Breast reconstruction surgery is a procedure that helps women who have had a mastectomy to restore their physical appearance and self-esteem.
The goal of breast reconstruction surgery is to create a new breast mound that matches the surrounding tissue and skin of the chest. It can also be used to improve symmetry, if both breasts were removed during the mastectomy.
There are several different types of breast reconstruction surgery:
- Autologous reconstruction uses your own tissue to create new breasts. The tissue may come from another part of your body or an implant made from your own fat or saline (salt water) may be inserted into the breast area to give shape and volume. The nipples must also be reconstructed using skin grafts taken from another part of your body or by tattooing some color onto them. This type of reconstruction is not always successful because it depends on having enough healthy tissue in other parts of your body for grafting or implants.
- Implant-based reconstruction uses artificial implants filled with silicone gel or saline solution to create new breasts after mastectomy surgery has been performed on one or both sides (bilateral). Implants can be placed directly under the skin so they look like real breasts or positioned behind muscles so they feel more natural when touched In this post we will consider breast surgery in nigeria and mumbai plastic surgery
Breast Reconstruction Surgery In Mumbai
Best Breast Reconstruction Surgeon in Mumbai
The vast majority of breast cancer survivors are good candidates.
While each understanding is unique and ways to deal with recreation might differ, essentially every bosom malignant growth survivor who is keen on bosom remaking is an applicant.
Breast recreation can work on your personal satisfaction.
“A few patients don’t have the chance for or are not intrigued by reproduction when they are first treated for bosom disease,” says Manahan. “We can in any case offer bosom recreation anytime, and it frequently assists patients with resting easy thinking about their general encounters and what their bodies have needed to confront.”
Driving examinations that analyzed personal satisfaction appraisals for ladies prior and then afterward bosom reproduction, Rosson and Manahan found that recreation, regardless of whether prompt or postponed, can incredibly work on a lady’s feeling of completeness and prosperity.
Prostheses can be bulky.
Patients that choose prostheses frequently find that they’re weighty and difficult to fit with their attire. Prostheses may likewise require ordinary substitution. Bosom reproduction can be a super durable answer for reestablishing your bosoms to a more normal shape and size.
You don’t need to live with rugged, indented scars.
Advancements in bosom recreation medical procedure over that last decade have significantly further developed appearance, including lessening the quantity of spaces and presence of scars.
Specialists at The Johns Hopkins Hospital play out the most exceptional muscle-saving fold, fat joining and embed methods.
It’s OK to pause.
Much of the time, your remade bosom will look similarly as great whether you had reproduction during your mastectomy or after.
“We truly trust it’s never past the point of no return,” says Manahan. “You can stand by and put it off, and when you’re prepared, we will have numerous great options for you.”
Regardless of whether you were directed against bosom reproduction at the hour of your treatment, propels in reconstructive methods might qualify you for the technique.
You can pick a choice that accommodates your way of life.
Your specialist can work with you to make a redid treatment intend to suit your inclinations. For instance, you can pick either separating bosom remaking into one longer medical procedure or a few more limited and less obtrusive ones. You’ll likewise have the decision to have your bosom reproduced utilizing your own tissue from your gut, thighs, posterior or back. Moreover, you can choose remaking utilizing inserts made of saline or silicone.
It’s covered by protection.
Medical care costs are frequently an essential worry for patients confronting any surgery. For bosom remaking after bosom malignancy, it doesn’t need to be. Government law necessitates that bosom remaking, notwithstanding other post-mastectomy benefits, be covered by clinical protection.
Different Types of Breast Reconstruction Surgery?
Introduction
When it comes to breast cancer, many patients are understandably focused on treatment and survival. However, it’s important to also think about the future and what type of reconstruction surgery you might want after treatment is over.
There are many different types of surgeries available, and it can be difficult to know which is the best for you. This guide will provide a complete overview of the three most common types of breast reconstruction surgery: implant-based reconstruction, flap reconstruction, and autologous tissue reconstruction. So that you can make an informed decision about what is best for you.
Each type of surgery has its own benefits and drawbacks, so be sure to discuss your options with your doctor before making a final decision.
What is breast reconstruction in cancer treatment?
Breast reconstruction is a type of surgery that rebuilding the breast mound after a mastectomy (removal of the breast). It can be done at the same time as the mastectomy (“immediate reconstruction”) or later (“delayed reconstruction”)
The goal of breast reconstruction is to create a new breast shape that looks and feels as natural as possible. It may not be possible to achieve perfection, but the results should be close enough that you feel comfortable with your appearance.
