Breast reconstruction is one of the most important procedures in reconstructive plastic surgery, as it is intended for women who have undergone mastectomy due to malignancy. Its main goal is the creation of a new breast that resembles as closely as possible the shape and appearance of the natural breast on the opposite side, helping the woman regain her self-confidence and sense of bodily integrity.
When and how is it performed?
Breast reconstruction can be planned in two ways:
- Immediate reconstruction: Performed during the same surgical session as the mastectomy.
- Delayed reconstruction: Performed at a later surgical stage, after the patient has completed her additional oncological treatments (such as radiotherapy or chemotherapy) or surgical procedures (such as tissue expansion).
Main Reconstruction Methods
Depending on the woman’s anatomy and medical history, the following methods may be used:
- Implant-based reconstruction: A silicone implant or a tissue expander is placed. The expander gradually stretches the skin and underlying tissue in order to create space for the permanent implant.
- Autologous tissue reconstruction (flap procedures): Tissues from the patient’s own body are used, usually taken from the abdomen, back, or buttocks, to reconstruct the breast.
- Nipple reconstruction: At a final stage and under local anesthesia, the nipple and areola can be reconstructed (often with medical tattooing), allowing the aesthetic result to be completed.
Benefits and Psychological Impact
This procedure provides not only physical improvement but also significant psychological support:
- It minimizes the sense of loss following breast cancer surgery.
- It eliminates the need for external silicone prostheses in clothing.
- It helps the woman feel whole again and close a difficult chapter of her health journey.
Important: The choice of method is always individualized and results from close collaboration between the general surgeon, the plastic surgeon, and the oncologist.