Breast Reconstruction: Which Technique Is Right for You?
Breast reconstruction can restore your sense of femininity after getting a mastectomy. It can give you a huge confidence boost, especially after suffering from breast cancer.
You can get breast reconstruction right after your mastectomy or after a few months, once you’ve fully healed. Either way, you’d have to choose between one of these two methods:
Implant Reconstruction
One of the ways to do breast reconstruction surgery is using silicone or saline breast implants.
To accomplish this, your plastic surgeon inserts the breast implants underneath your skin or muscle, replacing the breast tissue that was there previously. This can be done either at the time of mastectomy or as a two-part surgery.
During the first surgery, your surgeon places a tissue expander under your chest skin or muscles. It serves as a temporary saline implant to gradually stretch the remaining tissues.
Every week, your surgeon injects sterile saline water into the tissue expander. It makes the implant grow, stretching the skin and muscles until the breasts reach your desired size.
Once the chest tissues heal, the surgeon performs the second surgery. He removes the tissue expanders and replaces them with either saline or silicone implants.
The second surgery usually doesn’t produce new scars as the surgeon reopens the original scar to insert the permanent implants.
Skin Flap Surgery
Also known as autologous or flap reconstruction, skin flap surgery transplants tissue from another part of your body to rebuild your breasts. Your plastic surgeon may take the tissue from your thighs, buttocks, or back, but the most common source is your abdomen.
Skin flap surgery is more complicated than implant reconstruction because of the tissue transfer, although the two techniques can be combined. Your plastic surgeon has two options in performing this surgery: free flap or pedicle flap surgery.
In free flap surgery, your surgeon takes the tissue and its original blood vessels then stitch them to other blood vessels in the chest.
If the tissue remains attached to the original blood vessels for circulation, it’s referred to as pedicle flap surgery. Your surgeon doesn’t altogether remove the transplanted tissue from its original blood vessels. Instead, he rotates the tissues into the chest to form the breasts. The tissues remain attached to the source.
Since the blood vessels are very small, your surgeon needs to be highly skilled in microsurgery to perform free flap surgery. That’s why most surgeons prefer doing pedicle flap surgery, as it’s easier to do.
You can choose from different types of flaps depending on the source of tissue.
For flap reconstruction using abdominal tissue, you have the DIEP flap, SIEA flap, and TRAM flap.
If your back tissue is used, you can get a latissimus dorsi flap, which requires implants.
If the tissue is harvested from your hips or buttocks, you can choose between the IGAP flap and SGAP flap.
The PAP flap and TUG flap are your options if your tissues come from your thighs.
