There are many different types of reconstruction surgeries available today, so there is likely to be one that is a good fit for you. The three most common types of reconstruction are: implant-based reconstruction, flap reconstruction, and autologous tissue reconstruction.
1. Implant-based reconstruction
In this type of surgery, an implant is used to create the new breast mound. The implant is usually a silicone gel-filled shell, but sometimes a saline (salt water) solution is used. There are two main types of implants.
- Textured implants – these have a rough surface that helps them stay in place
- Smooth implants – these are less likely to cause rippling or wrinkling of the skin
The surgeon will make an incision (cut) and create a pocket for the implant. The pocket can be made under the chest muscle (submuscular) or over it (subglandular). The choice of placement will depend on factors such as the size and shape of your chest, the amount of breast tissue remaining, and your individual anatomy.
After the implant is in place, the surgeon will close the incisions with stitches. A surgical bra or ace wrap will be used to support the breasts during healing. It may take several months for the implants to settle into their final position.
Reasons to choose implant-based reconstruction
Implant-based reconstruction has a number of advantages over autologous tissue reconstruction, including
- A shorter surgery time
- A shorter recovery time
- No need for multiple surgeries
However, implant-based reconstruction has a higher risk of capsular contracture and re-operation. You should discuss the pros and cons of each type of reconstruction with your surgeon to decide which is right for you.
2. Autologous tissue reconstruction
In this type of surgery, tissue is taken from another part of your body and used to create the new breast mound. The most common types of autologous tissue are –
- Latissimus dorsi muscle flap – this uses muscle from the upper back
- Transverse rectus abdominis muscle flap – this uses muscle and skin from the lower abdomen
- Gluteal free flap – this uses skin and muscle from the buttocks
The surgeon will make an incision (cut) and create a pocket for the flap. The flap is then tunneled under the skin to the chest and positioned over the implant or existing breast tissue.
The surgeon will then close the incisions with stitches. A surgical bra or ace wrap will be used to support the breasts during healing. It may take several months for the implants to settle into their final position
Reasons to choose autologous tissue reconstruction
Autologous tissue reconstruction has a number of advantages over implant-based reconstruction, including
- A lower risk of capsular contracture (hardening of the breast)
- A lower risk of reoperation
- No need for lifelong implant surveillance
However, autologous tissue reconstruction is a more complex surgery than implant-based reconstruction, and it often requires multiple surgeries.
It also has a longer recovery time. You should discuss the pros and cons of each type of reconstruction with your surgeon to decide which is right for you.
3. Flap reconstruction
In this type of surgery, tissue is taken from another part of your body and used to create the new breast mound. The most common types of flaps are –
- Latissimus dorsi myocutaneous (LDM) flap – this uses skin and muscle from the upper back
- Transverse rectus abdominis myocutaneous (TRAM) flap – this uses skin and muscle from the lower abdomen
- Gluteal free flap – this uses skin and muscle from the buttocks
The surgeon will make an incision (cut) and create a pocket for the flap. The flap is then tunneled under the skin to the chest and positioned over the implant or existing breast tissue.
The surgeon will then close the incisions with stitches. A surgical bra or ace wrap will be used to support the breasts during healing. It may take several months for the implants to settle into their final position
Which type of surgery is right for me?
The type of surgery that is right for you will depend on a number of factors, including
- The size and shape of your chest
- The amount of breast tissue remaining
- Your individual anatomy
- Your preferences and goals
You should discuss all of these factors with your surgeon to decide which type of surgery is right for you.
Conclusion
There are a number of different types of breast reconstruction surgery, and the right type for you will depend on your individual anatomy and goals. You should discuss all of your options with your surgeon to decide which type of surgery is right for you.
How to Get Safe Breast Reduction Surgery and Natural Looking Result?
- Are you feeling embarrassed with huge, disproportionate and large breasts?
- Do you have difficulties in doing daily chores and experience backache, neck pain and shoulder pain due to large and heavy boobs?
- Are you finding difficulties in wearing clothes and not get able to explore stylish outfits?
- Are you seeking a solid solution to get rid of body pain that occurred due to heavy boobs?
