Autologous breast reconstruction after a mastectomy (removal of the breast) is to recreate a natural-looking breast with the patient's own tissue, usually the abdomen.
Figure breast 1.Reconstrucción with DIEAP or SIEA flap (perforator flap deep inferior epigastric artery flap and SIEA) in combination with a transfer of the superficial lymph nodes in the groin area.
Breast cancer is the most common tumor among Spanish women, one in eleven him suffer. Mastectomy may be part of breast cancer management or be given preventively (genetic predisposition). In order to avoid the consequences, women can undergo different techniques of breast reconstruction.
Breast reconstruction types
There are many techniques, but can be classified into two groups: those using prostheses and implants or using autologous tissue: skin, fat and muscle from the patient.
Breast implants are a good option if the patient has not received local radiotherapy. The procedure is simple, short and needs no other added to the incisions of mastectomy. To achieve a more natural result, refining techniques are used as fat grafts and acellular dermal matrices.
However, the techniques of breast reconstruction autologous (own tissue) offer the best results, since they form an sacrificed similar to breast mastectomy. Tissue "surplus" from different locations such as the abdomen, back, thighs or buttocks are used.
Autologous reconstruction process
Usually, the first option is to use tissue from the abdomen because it causes few sequels and also a similar benefit is achieved by a tummy tuck. Furthermore, this technique allows breast reconstruction groin lymph transplant to try to alleviate lymphedema that many of these women suffer (after axillary lymphadenectomy associated with breast cancer management).
Currently, breast reconstruction can recreate the breast bearing in mind the needs and wishes of the patient. In this context, it is common for small interventions require subsequent retouching, simple and short processes to adjust the size and shape of the reconstructed breast. Finally, the symmetry of the breasts is pursued through nipple reconstruction, the areola and lipomodelado (fat infiltration in some locations).
The goal in plastic surgery is to ensure the best result with the least possible risk. To achieve this it is essential customize the different surgical techniques in every woman to agree on their desires, with reconstructive possibilities anatomy offers.