Breast Reconstruction

Breast Reconstruction in Bangkok, Thailand

What is Breast Reconstruction Surgery?

        Breast reconstruction surgery is a surgical procedure that aims to rebuild the shape and appearance of a breast after a mastectomy (removal of the breast) or lumpectomy (removal of a portion of the breast). The surgery aims to restore the natural shape and size of the breast, as well as the nipple and areola (the dark area around the nipple).

        Several different techniques can be used for breast reconstruction surgery, including using a breast implant, tissue from another part of the body (such as the abdomen or back), or a combination of both. The type of reconstruction best for a particular patient will depend on factors such as the patient's overall health, the size and shape of the breast, and the patient's preferences.

        Breast reconstruction surgery can be done at the same time as the mastectomy or lumpectomy (immediate reconstruction) or a later date (delayed reconstruction). Many women choose to have breast reconstruction after a mastectomy to improve their body image and self-esteem, but it's not necessary for everyone. Some women choose not to have the surgery, while others may not be good candidates due to health or other factors. Women need to discuss the pros and cons of breast reconstruction with their surgeons and make the decision that is best for them.

A good candidate for Breast Reconstruction Surgery

  1. The patient must have completed the therapy for breast cancer
  2. The patient needs to revise the breast scar that causes a burn or accident.
  3. No previous radiation on the breast areas
  4. Stop smoking
  5. No active connective tissue diseases such as SLE, Rheumatoid disease, and scleroderma              

Kamol Cosmetic Hospital offers two main options for Breast Reconstruction.

  1. Reconstruction with implants: The surgeon inserts a silicone gel or saline-filled prosthesis inside the cavity under the muscle. Before inserting the implants, the surgeon may use a tissue expander technique for fragile skin and scarring.
  2. Reconstruction with flaps: Kamol Cosmetic Hospital offers a variety of flaps for breast reconstruction as follows:
    1. TRAM flap (Transverse rectus abdominis muscle flap): the surgeon uses the skin, parts of the rectus muscle, and fat below the umbilicus with the vascular pedicle. Then, it moves to the breast area. This technique is the most reliable, but the patient will lose parts of the rectus muscle and might have a weakness in the abdominal wall.
    2. DIEP flap (Deep inferior epigastric perforator flap): The surgeon uses skin and fat without muscle and then moves to the breast area with a microsurgery technique. This method can preserve the abdominal muscle function but takes risks of vessel thrombosis with microsurgery.
      DIEP flap (Deep inferior epigastric perforator flap)
    3. Other flaps, such as the LD-flap (latissimus dorsi flap), may be used as alternative flaps depending on the patient's preference and other limitations.

Preparation for Breast Reconstruction Surgery

  • Consult with the surgeon about your goals, lab test, and medical evaluation
  • Stop smoking at least two weeks before and after surgery
  • Avoid taking aspirin, anti-inflammatory drugs, and herbal supplements that may increase bleeding

Post-operative Care for Breast Reconstruction Surgery

  1. Reconstruction with implantation
    1. Keep bandage for 7th days after surgery
    2. Remove stitches on the 7th day
    3. The patient may need breast massage depending on the type and shape of the implants.
    4. The nipple and areola reconstruction can be reconstructed in the second stage.
  2. Reconstruction with flaps: the patient needs more specialized care.
    1. If a pedicled TRAM-flap is used, the patient needs to maintain light activity for at least two weeks after surgery.
    2. For DIEP flaps with the microsurgery technique, the patient needs hospitalization for at least seven days and limited activity for four weeks.

Risks and Complications for Breast Reconstruction Surgery

  1. Flap loss: The surgeon will use the most reliable flap for each patient. However, in some situations and individual cases, the patient might need better wound healing and more blood supply due to the previous treatment.
  2. Delayed wound healing: mainly occurred in case of fragile skin
  3. Loss of breast sensation
  4. Bleeding, hematoma, and seroma
  5. Surgical wound infection
  6. Abdominal wall weakness/Loss of sensation at the donor site
  7. Unfavorable results: The patient might notice the new breast's unequal, symmetric, or unnatural look, particularly in flap reconstruction.

Recovery from Breast Reconstruction Surgery

          The recovery of breast reconstruction varies depending on the surgical technique performed.

  1.  The patient who has reconstruction with the implants needs two weeks for the recovery time
  2. If a tissue expander is used, the patient needs to expand the pocket by gradually increasing the volume for about 4-6 weeks before inserting the implants. The patient will need to stay longer than with simple implantation.         
  3. The patient who has undergone reconstruction with flap needs to stay for the recovery around 2-4 weeks.
  4. The patient who has undergone the flap technique must wait 6-12 months for secondary nipple-areola reconstruction.

How to recover from Cancer-Related Breast Reconstruction Surgery?

Recovering from cancer-related breast reconstruction surgery can take several months. The specific recovery process will depend on the type of surgery you had, but generally, it's important to follow your surgeon's instructions for post-operative care, which may include:

  • Resting and limiting physical activity: You may need to avoid strenuous activities and heavy lifting for several weeks after surgery.
  • Incision care: Your surgeon will give you instructions on how to care for your incisions, which may include keeping them clean and dry and changing bandages as directed.
  • Pain management: You may experience some pain and discomfort after surgery, and your surgeon may prescribe medication to help manage it.
  • Monitoring for complications: It's essential to monitor for signs of infection, bleeding, or other complications and to contact your surgeon if you notice anything unusual.

You may also need to attend follow-up appointments with your surgeon to monitor your recovery and address any issues that may arise. Additionally, taking care of your overall health is important, as is eating a balanced diet, getting enough rest, and avoiding smoking and excessive alcohol consumption.

Physical therapy or occupational therapy may be recommended to help restore range of motion, strength, and function.

It's also important to seek out support from friends and family, as well as professional support groups, to help cope with the physical and emotional effects of breast cancer surgery.

Video : