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Breast Reconstruction in Turkey

Breast reconstruction surgery is a surgical procedure to rebuild the new breasts after mastectomy for breast cancer, correction from burns, and transgender conversion. The patients who want to have breast reconstruction after mastectomy for breast cancer must have permission or agreement with their surgeons who did a previous mastectomy to make sure the diseases are completely treated and cure.

A good candidate for breast reconstruction

  1. The patient must have complete the therapy of breast cancer
  2. The patient needs to revise the breast scar that causes burn or accident.
  3. No previous radiation on the breast areas
  4. Stop smoking
  5. No active connective tissue diseases such as SLE, Rheumatoid disease, and scleroderma

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Types Of Breast Reconstruction

What is Breast reconstruction TRAMP Flap?

TRAM flap (Transverse rectus abdominis muscle flap): the surgeon uses the skin, parts of the rectus muscle, and fat below the umbilicus with the vascular pedicle Then, it moves to the breast area. This technique is most reliable, but the patient will lose parts of the rectus muscle and might have a weakness of the abdominal wall.

What is Breast reconstruction DIEP Flap?

DIEP flap (Deep inferior epigastric perforator flap): the surgeon uses skin and fat without muscle then moves to the breast area with a microsurgery technique. This method can preserve the abdominal muscle function but takes risks of vessel thrombosis with the microsurgery.

Other flaps such as LD-flap (latissimus dorsi flap) may be used as an alternative flap depend on the patient preference and other limitations.

Preparation for breast reconstruction

  • Consult with the surgeon to your goals, lab test, and medical evaluation
  • Stop smoking at least two weeks before and after surgery
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements that may increase bleeding

 




    1

    Anesthesia

    Some medications are given to you for your relief during the operation. The options are anesthesia and sedation.
    2

    Formation of Incisions

    Operation is started with the necessary incisions. We share this information with the patient before the surgery.
    3

    Closing the Incisions

    Seams and skin closure in the breast tissue are closed with sutures or surgical tape.
    4

    Results

    The result of breast reduction can be observed immediately.

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    Breast Reconstruction Post-Op Instructions

    1

    The First Week

    Make sure to arrange to have some help in the days right after your surgery, so try and enlist a family member or a friend to attend you. Make sure that you are extremely comfortable with him or her because you will need assistance in washing and bathing. You will be unable to raise your arms without pain.

    2

    After Two Weeks

    In addition, your breasts will be tender. There will be swelling and bruising which will gradually fade.5

    You will probably experience some itching and dryness as the surgical area heals.

    After the gauze and dressings have been removed, you will wear the surgical bra for the next several weeks. This helps to control swelling and hold the breasts in proper alignment, allowing the tissue to conform to the desired contour.

    To reduce painful swelling, you should reduce your sodium intake and increase your water intake. This helps to flush the fluid out of the body.

    3

    Long-Term Recovery Considerations

    Everyone may recover from surgery differently. For instance, some patients may experience hypersensitivity of the area. Some patients may experience numbness of the area, for up to a year, following surgery. And there are some patients, who may not have any of these sensations.

    Also, how people heal from scars can also be different. There will be visible scars that may fade over time but, in many cases, will not disappear.

    For women, the breasts may swell and become tender at the first menstrual cycle after the procedure.1

    Frequently Asked Questions

    What is a breast reduction?

    Breast reduction, also known as reduction mammoplasty, is a surgical procedure that reduces the size of overly large breasts.

    Does my nipple get removed?

    No. Nipples always remain attached to a “pedicle” which supplies blood supply to it. This pedicle is lifted higher so the nipple is no longer low down.

    Are there scars?

    Yes. Scarring is one of the most significant considerations before undertaking a breast reduction and is an inevitable part of any invasive surgery. The scar goes all the way around the areola and along the base of the breast. How someone scars is very individual, some fade to thin white lines, some remain red and raised for some years. We use taping and silicon to create the best possible scar.

    How long does the operation take?

    The operation take approximately 2 hours to complete.

    Do I have drains?

    No, we do not use drains for this procedure.

    How long do I need off work?

    You will need to take about 2 weeks off after surgery to rest. Avoid heavy lifting, strenuous exercise, swimming and strenuous sports until advised by your surgeon.