Breast,Reconstruction,Options, health Breast Reconstruction Options
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The surgery is most often done for patients who have undergone a mastectomy, and doctors will begin preparing the patient for the surgery as soon it is decided that a patient is facing the loss of the breast(s); the belief is that if a patient is prepared simultaneously for removal and reconstruction then the emotional recovery period due to the original cancer is lessened. This procedure is considered a necessity due to illness or trauma and is generally covered by insurance policies. It is possible to have the procedures simultaneously, immediate reconstruction, but if the candidate is facing radiation, the best cosmetic results are expected if the surgery is delayed while the chest heals.If the implant or augmentation is the route chosen, the reconstruction is typically started during the mastectomy. When a large amount of skin is removed during the operation, a tissue expansion will be performed. The tissue is basically used as an expander to leave a space for the impending implant, and the expander is filled as much as possible during the original operation. Further expansion could be required post-op in order to create the patients optimal size. Once the expanders are adequately filled, they are exchanged for permanent implants. The reciprocate has the choice of silicone or saline, and the pros and cons of each should be discussed with the attending physician. It should be noted that implants do not last a lifetime and, at some point, will need to be redone. Those not choosing implants are candidates autologous or the tissue flap option, a procedure in which skin is taken from another part of the bodythe abdomen, buttocks, back or thighs-- and used to form a lump that mimics the patients original form. The two most common types of the flap option are the transverse rectus abdominis muscle flap, the TRAM, which uses tissue from the tummy area and the latissimus dorsi flap, which uses tissue from the upper back. Other tissue flap options, such as the deep inferior epigastric perforator (DIEP) and the superior gluteal artery perforator (SGAP), exist but are less common. Nonetheless, these should be discussed as choices prior to surgery in order that the best reconstruction is produced. If the original mastectomy was not nipple sparing, a patient may choose to have the nipple and areola re-created as well. It is important to note that the nipple will not be functioning; the goal of this extension of the breast reconstruction is for aesthetic purposes. Much like the tissue flap part of the procedure, tissue from other parts of the body, perhaps the ear, the other nipple, or the groin, are used for the recreation. Tattooing can be used to achieve natural looking color.Women facing a mastectomy should check into all options for reconstruction, and, together with their doctors, choose the procedure(s) that most successfully meet their physical and health need and emotional desires.
Breast,Reconstruction,Options,