I was told prior to to surgery it would soften over time. Flaps used for breast reconstruction most often come from the abdomen or back. I had a really hard time finding any information on this subject but there are some very knowledgeable women here who have gone through this. More commonly, lumpectomy deformities are corrected with an autogenous flap such as a latissimus dorsi flap or an abdominal microvascular free flap. You can also download other on many different breast cancer topics. What if I may need radiation? Calls are answered by a trained and caring staff member Monday through Friday from 9:00 a. This is consistent with recommendations presented in the literature.
This type of flap is a free flap. Some of the complications that occur at higher rates in patients who receive with radiation with implants include wound breakdown, delayed healing, infection, breast implant or tissue expander extrusion, and severe capsular contracture. Immediate bilateral breast reconstruction with implants and inferolateral AlloDerm slings. If so, can I donate my own blood? Whatever each of you decide-we can still change our minds. Radiation has toxic effects on tissues that can cause problems with healing. You may need to wear a special bra while your reconstructed breast heals. The fat is collected from the donor site much like a tummy tuck procedure.
The final implant can be placed at the time of the mastectomy without the need for expansion. We know that radiation therapy given after reconstruction surgery can increase the risk of a scar tissue capsule forming around an implant, called capsular contraction. What problems should I report to you right away? However, the problem of tissue transplantation is the donor-site morbidity. Your breast cancer treatment, your body and your lifestyle affect not only your reconstruction options, but also the pros and cons of your options. Updated: June 2009 Radiation and Reconstruction Radiation therapy has been used to treat breast cancer for many years. Because of the tissue damage from radiation, these women may have more problems with reconstruction surgeries.
Unfortunately, the radiated skin can become quite firm and very often does not stretch well. Pam, you have a good memory. Many reconstructive surgeons prefer to delay breast reconstruction when radiation is part of the treatment plan. Special procedures may be necessary to improve the accuracy of the mammogram and to avoid damaging the implant. The need for radiation therapy cannot always be determined prior to surgery. The most common natural flap procedures use tissue from the back, abdomen, buttocks or thighs.
The shape of the reconstructed breast with an implant may not match the look or feel of the natural, opposite breast, especially as you age and your natural breast changes shape. However, in some situations implants may be the preferred option for reconstruction, or the only choice. We hypothesized that the AlloDerm hammock may allow greater intraoperative volume expansion and potentially avoid the need for an autologous construct. After the chest heals from reconstruction surgery and the position of the breast mound on the chest wall has had time to stabilize, a surgeon can reconstruct the and. External Beam Breast Cancer Radiation External beam radiation also known as traditional or whole breast radiation therapy uses external beam radiation, like that of a regular x-ray, but the beam is highly focused and targets the cancerous area for two to three minutes. Reconstruction of the patient who may require radiation and the role of the delayed-immediate technique Nearly one-half 46% of surgeons would offer prosthetic reconstruction to patients whose need for radiation was unknown at the time of surgery. Written and edited by our.
Figure 4 Histology of tissue expander-AlloDerm capsule at the time of bilateral implant exchange. Are there any other risks or side effects to consider? It covers breast reconstruction after a mastectomy. One factor that can affect the timing of breast reconstruction is whether a woman will need. So far my implants are doing fine! So, it's been a haul but there were glitches for me. This step may be repeated as needed.
Talk with your plastic surgeon about specific instructions after your surgery. Conclusion: Tissue expander-implant breast reconstruction following mastectomy preserves the skin envelope in patients who receive postmastectomy radiation. Ischemic complications in pedicle, free, and muscle sparing transverse rectus abdominis myocutaneous flaps for breast reconstruction. Rage, rage against the dying of the light! Implants may need to be replaced during your lifetime. Then, once radiation therapy is over, the expander can be removed and a flap reconstruction can be done.
I've not heard from her. Several factors can influence the type of a woman chooses. There are two main kinds of radiation therapy that may be considered, and some people have both. Many women who get radiation therapy to the reconstruction have chronic tightness and stiffness in the chest and upper arm areas. This is to make sure that your body can fight bacteria that may be introduced from your skin during the expansion process. Follow-up procedures may be done on an outpatient basis.
The perforator flaps have less donor-site morbidity; however, linear scar certainly remains at the donor site. Who can have nipple-sparing mastectomy? Size of the expander may be increased or decreased after the initial surgery Size of the implant cannot be changed without surgery to replace the implant Size of the implant cannot be changed without surgery to replace the implant Risk of rupture Equal chance of rupture Equal chance of rupture What happens if rupture occurs? Breast cancer radiation therapy may be used to destroy any remaining mutated cells that remain in the breast or armpit area after. For the minority of physicians who would offer immediate reconstruction to such patients, prosthetic reconstruction was a favoured option. If you have larger breasts, you might need a breast implant as well. With a skin-sparing mastectomy, the tumor and clean margins are removed, along with the nipple, areola, fat and other tissue that make up the breast. Latissimus dorsi flap The latissimus dorsi flap is often used along with a breast implant. Excess living fat from below the belly button is transplanted to the chest to give back volume and shape.