised when there isn’t enough skin and muscle left after Mastectomy with implant and reconstruction UAE. In this case, no muscle is left behind for expansion and use of an implant.
What are some new developments in breast reconstruction after mastectomy?
Some of the new developments in breast reconstruction are: -
Oncoplastic surgery: -
Women usually do not have reconstruction if they have partial mastectomy or lumpectomy for early-stage breast cancer. In some cases, the surgeon takes the help of plastic surgery to reshape the breast during the process of cancer surgery. This type of breast-conserving surgery is known as oncoplastic surgery. This is carried out by transfer of tissue flaps, reconstruction through breast reduction surgery, or may use local tissue rearrangement. The long term outcomes for this surgery may be compared to those for standard breast-conserving surgery.
Autologous fat grafting: -
This is an advanced form of technique where fat tissues are transferred from one specific part of the body to the reconstructed breast. The abdomen, buttocks, and thighs are the body parts involved. In order to inject the fat tissues into the area of interest, it is harvested by liposuction, washed, and then liquefied to bring out the desired tissues.
After the procedure of breast reconstruction, it has been observed that asymmetries and deformities are formed. These can be treated with the correct approach of fat grafting. It is also sometimes used to reconstruct an entire breast. This technique is considered safe despite the concern that has been raised for the lack of long-term outcome studies.
If you are looking for the best specialist in your locality then try contacting Dr Haytham. He is an expert in this field and had been involved in numerous successful surgeries. In case you are feeling some sort of pain near your breath region or you want to rebuild it with a new approach, you are always welcome to seek Dr Haytham’s service.