BREAST RECONSTRUCTION BREAST AUGMENTATION AND REDUCTION BREAST RECONSTRUCTION

BREAST RECONSTRUCTION BREAST AUGMENTATION AND REDUCTION

BREAST RECONSTRUCTION o Flap reconstruction: Pg 306 n n o Tissue from back, butt, thigh or: Transverse Rectus Abdominus Myocutaneous (TRAM) flap More extensive surgery; leaves defect at donor site May be the only alternative if major scarring resulted from radiation Skin Expansion n Tissue Expander placed under muscle Several months of injections then replaced with permanent implants No new incision – use original mastectomy scar

Nipple Reconstruction o o o Graft may be taken from groin, axilla or other nipple. Can cause problems Advanced procedure: cut skin in shape of a Skate, twist and mold in shape of nipple Areola done at tattoo parlor

PROBLEMS WITH RECONSTRUCTION o IMPLANT n n n o Implant leakage Capsule formation Change in position of implant FLAP SURGERY n n n Loss of flap Weakness of donor site Hernia formation Irregularity of breast and blood loss Two scars

BREAST AUGMENTATION o o o Pocket created under breast tissue/muscle Refer to table pg 303 Subglandular n n o Capsular hardening of implant in the past Now textured; also round or pear Submuscular n n Change in shape when pectoral muscle contracted Implant remains high (Snoopy Breast)

BREAST AUGMENTATION o Risks: n n n o Bleeding, infection, scar and numbness or change in feeling Hardening of capsule Leakage Post-op: 1 -2 weeks

BREAST REDUCTION Scarring Extensive o Less painful since nerves and breast skin already stretched due to weight o 1 -2 week recovery; no strenuous activity for 6 weeks o 3 -5 hr procedure o Keyhole incision around nipple, extends downward, follows natural curve of crease beneath breast o Fat, skin, glandular removed and nipple and areola re -positioned. o