The process of breast reconstruction requires multiple procedures to rebuild the breast and nipple.
TRAM/DIEP flap reconstruction is performed in the NHS and requires taking part of the lower tummy and transferring them to the chest using microsurgery. The tissues are then carefully shaped to create the breast mound.
An alternative is the latissimus Dorsi flap that involves moving the latissimus dorsi muscle from the back to the chest. AN implant is usually placed beneath the muscle for a little extra volume..
Implant based reconstruction is a good chose for women who have had risk reducing mastectomies or who have good soft tissue cover that allows an implant and an artificial dermal matrix to be inserted. Often an inflating implant needs to be used to stretch the skin before the final implant is placed.
Fat transfer can help supplement a breast reconstruction and improve old reconstructions and is a procedure commonly performed to improve defects after wide local excision and tight painful scars after radiotherapy
Most frequent questions and answers
Breast reconstruction surgery is routinely performed in the NHS. It may be more convenient and faster for treatment out with the NHS.