Oncologic sugery

Breast reconstruction

Rekonstrukcja piersi
  • Description of treatment
  • Facts and myths
  • Preperation for the surgery
  • Postoperative care

Description of treatment

Breast reconstruction surgery is performed after mastectomy, it consists in the reconstruction of the shape of the breast, nipple and areola.

In breast reconstruction the patient is fitted with implants. Before doing so, however, the place where the implant is to be fitted must be prepared. For this purpose, an expander - a bag with a valve through which the fluid in the bag is complemented - is placed under the skin, thus the skin is prepared (extended) to accept the implant. Depending on the loss of tissue elasticity and the size of the other breast, refilling the expander can last from several weeks to several months.

The expander can also have the natural shape of the breast. This allows to primarily obtain the desired effect of reconstruction. After appropriate treatment the skin expander is removed and in its place is the correct implant is placed. There is also a possibility of combining the expander and the prosthesis - it is a silicone prosthesis containing a bag which can be refilled with saline (the bag remains permanently in the transplant). The choice of the method is made individually depending on the patient.

After the implantation, a nipple reconstruction surgery can also be performed (the nipple is formed of sheets of skin). Then a tattoo is done within the areola, whereby a close to natural color can be obtained. The whole process of breast reconstruction, along with the reconstruction of the nipple and areola, generally includes 3-4 treatments (about half a year).

We are pleased to announce that Artur Gromadziński, M.D. performs breast reconstruction procedures in the Clinical Hospital of the Lord’s Transfiguration of the University of Medical Sciences in Poznań at Szamarzewskiego Street.

Important note: because of the mode applied in the new procedures, currently the waiting time for breast reconstruction procedure is much shorter than in most Polish hospitals. Interested patients are welcome to oncological surgery dispensary run by Artur Gromadziński, M.D. at the Clinical Hospital of the Lord’s Transfiguration at Szamarzewskiego 82/84 in Poznań on Wednesdays from 8:30 am.

Facts

Breast reconstruction does not give an effect of a natural breast - you can see that the breast is reconstructed.

The reconstructed breast will never be exactly the same as a natural breast. This is in fact an "in your bra" treatment. This means that the patient can go to the beach in her bra without the fear that others will recognize that has undergone breast reconstruction surgery.

After breast reconstruction correction of the other breast is often required

The reconstructed breast is firm , therefore, in some cases - for the sake of aesthetics and symmetry - it is advisable to carry out correction of the other breast (e.g., breast-lift surgery).

Myths

Breast reconstruction is an obstacle to cancer controls.

In the case of reconstruction of the breast, the implant is put under the muscle, thereby allowing a full oncological diagnostic.

You must wait a minimum of five years after the treatment to reconstruct the breast.

To perform breast reconstruction after mastectomy and chemotherapy, the patient should wait about three months, and six months after radiotherapy.

Preparation for the surgery

It is necessary to perform ultrasound and / or mammography of the other breast to exclude neoplastic changes. Complete blood counts is also performed. The patient should also undergo regular oncological checks.

Postoperative care

After the procedure of breast reconstruction patient usually stays in the clinic for about a day. Treatments of the nipple and areola reconstruction are performed on an outpatient basis.

Postoperative recomendations

After the procedure of breast reconstruction it is recommended to limit physical activity for a period of two weeks and wear bandage dressing with a special breast shaping bra during the initial period after the procedure.

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