Mastektomi sonrası Rekonstrüksiyon

Post Mastectomy Repair

Breast is one of the most determining elements of female aesthetics. Its loss is causes a phycological trauma. Astonishment, anger and fear during the diagnosis and treatment of cancer are replaced by a sense of sadness and deficiency over time.

Medical technology is rapidly developing againist cancer fight. Breast-sparing mastectomies, hormonal treatment , advances in chemotherapy and radiotherapy have now made this terrible disease curable. As a result, patients have to live with this deficiency for many years. After cancer treatment, the individual will be uncomfortable with her appearance over time.

Improvement in medical technology is not only in cancer treatment field. The development of bio-compatible materials and surgical techniques offered several advanced reconstructive options.

Repair can not only be done during mastectomy, but even years after it. Recently, interest in simultaneous operations have gained popularity. Mastectomy followed by simultaneous implant placement provides psychologically and aesthetically superior results.

Silicone implants, silicone tissue expanders or expandable implants are the medical devices used for immediate or delayed reconstruction. Autologous reconstruction refers to recostruction with tissue transfer from one's own body. Most commonly applied modalities are, transferring skin, fat and the part of musle from abdomen (that tissue block is very similar to the tissue discarded during a tummy tuck), from back or from gluteal region. Implants and autologous tissue can also be used together.

Before Surgery:

Two basic decisions should be made in the preoperative period:

- Whether the repair will be performed simultaneously with or after mastectomy?

- Whether it will be applied with the person's own tissue during repair or with a silicone medical device?

If a delayed reconstruction is to be performed, then tissue quality of the mastectomy site will be evaluated. Especially, patients who had radiotherapy may require tissue transfer from the abdomen or back due to radiation injury to the area. Obesity, smoking, systemic diseases, age and medical history shoul be questioned carefully. While the abdominal tissue alone provides sufficient tissue, transfers from the back should be combined with silicone implant for additional volume.

Silicone implants are generally used during immediate reconstruction or in thesecond stage of late repairs. They may also be combined with autologous tissue transfers (flaps).

Silicone tissue expanders are generally used in the first step of late reconstructions.of late, two-step repairs. Inflated with physiological saline injections at regular intervals, they will expand to provide tissue to cover the silicone implant. When enough tissue is obtained, the expander will be replaced with the silicone gel implant.

Silicone expander implant combinations (ie Becker-type silicone prostheses) can be used both simultaneously with mastectomy and for late repairs. These implants have two components. Volume is partially provided by silicone gel component. The other part acts like an expander and provide volume by regulary done physiological saline injections . This provides permanent result with gradually increasing volume to reduce complications.

It is suitable to achieve excellent results with all of the techniques described above. However, it is important to choose the most suitable option for the patient. At this stage, besides the physical characteristics , psychological structure and personal preferences are also determinative. Patients generally do not look warm in multi-stage operations.

Multiple surgeries may be required for aesthetically satisfying results.

Operation:

It is not possible to mention a standard time as several surgical options exist. In addition, depending on the technique to be used, 1,2 or 3 separate operations may be required. Nipple and areola reconstruction, interventions to the opposite breast to achieve symmetry may require additional surgery sessions.

Postoperative:

As stated above, numerous surgical options exist, a standard postoperative schedule does not exist.

Cancer is a curable disease. Mentally and psychologically healthy life after the traumatic treatment period is

Anlatılanlar güç ve uzun süreli bir tedavi sürecine işaret ettiği için hastalar tereddüt de kalabilir. Kanser artık tedavisi olan bir hastalıktır. Önemli olan bu sarsıcı sürecin peşinde sağlıklı, uyumlu ve uzun bir yaşamın varlığıdır.....

Assoc. Prof.Dr. M. GÜRHAN ULUSOY

+90532 611 4878

+90312 468 8429

Post Mastectomy Repair

Breast is one of the most determining elements of female aesthetics. Its loss is causes a phycological trauma. Astonishment, anger and fear during the diagnosis and treatment of cancer are replaced by a sense of sadness and deficiency over time.

Improvement in medical technology is not only in cancer treatment field. The development of bio-compatible materials and surgical techniques offered several advanced reconstructive options.

Repair can not only be done during mastectomy, but even years after it. Recently, interest in simultaneous operations have gained popularity. Mastectomy followed by simultaneous implant placement provides psychologically and aesthetically superior results.

Before Surgery:

Two basic decisions should be made in the preoperative period:

- Whether the repair will be performed simultaneously with or after mastectomy?

- Whether it will be applied with the person's own tissue during repair or with a silicone medical device?

Silicone implants are generally used during immediate reconstruction or in thesecond stage of late repairs. They may also be combined with autologous tissue transfers (flaps).

Multiple surgeries may be required for aesthetically satisfying results.

Operation:

As stated above, numerous surgical options exist, a standard postoperative schedule does not exist.

Cancer is a curable disease. Mentally and psychologically healthy life after the traumatic treatment period is

Anlatılanlar güç ve uzun süreli bir tedavi sürecine işaret ettiği için hastalar tereddüt de kalabilir. Kanser artık tedavisi olan bir hastalıktır. Önemli olan bu sarsıcı sürecin peşinde sağlıklı, uyumlu ve uzun bir yaşamın varlığıdır.....

Post Mastectomy Repair

Breast is one of the most determining elements of female aesthetics. Its loss is causes a phycological trauma. Astonishment, anger and fear during the diagnosis and treatment of cancer are replaced by a sense of sadness and deficiency over time.

Improvement in medical technology is not only in cancer treatment field. The development of bio-compatible materials and surgical techniques offered several advanced reconstructive options.

Repair can not only be done during mastectomy, but even years after it. Recently, interest in simultaneous operations have gained popularity. Mastectomy followed by simultaneous implant placement provides psychologically and aesthetically superior results.

Before Surgery:

Two basic decisions should be made in the preoperative period:

- Whether the repair will be performed simultaneously with or after mastectomy?

- Whether it will be applied with the person's own tissue during repair or with a silicone medical device?

​

Silicone implants are generally used during immediate reconstruction or in thesecond stage of late repairs. They may also be combined with autologous tissue transfers (flaps).

Multiple surgeries may be required for aesthetically satisfying results.

​

Operation:

​

As stated above, numerous surgical options exist, a standard postoperative schedule does not exist.

Cancer is a curable disease. Mentally and psychologically healthy life after the traumatic treatment period is

Anlatılanlar güç ve uzun süreli bir tedavi sürecine işaret ettiği için hastalar tereddüt de kalabilir. Kanser artık tedavisi olan bir hastalıktır. Önemli olan bu sarsıcı sürecin peşinde sağlıklı, uyumlu ve uzun bir yaşamın varlığıdır.....