Physically as well as emotionally it is not acceptable to have a larger, disproportionate or heavy boob. It causes a lack of aesthetic appeal and beauty, which may lead to some other associated issues such as neck pain, backache, shoulder pain, and also difficulties in regular activities of daily life. However, it has a great concern to deal with the breast reduction/mammaplasty surgery as many women are now receiving it. Having the best proportionate breast enhances the aesthetic beauty and physical appeal with the contoured boob shape via the mammoplasty procedure.
What is Breast Reduction Surgery?
A breast reduction surgery is also known as reduction mammoplasty, which removes excess boobs tissues and skin to achieve a proper proportionate breast with an aesthetic size suited to the patient’s acceptable body figure and physique. Disproportionately large size can cause both physical and mental distress. A Macromastia is a condition of having an unwanted or abnormally large size of boobs that causes pain and discomfort. Pain can be challenging as it hampers oneself from daily physical activities. Thus, it has great importance to receive cosmetic procedure and get the aesthetically acceptable figure.
For most patients, a diagnosis of breast cancer often comes with significant concern over the possible loss or deformity of the breast. However, many patients are unaware of the advances that have been made in the field of breast reconstruction. In most cases, our surgeons can reconstruct a woman’s breast following mastectomy or lumpectomy with outstanding, natural results. We understand that improving your self-image and sense of wholeness are equally important and an integral part of your treatment and recovery from breast cancer. In short, your recovery from breast cancer treatment no longer means living without your breasts.
Breast reconstruction is a staged process in which the breast mound is reconstructed either immediately following mastectomy or at a later date depending on a patient’s individual situation. Our doctors will often use an adjustable implant or a tissue expander that is placed at the time of mastectomy under a patient’s skin and pectorals muscle. This following several (2-5) painless in-office expansions over 2-3 months, a second operation is required to then exchange the temporary expander with a soft permanent implant. The nipple and areola are reconstructed using small in-office procedures and medical tattooing.
Implant Reconstruction
Tissue expander and implant reconstruction offers excellent results with less downtime and risk to patients. For this reason, our surgeons perform this type of reconstruction more often. Some patients, however, may need a more aggressive type of reconstruction depending on their specific situation and type of cancer treatment.
In some cases, your surgeon may recommend the use of a your own tissue for reconstruction. Commonly, this “autologous” reconstruction uses either a patient’s abdominal skin or muscle—TRAM flap, or back skin and muscle—latissimus flap, for reconstructing the breast mound. Patients with a history of or future need for radiation treatment may benefit from this type of reconstruction; however, many patients with radiation may still be a candidate for implant reconstruction. It really depends on how a patient recovered from the radiation treatment and the quality of the chest skin.
Mastectomy and Reconstruction
Patients who undergo mastectomy and reconstruction on one breast commonly undergo a symmetry procedure on the opposite breast to match. This may be an augmentation, reduction or lift, depending on each situation. If you have already had a mastectomy, even if it was years ago, Gawley Plastic Surgery and the Arizona Breast Center can still begin the reconstructive process and create beautiful, symmetrical breasts.
It is very common that over the years following breast reconstruction, changes may occur in a patient’s breasts—asymmetry, implant hardening, and recurrent deformity. Our surgeons can often offer revisional surgery to improve size, shape, and symmetry years after your cancer treatment and reconstruction.
Most importantly, both initial and revisional breast reconstruction surgeries are usually covered by your insurance.
Each patient is unique and has unique needs. At your will go over your options and help you decide which method is best for you.
Breast Reconstruction Safety
Breast reconstruction will not cause your cancer to come back and does not interfere with treatments such as radiation or chemotherapy. Cancer patients who have a positive outlook typically have a much better treatment outcome. For many women, breast reconstruction is an important part of recovery, minimizing the emotional impact and sense of loss and helping them maintain hope, self-esteem, and a positive outlook.
Congenital Defects
Gawley Plastic Surgery and the Arizona Breast Center can reconstruct your breasts if you suffer from congenital defects and breast abnormalities such as missing nipples or lack of chest muscle (Poland’s Syndrome).
Corrective Breast Surgery
Gawley plastic surgeons are some of the few cosmetic surgeons who are willing to perform corrective breast surgery for patients who have undergone prior breast surgery with poor results. If you have had breast augmentation, breast reduction, or a breast lift and are unhappy with the results, Gawley Plastic Surgery can restore the beauty of your breasts.
What is the difference between a TRAM flap and DIEP flap?
