- Gluteal Prosthesis
- Calf Prosthesis
- Post-Weight Loss
The breast deformities caused by tumor excisions, traumas or burns have a great impact on women’s lives. The breast reconstruction aims to restore the body shape and the physical and mental balance of those women who have gone through these experiences.
At the clinical practice, most reconstructions are made due to mastectomy (total or partial) caused by breast cancer. It is a safe procedure, that is becoming more and more common due to its ability to return the women her well-being, self-esteem and will to live, brought by the recovery of her quality of life and the elimination of the feeling of mutilation.
A breast reconstruction might be necessary because of:
• Congenital malformation;
• Mammary growth deficiency caused by traumatic factors;
• Consequences of a total or partial mastectomy or tumorectomy;
• Consequences of burns;
• Necrosis caused by infection (for example, in cases of puerperal mastitis);
The consequences of breast cancer depend on each tumor, which guides the mastologist to know the most effective treatment. Breast reconstruction can be made later (months after the mastectomy) or at the same time as the mastectomy, according to each case.
The type of procedure to be chosen by the surgeon depends on the location and degree of the damage left by the tumor resection. The most common techniques are made through the use of skin and muscle grafts and expansive prosthesis, which progressively increase in volume, or normal prosthesis.
There are many techniques which can be used:
• Breast reconstruction with tissue expanders, followed by the prosthesis;
• Breast reconstruction with miocunatenous patches from the latissimus dorsi muscle and prosthesis;
• Breast reconstruction with miocutaneous patches from abdominal muscles;
• Breast reconstruction with patches of fat and skin and prosthesis.
The choice of the technique to be used will mainly depend of:
• Local skin and muscle conditions (region that will receive the expander or patches);
• Condition of the donating regions (back, abdomen, places that will provide patches);
• Patient’s biotype (physical features of the person who needs the surgery);
• Opposing breast’s shape and volume.
The choice of the surgical technique is also defined taking into the account its pros and cons, and the association with chemotherapy and radio therapy, when prescribed by the oncologist.
The post-surgery is usually calm, and the limiting factors vary according with the type of surgery and reconstruction that was made, for example, the expanding prosthesis, which takes one day in the hospital and minimum restriction; in the case of the abdominal patch, a larger surgery, the patient must stay in the hospital for 3 days, and there is a large restriction when it comes to physical effort, and a good recovery takes 30 days.