Breast Reconstruction

Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance, and size following mastectomy.

Breast reconstruction is a procedure available to women who have lost a breast due to mastectomy for cancer or women at high risk for breast cancer. These individuals may want to take a preventative measure against the disease. Populations such as the Bahamas with a higher incidence of the Genes related to the onset of breast cancer are seeing an increase in the number of women who choose to prophylactically remove both breasts and have immediate reconstruction. This removes the need for intense surveillance over a lifetime with the constant threat of disease.

Through breast reconstruction, a new breast mound similar to a natural breast is created. Breast reconstruction can be performed immediately after mastectomy or as a separate surgery months or years after the Mastectomy or lumpectomy has been performed.

Procedure: Performed under General Anaesthetic in hospital

Hospital Stay: Implant 1-2 days, TRAM or back flap – 3-4 days

Recovery: Implant – 6 weeks, TRAM or back flap – 6-12 weeks

Garment for 6 weeks and bruising and swelling for two to three weeks

 

Technique

Breast reconstruction is a two-step procedure. The first step is to reconstruct the breast mound to the proper size and shape. One method for doing this uses the patient’s own abdominal tissues (the Transverse Rectus Abdominus Myocutaneous Flap method or “TRAM” ).

One advantage of TRAM flap breast reconstruction is that some of the abdominal tissue similar to tummy tuck is utilized to reconstruct the breast. Improved abdominal contour can be expected.

Another method uses an implant filled with silicone or saline. Once the breast mound has been created, the nipple-areolar complex is made, using local flaps of skin and medical tattooing or skin-graft to create the desired color.

Once the new breast has been reconstructed, the opposite breast may need to be lifted, reduced or augmented in order to achieve a similar appearance.

 


 

At Bahamas Plastic Surgery we believe that immediate breast reconstruction is a very good alternative for women faced with the prospect of mastectomy. Waking up with a newly reconstructed breast mound may reduce some of the anxiety associated with breast cancer surgery. Bilateral mastectomy and immediate bilateral breast reconstruction is also a commonly performed procedure