Breast reconstruction

Breast reconstruction - series

Breast reconstruction - series - Indication, part 1

The normal female breasts are paired structures that contain fat and glandular tissue designed to secrete milk. Cancer of the breast is one of the more common cancers in women. Risk factors include a family history of breast cancer, early age at first period, and late menopause.

Breast reconstruction - series

Breast reconstruction - series - Indication, part 1

The normal female breasts are paired structures that contain fat and glandular tissue designed to secrete milk. Cancer of the breast is one of the mo...

Indication, part 2

Breast removal (mastectomy), is performed most frequently for cancer of the breast. Occasionally, in patients with a strong family history of breast cancer and genetic abnormalities that predispose them to breast cancer, bilateral prophylactic mastectomies are performed to prevent the future occurrence of breast cancer.

Breast reconstruction - series

Indication, part 2

Breast removal (mastectomy), is performed most frequently for cancer of the breast. Occasionally, in patients with a strong family history of breast ...

Incision

Reconstruction of the breast after mastectomy is performed in select patients who have very small tumors, or who undergo prophylactic (preventative) bilateral mastectomy. First, tissue from the lower abdomen, including skin, muscle, and blood vessels, is removed. This is called a TRAM flap.

Breast reconstruction - series

Incision

Reconstruction of the breast after mastectomy is performed in select patients who have very small tumors, or who undergo prophylactic (preventative) ...

Procedure, part 1

The flap is then transferred under the skin between the two sites, and sutured into place.

Breast reconstruction - series

Procedure, part 1

The flap is then transferred under the skin between the two sites, and sutured into place.

Breast reconstruction - series

Procedure, part 2

Alternatively, a saline filled prosthesis can be implanted under the skin and muscle after mastectomy. Over the next few weeks and months, the prosthesis is slowly filled with increasing amounts of saline by injection, which expands the overlying skin and creates a breast mound.

Breast reconstruction - series

Procedure, part 2

Alternatively, a saline filled prosthesis can be implanted under the skin and muscle after mastectomy. Over the next few weeks and months, the prosth...

Aftercare

The final step is nipple reconstruction. One method involves taking a partial graft from the remaining nipple to create a new one. In another method, the surgeon raises a small area of skin on the reconstructed breast and tattoos it at a later date. The overall results of breast reconstruction, while not perfect, are usually excellent. Nevertheless, patients should discuss their expectations with their surgeon at length prior to surgery.

Breast reconstruction - series

Aftercare

The final step is nipple reconstruction. One method involves taking a partial graft from the remaining nipple to create a new one. In another method,...

Review Date: 3/11/2023

Reviewed By: Debra G. Wechter, MD, FACS, General Surgery Practice Specializing in Breast Cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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<strong>Breast reconstruction - series - Indication, part 1</strong><p>The normal female breasts are paired structures that contain fat and glandular tissue designed to secrete milk. Cancer of the breast is one of the more common cancers in women. Risk factors include a family history of breast cancer, early age at first period, and late menopause.</p>

<strong>Indication, part 2</strong><p>Breast removal (mastectomy), is performed most frequently for cancer of the breast. Occasionally, in patients with a strong family history of breast cancer and genetic abnormalities that predispose them to breast cancer, bilateral prophylactic mastectomies are performed to prevent the future occurrence of breast cancer.</p>

<strong>Incision</strong><p>Reconstruction of the breast after mastectomy is performed in select patients who have very small tumors, or who undergo prophylactic (preventative) bilateral mastectomy. First, tissue from the lower abdomen, including skin, muscle, and blood vessels, is removed. This is called a TRAM flap.</p>

<strong>Procedure, part 1</strong><p>The flap is then transferred under the skin between the two sites, and sutured into place.</p>

<strong>Procedure, part 2</strong><p>Alternatively, a saline filled prosthesis can be implanted under the skin and muscle after mastectomy. Over the next few weeks and months, the prosthesis is slowly filled with increasing amounts of saline by injection, which expands the overlying skin and creates a breast mound.</p>

<strong>Aftercare</strong><p>The final step is nipple reconstruction. One method involves taking a partial graft from the remaining nipple to create a new one. In another method, the surgeon raises a small area of skin on the reconstructed breast and tattoos it at a later date. The overall results of breast reconstruction, while not perfect, are usually excellent. Nevertheless, patients should discuss their expectations with their surgeon at length prior to surgery.</p>

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Breast reconstruction - series

Breast reconstruction - series - Indication, part 1

Breast reconstruction - series

Breast reconstruction - series - Indication, part 1

Breast reconstruction - series

Indication, part 2

Breast reconstruction - series

Indication, part 2

Breast reconstruction - series

Incision

Breast reconstruction - series

Incision

Breast reconstruction - series

Procedure, part 1

Breast reconstruction - series

Procedure, part 1

Breast reconstruction - series

Procedure, part 2

Breast reconstruction - series

Procedure, part 2

Breast reconstruction - series

Aftercare

Breast reconstruction - series

Aftercare

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