Until a few years ago, the TRAM flap technique was the gold standard in breast reconstruction surgery after mastectomy, but it has been replaced by the cutting edge DIEP flap technique today. The TRAM surgery has three different forms that can be used – the Pedicled TRAM flap, the Free TRAM flap, and the Muscle-sparing Free TRAM flap. All these procedures use abdominal tissue to recreate the breast except that in the Pedicled TRAM, the skin, fat, and muscle from the abdomen is tunneled under the upper skin of the abdomen to create the new breast. In the Free TRAM technique, the tissue flap is disconnected and reconnected at the chest area with microsurgery. The Muscle – sparing TRAM is the most beneficial since during it, the majority of the abdominal muscle is spared and it leads to lesser complications.
The DIEP flap is the most advanced form of breast reconstruction and like the muscle-sparing TRAM, it also uses your own abdominal skin and fat to recreate a soft breast. However, unlike the TRAM, all your abdominal muscles are preserved. It is like a tummy tuck wherein you experience less pain, maintain the strength of your abdomen and recover faster.
How long does it take to recover from a DIEP flap surgery?
During your DIEP flap surgery, the incision is made along your bikini line to remove the excess skin and fat which are then moved from your abdomen to the chest to create a new breast. No muscles are moved or cut during the procedure. An extra artery and vein from the abdomen are reconnected to an artery and vein in the chest using microsurgery (and sutures finer than human hair). For both breasts, it takes between 6 to 8 hours for completion. You will get detailed aftercare instructions before surgery. The most important aspect after surgery is to rest and refrain from vigorous physical activity. You will be up and walking the same day and ready to leave hospital after a day or two. With the Enhanced Recovery after surgery (ERAS) protocols, most patients need only Tylenol and ibuprofen to manage their discomfort. However, you must avoid any strenuous activities, heavy lifting, and sexual activity for about 6 weeks after your DIEP flap surgery. There will be incisions and drainage tubes in the abdominal donor area as well as your reconstructed breasts for a week or two. Overall, most women are pleasantly surprised how well they recover from this surgery when they follow the instructions.
Insurance and Breast Reconstruction
In most cases, breast reconstruction is covered by health insurance because it is not an elective procedure. Gawley Plastic Surgery accepts insurance for reconstructive breast surgery. Unfortunately, we cannot accept insurance for corrective breast surgery.
Breast Surgery In Nigeria
Reducing the size of one’s breasts, also known as reduction mammoplasty in Nigeria, is a common procedure for women who suffer from the discomfort of having too much breast tissue. Most Nigerian women who seek out a breast reduction do so because they are bothered by the physical and emotional effects of their large breast size. Dr. Okoro and his team of American Board Certified Plastic Surgeons will perform surgery to reduce the size, weight, and softness of the breasts in order to improve their firmness and appearance. Our goal is to deliver state-of-the-art medical services on par with those found in the United States while still being accessible to our patients.
Breast reduction in Nigeria, like a breast lift, can do wonders for the shape and nipple position of patients with large, sagging breasts. Breast reduction surgery is one of the most rewarding procedures in plastic surgery for patients who have legitimate complaints.
Is breast reduction surgery something I should consider?
Maybe you are if…
Your breasts are drooping (often signifies more glandular tissue than fat)
It seems to bother you constantly that your breasts are too big.
Because of your breasts, you can’t do as much as you’d like in
When your breasts weigh too much, they can cause severe discomfort in your back, neck, and shoulders.
Due to your heavy breasts, your bra straps leave regular marks on your skin.
Under your breasts, your skin is itchy.
Having saggy, low-hanging breasts is a sign of skin stretching.
Without a bra, your breasts sag and your nipples drop below the breast crease.
The First Consultation
Consult with Dr. Okoro and his staff in Abuja, Nigeria, to find out if you are a healthy enough candidate for breast reduction surgery. During your first appointment, we’ll ask you to give us a detailed account of your complaints and concerns. Spell out in detail exactly what it is you need accomplished. Dr. Okoro will do a pre-op breast exam to ensure everything looks good to go. Your surgeon will consult with you about the ideal size of your breasts and demonstrate where he plans to place the areola and nipple.
If you have diabetes, poor circulation, heart, lung, or liver disease, smoke cigarettes, have a family history of blood clots, take certain medications, etc., you are at a higher risk for complications. Prior to deciding to have surgery, you and your doctor should have a detailed discussion about your medical history.
As the breast’s size, shape, and amount of tissue will change after reduction, most women are advised to get a preoperative mammogram and a postoperative mammogram six months to a year after surgery to compare the results.
