Reconstruction of the non-existing breast tissue after mastectomy or due to
Breast can be
reconstructed in two techniques, with silicone implant or patients own
tissue. Use of implant is simpler and easier procedure. But there is always
skin missing, so fist skin expansion needs to be done by applying tissue
expander, or Becker prosthesis- expander is permanently placed The
prosthesis is gradually inflated with saline solution through special place
on the body, over several weeks. Using of own tissue from the back and
abdomen is common in breast reconstruction. Contemporary treating of malign
diseases of breasts considers primary reconstruction at the same time with
Several months after the procedure, the nipple and areola can be
reconstructed using skin from distant inconspicuous site or of the healthy
areola and tattooing of the skin may be performed to darken the nipple
–areola comlpex to match the opposite side.
Duration and Anesthesia:
procedures are done in general anesthesia. The first one is about one hour
long, but the second is much longer.
Post Surgical Recovery:
short with the placement of prosthesis-expander, only gradual inflating is
done over the weeks. Post surgical procedure is much longer when
reconstruction with own tissue is performed because it is a great surgical
Swelling, forming of serous that is drained,
slight asymmetry, and rarely abdominal hernia due to tissue reconstruction.