Breast reconstruction surgery aims to achieve aesthetic breast proportions in patients who have failed to undergo normal breasts development or in patients who have had or are contemplating mastectomy surgery for breast cancer or its prevention.
The ideal features of the aesthetic female breast which can be surgically reconstructed include:
•Breast size, width and projection in proportion to body morphology and to achieve symmetry with the contralateral breast.
•Nipple areolar complex to achieve symmetry with the contralateral breast
•Potential procedures of the contralateral breast to address sagging and loss of upper pole fullness
The decision to undergo breast reconstruction is significant and adjustment to change in appearance needs be considered in addition to the process of post-operative recovery.
The aim of the consultation is to ascertain expectations and identify potential limitations to achieving those expectations such as skin quality, breast anatomy, scarring from previous surgery and the impact of adjuvant treatment such as chemotherapy and radiotherapy. During the consultation your surgeon will discuss the potential management of the other breast in order to consider the best options of achieving breast symmetry in your case.
Patients seeking breast reconstruction surgery have typically experienced or considered the limitations in clothing including swim wear due to disproportionate breast size, nipple areolar complex position and asymmetry. They are also self-conscious of the appearance of their breasts and have suffered a loss of self-esteem and confidence as a consequence.
Two or more consultations are often required prior to surgery to ensure a good understanding of procedure, the likely results and the period of recovery and downtime required.
Breast reconstruction surgery is tailored to address the specific elements of the breast on an individual basis and include creation of the breast mound of appropriate volume, width and projection and reconstruction of the nipple areolar complex. In addition, a “symmetricising” procedure of the contralateral breast may be required to either reduce or lift the contralateral breast or to augment it as necessary.
The breast mound can be reconstructed using a breast implant, use of local muscles and soft tissues or by microsurgical techniques. The resulting scars resulting therefore vary and can include the breast, back or abdomen depending on the technique used. The most appropriate of these surgical techniques and access incisions will be discussed during your consultation. Similarly, the reconstruction of the nipple areolar complex which is typically undertaken at a subsequent operation and techniques used as “symmetricising” procedures of the contralateral breast will also be discussed during your consultation.
The operation is performed using a variety of specialised techniques under general anaesthetic in an accredited hospital. Patients are treated in hospital for antibiotic therapy and pain management for one to two nights following implant breast reconstruction, seven days following microsurgical breast reconstruction and as day surgery for nipple areolar complex reconstruction.
The internal wounds are repaired with dissolving stitches and water proof dressings applied which are suitable for patients to shower. A compressive garment or “boob tube” will be provided and is worn for approximately 3 weeks. You will then be provided with a brassiere which is worn until six weeks after surgery.
Our doctors will explain the details of your surgery and all of the information about the procedure you have selected.
You will also have an opportunity to review before and after photographs of their patients’ results in their areas of expertise.
Your Surgeon will provide general information on treatments, hospital costs and incidental fees. Pre and post-operative information and a written quote will be provided to you in your consultation.