The breasts are assets to the ladies and any disease or cancer affecting the breast will maim the patients and cause severe psychological trauma. Their self-confidence can also be shattered.They have to suffer from the severity of the cancer and also the loss of their physical assets.
So if we can offer them an alternative reconstruction of the breast it may lessen their afflictions. With modern advancement in breast reconstruction it has become increasingly more acceptable.
The current trend is towards less aggressive surgery like skin and nipple sparing conservation. Therefore the reconstruction can be less complex and major.
Appropriate implants can be used to augment the parts of the breast tissues removed. Autologous fat can also be used to fill up the resultant defects from lumpectomy or excision of the diseased part of the breast. This will not maim the other parts of the body where the tissues are taken for the complex reconstruction.
More complex reconstructions involve shifting of the Latissimus dorsi muscle with or without skin and soft tissues from the back to be transferred to the chest to reconstruct the removed breast. It can be combined with implant if the other breast is large. The tummy can be used by mobilising the TRAM flap to reconstruct the breast.
Other reconstructive procedures can involve more sophisticated microvacular transfer but will be over many hours of operation.