Burcu Çelet Özden, MD - Professor of Plastic and Reconstructive Surgery
Burcu Çelet Özden, MD - Professor of Plastic and Reconstructive Surgery

BREAST RECONSTRUCTION

Breast Reconstruction: A Journey of Rebuilding Confidence

Breast reconstruction is the rebuilding of breast tissue lost due to cancer treatment or other reasons. This process is more than just a physical transformation; it is a healing journey that helps a woman feel whole again. Reconstruction contributes positively to both physical appearance and emotional well-being.

Every woman’s body is different; therefore, a personalized approach is essential in breast reconstruction. The selected methods are tailored to the patient’s needs, body structure, and personal preferences.

1. Breast Reconstruction with Autologous Tissue

Autolog breast reconstruction is a method in which tissue from the patient’s own body is used to rebuild the breast. This technique typically involves harvesting tissue from areas such as the abdomen, back, thigh, or buttocks to reshape the breast.

Advantages:

  • Provides a more natural look and feel.
  • Has greater longevity compared to implants.
  • Is suitable for patients who have undergone radiotherapy.

Who is it suitable for?

  • Patients with adequate tissue volume in certain parts of their body.
  • Those who prefer not to use implants or for whom implants are not a suitable option.

2. Implant-Based Breast Reconstruction

Implant-based breast reconstruction is a widely used technique that involves the use of silicone or saline implants. This method is generally completed in a shorter time and requires fewer surgical procedures.

Advantages:

  • Shorter surgery time.
  • Requires a shorter recovery period.
  • Lower risk of complications.

Who is it suitable for?

  • Patients who prefer a quicker recovery period.
  • Patients who do not have sufficient donor tissue in their body.

3. Early-Stage (Immediate) Breast Reconstruction

Breast reconstruction can be performed at the same time as a mastectomy (removal of the breast). This approach is known as “immediate reconstruction.”

Advantages:

  • Provides psychological support for the patient.
  • Does not require an additional surgical procedure.
  • Helps achieve more natural results by preserving the skin and breast tissue.

Who is it suitable for?

  • Patients with early-stage breast cancer.
  • Patients who are not scheduled to receive radiotherapy.

4. Delayed (Secondary) Breast Reconstruction

Breast reconstruction can also be performed some time after a mastectomy. This method is often preferred after radiotherapy or other treatment processes.

Advantages:

  • Allows the body to fully heal first.
  • Reduces the risks associated with post-radiotherapy procedures.

Who is it suitable for?

  • Patients who will undergo radiotherapy.
  • Those who prefer to have more time and evaluation before reconstruction.

5. Nipple and Areola Reconstruction

Nipple and areola (the darker area surrounding the nipple) reconstruction is the final step of breast reconstruction. This procedure serves as a complementary step to improve the aesthetic appearance.

Application Methods:

  • Surgically creating a new nipple.
  • Medical tattooing to define the color and shape of the areola.

Goals:

  • Provides a more natural appearance.
  • Contributes to restoring the woman’s sense of bodily integrity.

6. Breast Reconstruction Revision Procedures

Over time, issues such as implant displacement, tissue loss, or asymmetry may occur. Revision procedures are performed to address these aesthetic or structural concerns.

When might it be necessary?

  • Displacement of the implant
  • Tissue loss or deformation
  • Desire for a new appearance

Breast reconstruction is not only an aesthetic procedure; it is also a healing journey that helps a woman feel whole again. Collaborating closely with your surgeon at every stage of the process helps achieve the best possible outcome. Remember, each woman’s experience is unique, and breast reconstruction should be planned individually with these differences in mind.

Frequently Asked Questions

The duration of breast reconstruction surgery varies depending on the chosen method and the extent of the procedure:

  • Implant-based reconstruction: Typically takes 1–2 hours, and patients can usually be discharged the same day or the following day.
  • Autologous (tissue-based) reconstruction: As a more complex surgical procedure, it may take 4–8 hours and requires a longer recovery period. Hospital stay generally ranges from 3 to 5 days.

Breast reconstruction is a highly personalized process, and each woman’s experience is unique. If you have questions or concerns, don’t hesitate to consult your surgeon. Being an informed patient can ease your recovery and lead to more satisfying outcomes.

Professor of Plastic and Reconstructive Surgery
FEBS, FEBOPRAS

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Şişli, İstanbul - Türkiye

Güzelbahçe Sok. No.: 20, 34365
Nişantaşı, İstanbul, Türkiye

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