Prophylactic mastectomy and reconstruction with implants

Mastectomy is a surgical procedure to remove the breast. Mastectomy is:
- the modified radical mastectomy - the whole breast is removed together with the axillary lymph nodes, without underlying muscles of the chest wall
- partial mastectomy - also called lumpectomy or sectoral resection, is the removal of the tumor-altered part of the breast together with part of the healthy tissue around it

There are two types of prophylactic subcutaneous mastectomy:
removal of the glandular parenchyma with preservation of the skin envelope but with removal of the areolomamilar complex
removal of the glandular parenchyma while preserving the skin envelope and preserving the areolomamilar complex

There are many surgical methods for breast reconstruction due to acquired or congenital asymmetry. Breast reconstruction is most often performed after a partial or complete mastectomy for breast cancer. Patients who are medically fit may undergo the intervention immediately after the mastectomy or at a later stage. The most suitable are motivated patients in whom the oncological disease has undergone successful surgical and therapeutic treatment. Breast reconstruction has not been shown to be associated with recurrence of cancer, but there are many good reasons to wait a while before breast reconstruction. Your surgeon and / or oncologist can advise you on whether to wait for all cancers to be completed first. Breast reconstruction is a multi-stage, complex surgical intervention. Own tissues, an expander, a prosthesis or a combination of all three can be used to achieve a satisfactory end result. The implantation of an expander aims to increase tissue reserves. Thus, a silicone "bubble" is placed in the subcutaneous tissue or under the muscle, which is gradually inflated with saline solution. The position and size of the expander are determined by your plastic surgeon in order to achieve an optimal result depending on your individual anatomical and physiological characteristics. Swelling is done gradually at regular intervals so as to achieve the desired tissue expansion within a few months. After this period, the tissue expander is replaced with a silicone prosthesis. When reconstructed with its own tissue, it is surgically moved from other parts of the body to the chest area to reproduce the breast. These tissues can move adjacent and maintain their blood supply or be transported remotely by providing blood supply through arterial and venous anastomoses. In some cases, it is appropriate to place a silicone implant under the muscle flap to achieve better projection of the breast / combination of reconstruction with own tissues and breast implant / In patients with immune deficiency, diseases of the blood and blood vessels and other systemic diseases , as well as those who have undergone radiotherapy have a higher risk of complications. In any case, your motivation and positivity are extremely important, as well as the real expectations for the result. The method restores the shape of the breast and not the function of the gland.

ALTERNATIVE TREATMENT
Breast reconstruction is done at your request. Alternative methods include lipofilling, the use of fillers or the transfer of tissues from other parts of the body. Alternative treatments are also associated with risks and potential complications. name of LZ with address and contact telephone number Date signature of the patient

2 RISKS IN BREAST RECONSTRUCTION
With any surgery, there are risks of complications and unsatisfactory results. The individual choice of surgical procedure is based on a comparison between the risk and the potential benefits of the end result. You should discuss each of the possible complications with your plastic surgeon to understand all the possible consequences of the upcoming operation and to make the right informed decision. It is well known that medicine and surgery in particular are not exact sciences, and no guarantees could be required as to the outcome of the operation performed. Surgical complications  Bleeding, Serum, Infection, Scars, Skin discoloration / swelling, Delayed healing of the surgical wound, asymmetry ripping, cardiac and pulmonary complications, etc. Smokers are at greater risk of this complication.

Modern medicine has no evidence that breast reconstruction increases the risk of breast disease, breast cancer or recurrence of breast cancer. Patients with a family history or history of breast disease, including cancer, are at increased risk of developing these diseases. After completion of all stages of reconstruction, periodic self-examination and mammography are recommended, as well as consultation with a specialist.