Breast Reconstruction
Introduction
Breast reconstruction is an increasingly common surgical procedure for women who have had a mastectomy. The procedure can create a breast that resembles a natural breast in appearance and form. Breast reconstruction is a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition
Why do you choose our hospital?
- Preoperative 3D simulation could provide an individual and precise consultation and surgical plan for each patient.
- Endoscopic-assisted implant-based reconstruction could minimize the complications and improve the surgical outcomes.
- Different kinds of autologous breast reconstruction, such as DIEP (deep inferior epigastric artery perforator) flap or PAP (profunda artery perforator) flap could decrease the donor site morbitidies.
- Enhanced recovery after surgery (ERAS) protocol could relieve the postoperative discomfort and help you recover soon.
Features
Breast reconstruction is a surgical procedure that rebuilds a new breast or breasts to resemble a natural breast in appearance and form. Breast reconstruction is usually performed immediately after, or sometime after a mastectomy.
Procedure
There are two main types of breast reconstruction: implant reconstruction and flap reconstruction. In implant reconstruction, an implant is placed under the skin and muscle to recreate the shape of the breast. In flap reconstruction, skin, fat and muscle are taken from elsewhere on the body to make the new breast. The procedure best for you will depend on your age, general health, size and shape of the other breast, and available body tissue.
Notification
Some general complications and risks associated with surgery may include:
- Heavy bleeding from an operated site
- Fluid accumulation around the operation site(s)
- Infection that may require treatment with antibiotics or further surgery in some cases
- Allergic reaction to sutures, dressings or antiseptic solutions
- The formation of a large blood clot (haematoma) beneath an incision site may require further surgery
- Complications such as heart attack, pulmonary embolism or stroke may be caused by a blood clot, which can be life threatening
- Pain, bruising and swelling around the operated site(s)
- Slow healing, often related to smoking or diabetes
- Short-term nausea following general anaesthesia and other risks related to anaesthesia
Some possible complications and risks associated with breast reconstruction surgery using implants may include:
- Infection around the implant
- Capsular contracture, where firm scar tissue forms around the implant causing it to lose shape and softness
- Implant rupture or deflation
- Leakage of the implant’s contents (silicone gel or saline)
- Asymmetry (unevenness) of the breasts
- Calcium deposits in the scar capsule around the implant
- Movement of the implants from their original position
- Further surgery to treat complications
Some possible complications and risks associated with breast reconstruction surgery using flap reconstruction may include:
- Loss of blood circulation to the reconstructed breast due to clotting in the rejoined blood vessels. This can result in flap tissue dying (necrosis)
- Small areas of hardness (fat necrosis) may develop in the new breast
- Fluid collection (seroma) at the flap site
- Weakened abdominal muscle, which can result in a hernia
- Difference in size and shape (asymmetry) between the natural and reconstructed breasts
- Temporary loss of full movement of the arm on the side of the reconstructed breast
Implant-based breast reconstruction
Autologous breast reconstruction - DIEP (deep inferior epigastric artery perforator) flap
Steps of 3D Scanning and mold fabrication
Reference:
- Chen, Keng; Feng, Chin-Jung; Ma, Hsu, et al. Preoperative breast volume evaluation of one-stage immediate breast reconstruction using three-dimensional surface imaging and a printed mold. J Chin Med Assoc. 2019 Sep;82(9):732-739
If you have any questions please do not hesitate to contact us.
Office hours：Monday to Friday 08:00~12:00／13:30~17:30
(Not included vacation and holidays)
Tel：+886-2-2875-2121 EXT 7542
E-mail: International Medical Service center: imsc@vghtpe.gov.tw
Division of Plastic and Reconstructive Surgery: ps@vghtpe.gov.tw
Website: https://wd.vghtpe.gov.tw/ps/Index.action
Estimated Cost
For estimated medical costs, please contact International Medical Services Center.