After breast cancer, some or all of the breast tissue is removed. Here, the patient’s breast can be repaired by several methods. If there is a partial loss in the patient, repair can be provided with a tissue containing muscle and skin tissue prepared from the back. In addition, this loss can be compensated by silicone prostheses in suitable patients, that is, patients who do not have any skin deficiency but have volume loss. In total breast losses, repair can be made with both silicone prosthesis and the body’s own tissue. In my most preferred surgical method, breast tissue is formed by preparing the tissue in the lower part of the abdominal belly together with its vessels (Free DIEP or TRAM flap repair surgery). The veins that feed this abdominal skin and the tissue containing the adipose tissue under it are connected to the veins on the front of the rib cage with microsurgery and their circulation is provided. In this technique, the body tissue that is most similar in structure to the breast tissue will be repaired.
The scar in the abdominal region is the same as the scar used during abdominoplasty and remains hidden in underwear. Thus, in this technique, the patient is not only provided with a new breast tissue, but also a tummy tuck surgery is performed. After this first session, a period of approximately 6 months is expected for the adaptation of the new breast tissue to the region and wound healing. At the end of this period, the newly made breast tissue will take place in front of the rib cage with the effect of gravity. In the second session, according to the shape of the other breast, if desired, it is applied in surgeries such as reduction at the healthy breast, while the nipple and its surroundings are made in this newly formed breast in parallel with the localization of this breast. Here, the patient’s own tissue can be used as well as tattoos.
The advantage of the microsurgery technique I prefer is that the patient gets the best aesthetically, while at the same time, the resistance of the abdominal area is preserved. Because the most common unwanted result of breast repair surgeries, which are performed by removing tissue from the abdominal area where microsurgery is not used, is the abdominal hernia that occurs in the patient, which makes the patient’s life difficult and requires repeat surgery.
Skin quality also appears to be quite low in the patient receiving post-operative radiotherapy.
Image after breast reconstruction