As a Turkish plastic surgeon in Dubai, UAE, here, I will share my professional knowledge and personal experience about breast reconstruction methods which are used after breast cancer treatment.
You will find out contemporary techniques such as free flap technique, TRAM flap, breast implant with or without tissue expansion. Also advantages and disadvantages, recovery period, risks and complications of each procedures and more…
Since the loss of a breast is a serious problem that ruins women’s psychological status, first of all, here, I want to state that I will not charge for the treatment to contribute your improvement and for yourself to feel better. I offer free surgery (without surgeon fee) for the patients who need breast reconstruction. Feel free and do not hesitate to contact me. I will sincerely try to do my best for you.
Everyone would like their doctor to be the best breast surgeon. Also, you would like to have surgery at the best plastic surgery clinic in Dubai, UAE.
However, the best breast reconstruction surgeon is pretty relative and varies from person to person. Actually, the surgeon whom you really trust is the best.
If you plan to have breast reconstruction in Dubai, UAE and need professional support, feel free to contact.
The breast cancer is the most common cancer among the women. It is a nightmare for one out of every eight women. Thanks to advanced diagnostic methods, it is possible to catch it in early stage with 3D technologies poised to change how doctors diagnose cancers.
However removal of the breasts affect the woman’s emotional status negatively and can lead to her feeling inferior as a woman and somewhat depressed. Breast reconstruction is to restore a new breast and body image surgically after breast cancer treatment.
Primary treatment of the breast cancer is surgery. Surgery means removal of the breast either partially or totally. Additional to surgery, radiotherapy, chemotherapy or hormonal therapy may be required according to it’s stage.
Breast cancer may be the most severe psychological trauma that a woman can experience in her life span. She feels ruined due to catching such an unexpected disease, as well as the loss of an organ which symbolizes her femininity. Some women perceive themselves as inferior, ugly, and morbid.
Nowadays advanced diagnostic technology provides early diagnosis and treatment. The success rate of the surgery has increased parallel to the advancement of surgical techniques. Successful outcomes have been a hope for women and eliminates their worry.
Breast reconstruction restores your body image after breast removal. However you should not be over expectant. Your expectation should be realistic because the new breast will not be the exact same as an original and natural breast after reconstruction.
A rebuilt breast is not able to act as a natural breast. Since the new breast will not contain glandular tissue, milk production is impossible.
On the other hand, the sensation and sensitivity will not be the same as the original breast.
Surgical scar both on the breast and the area where the tissue is borrowed will be permanent.
To match the shape and size of the new breast with the other is almost impossible. You should consent asymmetrical breasts in terms of shape and size.
If you expect well patient experience after surgery, prepare yourself mentally and assess all the facts before the surgery.
For immediate breast reconstruction, a specialist of oncology and general surgeon must be aware of recurrence risks.
For delayed breast reconstruction, good medical conditions, to be free of systemic diseases such as heart disease are essential. Your medical history is also another point which needs consideration.
According to guideline of American Society of Plastic Surgeons, there are two options for breast reconstruction after mastectomy:
Breast reconstruction is feasible during the primary cancer surgery at the same session. Once the general surgeon completes the removal of the cancer, then the plastic surgeon begins reconstruction. Therefore both surgical removal and reconstruction are accomplished together at the same session.
Immediate reconstruction is feasible for women whom are diagnosed at an early stage, and do not need any additional therapy such as radiotherapy, chemotherapy and are without risk of recurrence.
The advantage of immediate reconstruction is that it alleviates her emotional trauma. Since the breast is restored concomitantly, the woman cannot perceive her breast was removed. Another advantage of this approach is that the patient will not need another surgery.
However, do not forget that immediate reconstruction is feasible for selected patients only.
If the woman will need additional therapy after mastectomy, or the surgeon suspects the risk of recurrence, the breast reconstruction is postponed. When additional therapies are completed and there is no risk of recurrence, then reconstruction is planned.
Joint Commission International (JCI) works to improve patient safety and quality of health care in the international community by offering education, publications, advisory services, and international accreditation and certification. It is the recognized global leader in healthcare accreditation with the highest standards built on maximum safety and minimum risk.
There are a couple of hospital options that I affiliated with, which accredited by JCI. I will perform your surgery at either one of the distinguished, cutting edge hospitals in Dubai. You may opt for one during the consultation.
There are several methods for breast reconstruction. Basically either the patient’s own tissue is used or silicone implants are used. The surgeon makes the decision to select the proper method as regarding particular criterions.
These keys are the guide for the surgeon to choose the proper method:
Placement of the breast implant after mastectomy is a relatively simpler method compared to the others. Since it’s simplicity, it has priority among the other options.
However it may not be feasible for all cases, because expandable adequate soft tissue is necessary to cover the implant. Silicone implant is not feasible if the surgeon removed the whole breast tissue and also pectoral muscle during primary cancer surgery. If surgeon left the pectoral muscle intact, but there is no expandable adequate tissue, tissue expanders are alternative option.