What to Do Before Surgery
You might need to do the following things before your surgery:
Submit to a medical examination or laboratory tests.
Make some changes to your current medication regimen or try something new.
Having a mammogram before surgery and again after will help doctors spot any changes in your breast tissue.
Put out your cigarette smoke well before your scheduled surgery date.
Avoid taking any medications that may increase bleeding, such as aspirin, NSAIDs, and herbal supplements.
How is the operation carried out?
A breast reduction is a cosmetic surgical procedure that can improve the size, shape, and overall health of the patient’s breasts. Furthermore, it has the potential to diminish the size of the areola (the dark skin surrounding the nipple). Breast reduction is popular among Nigerian women for cosmetic reasons and to alleviate health issues like back pain, shoulder pressure, rashes, and skin tags. The procedure is typically done under general anesthesia in a hospital setting. The procedure itself takes about three to four hours, and you might need to stay in the hospital overnight or go home the same day.
Dr. Okoro and his staff will learn about your expectations and concerns during the consultation, and he will go over the methods and scar options that are available to you. Dr. Okoro utilizes cutting-edge methods, such as the “vertical scar without the horizontal scar” method, to reduce scarring. Some patients may benefit from the traditional scar design in which the incision begins at the areola, continues vertically downward, and then continues horizontally in the crease under the breast. Dr. Okoro will do everything possible to reduce the impact of the scars. As is customary, Dr. Okoro makes an incision in a “keyhole” shape, which consists of a circular incision around the areola and two vertical incisions that run the length of each breast and are later sutured together. The procedure involves the cutting away of excess fat and tissue. Dr. Okoro then removes excess skin from under the breast and repositions the nipple and areola higher on the chest.
Nipple and areola skin grafts have been used to reposition these anatomical features. Since nipple sensation is nearly gone, this is only done in extreme circumstances. Even Dr. Okoro rarely uses drains. He then positions them on the underside of the breasts to remove accumulated fluid and blood. In only a few days, the drains will be taken out. Following closure with sutures and tape, the incisions are closed. After a breast reduction, we recommend that women wear supportive bras and refrain from upper body exercise for a while.
Once patients are off narcotic pain medication, they are free to drive and return to work. It’s true that the benefits of breast reduction surgery last for a very long time. After breast reduction, you should feel less discomfort and more freedom to move around than you did before surgery. Your improved proportions will probably make you feel better about yourself. However, over time your breasts can change due to aging, weight fluctuations, hormonal factors and gravity.
Where the operations will take place
Your breast reduction procedure will be performed in Abuja, Nigeria. After meeting with Dr. Okoro and his staff, the precise location will be decided. Breast reduction surgery is typically an outpatient procedure that he performs under the care of a certified and qualified anesthesiologist. When Dr. Okoro operates on you, he does so in a hospital setting for your protection.
It is possible to have the operation done in the United States if that is more convenient for you. You will, however, be expected to cover the higher costs associated with domestic travel and lodging in the USA.
How much money will I need to have my breasts reduced?
There’s more to customer service than just collecting money. Remember that the experience, results, safety, and comfort of the surgeon are just as important as the cost of your breast reduction surgery in Nigeria when selecting a plastic surgeon. Dr. Okoro is dedicated to ensuring your well-being, achieving optimal results, and ensuring your complete satisfaction. After your initial appointment with Dr. Okoro, you will be given an estimate of costs to cover his services. An approximate cost for your procedure will be given to you. All charges are due in full before your scheduled surgery.
Mumbai Plastic Surgery
With honors at the Fellowship of the College of Physicians and Surgeons (Generic Surgery), the Royal College of Surgeons of England (MRCS), and the Medical College of Wisconsin (MCW) (Plastic Surgery).
Paris, France Ear Reconstruction Fellowship
Advanced Training in Facial Aesthetic Surgery at the MACS-Lift Fellowship in Gent, Belgium.
Expertise
Over the age of eighteen years of professional experience.
10000+ aesthetically pleasing outcomes from cosmetic surgery.
Intense focus on Ear Reconstruction, Body Contouring, and Facial Feminization Surgery.
Tourist Trips Abroad
Dr. Parag Telang is well known all over the world for his extensive expertise.
His professional background includes stints at the Burjeel Day Surgery Center and the Arc Tower in Abu Dhabi’s Jazeerah Al Reem neighborhood.