Welcome to Dr. Nazmi Baycin’s breast reconstruction page. 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 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.
Mastectomy (breast removal) is primary treatment of breast cancer.
As a 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 and risks of each procedures…
If you plan to have breast reconstruction in Dubai, here, you will find out all the information you need.
The breast cancer is the most common cancer among the women. It is a nightmare of one 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 breast affects the woman’s emotional status negatively and leads herself to feel disabled. 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 breast either partially or totally. Additional to surgery, radiotherapy, chemotherapy or hormonal therapy may require according to it’s stage.
Breast cancer may be a most severe psychologic trauma that a woman can experience in her life span. She feels a ruin because of to be caught such an unexpected disease as well as loss of an organ which symbolizes her femininity. Some women perceive herself disabled, some perceive ugly, some perceive morbid.
Nowadays advanced diagnostic technology provides early diagnosis and treatment. The success rate of breast reconstruction has increased parallelly to the advancement of surgical techniques. Successful outcomes have been a hope light for women and eliminate their worry.
Breast reconstruction restores your body image after breast removal. However you should not be over expectant, your expectation should be realistic. Cause new breast will not be same as an original and natural breast absolutely after breast reconstruction.
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 adjust 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, you should prepare yourself mentally before the surgery.
For immediate breast reconstruction, a specialist of oncology and general surgeon must be sure regarding the recurrence risk.
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 general surgery finishes the removal of the breast, then plastic surgery starts the breast reconstruction. Therefore both surgical removal and breast reconstruction are accomplished together at the same session.
Immediate breast reconstruction is feasible for women whom diagnosed in early stage, do not need any additional therapy such as radiotherapy, chemotherapy and without risk of recurrence.
The advantage of immediate breast reconstruction is that of 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 of the patient will not experience another surgery for breast reconstruction.
However, do not forget that immediate breast reconstruction is feasible for selected patients only.
If the woman will need additional therapy after surgery, or the surgeon suspects the risk of recurrence, the breast reconstruction is postponed. When additional therapies are completed and been sure that there is no risk of recurrence, then breast reconstruction can be considered.
There are several methods for breast reconstruction. Basically either the patient’s own tissue is used or silicone implants are used. Surgeon makes decision to select the proper method as regarding particular criterions.
Those keys are the guide for the surgeon to choose the proper method:
Placement of the breast implant after mastectomy is relatively simpler method as comparing with the others. Since it’s simplicity, it has priority among the other options.
However it is not feasible for all cases. Because expandable adequate soft tissue is necessary to cover the implant. Silicone implant is not feasible if surgeon removed 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 surgeon places it underneath the tissue. The balloon is inflatable. It has a port which allows to inflate. 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, surgeon removes the tissue expander, then replaces the permanent silicone implant.
If 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 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 pretty enough to form a new breast.
Removal of the fat and skin below the belly button makes tummy tuck effect as well.
However previous abdominal surgeries limit this option.
Latissimus dorsi is the broadest muscle of the back. In case of 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 transferring the skin, fat and muscle together as dividing from the body. This technique requires to establish new a vascular connection at the recipient area. Vascular connection requires microsurgery.
It provides 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 waste of useful tissue and the necessity of additional reparative surgeries.
So, to be safer, I do not prefer free flap techniques in breast reconstruction cases.
Nipple areola reconstruction is the last step of breast reconstruction.
There are several methods for nipple areola formation.
The simplest way without surgery is permanent make up or tattoo to turn 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) with dark colored, it is 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 of breast reconstruction 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 whatsoever breast reconstruction technique is used, home medication is crucial. Pain killer will alleviate the pain during the recovery period. You should also take antibiotic 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 more risky procedure.
So, I will explain the all risks of individual method during the consultation.
The cost of the breast reconstruction surgery
As I stated at the beginning of this page, 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 beforehand.
Get ready to look and feel best… You deserve…