Tissue expander is a balloon which the surgeon places underneath the tissue. The balloon is inflatable. It has a port which allows inflation. Surgeon inflates it gradually 1-3 times a week with saline solution. As it enlarges gradually, the overlying tissue also expands.
Inflating period lasts about 2 months. When overlying tissue expands enough to fit an implant inside, the surgeon removes the tissue expander, then replaces the permanent silicone implant.
If the surgeon removed the pectoral muscle during the mastectomy and there is no adequate soft tissue to cover the implant, the next option is autologous tissue transfer.
Rectus abdominis muscle is a column shaped muscle which constitutes anterior abdominal wall, located on the left and right side of the mid-line. Skin and fat tissue below the belly button is transferred on basis of rectus abdominis muscle in order to create a new breast.
TRAM flap is a commonly preferable option for the patients whose soft tissue of the breast is inadequate for breast implant. The tissue quantity below the belly button is enough to form a new breast.
Removal of the fat and skin below the belly button makes a tummy tuck effect as well.
However previous abdominal surgeries limit this option.
Latissimus dorsi is the broadest muscle of the back. In case breast implants and TRAM flap are not feasible, latissimus dorsi flap is the third alternative.
Both latissimus dorsi and rectus abdominis flaps (TRAM flap) are available for free flap technique in breast reconstruction.
Free flap technique means removing and transferring the skin, fat and muscle. This technique requires to a new vascular connection at the recipient area. Vascular connection requires microsurgery.
It provides a better aesthetic result. That may sound good, however, microsurgery lengthens the surgical time and brings additional risks that are not 100% under the surgeon’s control. For example, vascular kinking or occlusion at the anastomosis side (end to end vascular connection) ranging from 5% to 40% compromises the blood circulation of the tissue that may lead to partial or even total loss of transferred tissue. That results in both being a waste of useful tissue and the necessity of additional reparative surgeries.
So, to be safer, I do not prefer free flap techniques.
Nipple areola reconstruction is the last step of the breast reconstruction.
There are several methods for nipple areola formation.
The simplest way without surgery is permanent make up or tattoo to turn the skin color darker for areola.
However dark colored vaginal inner lip skin is also useful for areola formation. If the patient has large labia minora (vaginal inner lip) dark colored, it is a pretty judicious option to transfer it to the breast.
Cartilage filling and skin reshaping are the options for formation of nipple prominence.
As I explained, there is no standard technique for breast reconstruction. For that reason the recovery period depends on the used surgical technique.
All surgeries require general anesthesia. Among all methods, the simplest one is breast implant placement. You may leave the hospital the day after surgery if you have breast implant.
However if you have TRAM or latissimus dorsi flap surgery, you need to stay in the hospital 3-5 days for observation of flap survival.
Regardless of which technique is used, home medication is crucial. Pain killers will alleviate the pain during the recovery period. You should also take antibiotics as a precaution to prevent the post-operative infection risk.
Obeying to post-operative instructions makes yourself feel better and also reduces complication risks during the recovery period.
Patient safety is a priority. You should be informed regarding the risk and complications of the procedure.
The risks of the breast reconstruction depends on which reconstruction method you have. According to complications in postmastectomy breast reconstruction one-year outcomes of the mastectomy reconstruction outcomes consortium (MROC) study each method has individual risks.
The least risky surgery is breast implant placement as it is the simplest method. That is general rule: The more complicated method, the higher risk of complication.
So, I will explain all the risks of individual methods during the consultation.
Dr. Nazmi is a lovely doctor with a great experience. I am a TV personality from Brazil and have been in many dr around the world, and finally, I found a perfect doctor in Dubai. I did my nose, lips, chin. His artistic approach and customized surgical designs create amazing results. Now I am thinking of a plastic surgery facelift. Because I really feel so much trust in him. When you have surgery, you should search for a good dr and make sure. And I found mine is Dr. Nazmi, and so excited for the next surgery.
I have received multiple treatments from Dr Baycin now and every time he has been fantastic delivering a pain free treatment with fantastic results. He listens closely to understand your concerns and improvements you hope to make, educating you about the different options available and working with you to form a treatment strategy that will get results. He is committed to ensuring patients receive the best service from the moment they check in. I would highly recommend him for any cosmetic treatments.
The Best Plastic Surgeon! “Dr. Baycin makes every experience easy and stress-free for me. He creates an artistic value on human bodies. You feel safe and lovely with him. Dr. Baycin and his team are always available at all times for the patients who have general questions. He provides world class healthcare service with his detailed knowledge. With no hesitation I can refer Dr. Baycin to my friends. It worths to take an health and beauty trip from US to Dubai, UAE.” Thank you so much, sincerely...
Breast reconstruction cost in Dubai is variable. I will perform your surgery without the surgeon’s fee. You should pay only hospital and treatment expenses. Total cost varies depending on the surgical technique and hospitalization time. Therefore, it is not possible to estimate the total cost in advance.
Get ready to look and feel best… You deserve…
Changing Trends in Mastectomy and Breast Reconstruction. Analysis of a Single-institution Experience Between 2004-2016Go To Top