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Female patients who have insufficient breast tissue and volume, or a complete absence of the breast due to surgery (after breast cancer or breast siliconoma removal), trauma, or congenital anomaly, could undergo breast reconstruction surgery. The new breast without the nipple areola is called the breast mound. Reconstruction can be done immediately after tumor excision, or delayed for months or years depending on the need for adjuvant treatment or other medical conditions. Usually, the lower abdominal soft tissues are used and transferred to reconstruct the breast mound (TRAM). A breast implant, alone or in combination with a muscle flap, may be used after mastectomy in breast siliconoma or cancer surgery. The nipple-areolar complexes are usually reconstructed best after two to three months, since much of the swelling of the new breast mound would be gone by then and better symmetry would be attained. The length of the operation varies from the technique used by the surgeon. It is done under general anesthesia, with the patient confined for a few days in the hospital

Individuals planning to undergo Breast Reconstruction are prepared prior to scheduled surgery. Patients are advised to avoid the following for 2 to 3 weeks before surgery; smoking, alcoholic beverages, steroids, NSAIDs or pain medications like mefenamic acids and naproxen, herbal tea, herbal medications, Vitamin E, blood thinning medications like aspirin, heparin and coumadin, regulated drugs like valum, prohibited drugs like methamphetamines, diet pills and oral contraceptive pills. These medications and social activity may delay healing, prolong bleeding during surgery and may interact with the medications used during surgery. It is advised that patients discuss this further with their surgeon to minimize possible risks and complications.

Patients planning to have this procedure are  required to allot 10 to 14 days for the initial consultation, laboratory, medical clearance, surgery, follow up, suture removal and early recuperation. After these,  patients are safe to travel since wounds are already dried and healed.

Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.

The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure. Another surgery may be necessary.

The decision to have breast reconstruction surgery is extremely personal and you’ll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.

Possible risks and complications:

Unfavorable scarring Bleeding (hematoma) Infection Poor wound healing Anesthesia risks Blood clots Skin loss Numbness or other changes in skin sensation or intense itching Changes in skin sensation Fluid accumulation Pain, which may persist Skin contour irregularities Skin discoloration and swelling Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal Possibility of revisional surgery

For more information you may visit www.cosmeticphilippines.com or www.philcosmeticplasticsurgery.com

Author:

Dr Rino Lorenzo is a Filipino Plastic Cosmetic and Reconstructive Surgeon based in Manila, Philippines. He is a Board Certified and fully trained Cosmetic Plastic Surgeon, with 6 years of formal training in the field of Aesthetic, Reconstructive and Burn Plastic Surgery. Dr Rino Lorenzo is a Fellow of the Philippine Association of Plastic Reconstructive and Aesthetic Surgeons.

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Resource box text: “Dr R Lorenzo  is the author of http://www.philippinecosmetic.com , a free guide to affordable cosmetic plastic procedures, choosing the right surgeon and safety tips in cosmetic plastic surgery, affordable and safe cosmetic surgery tourism”

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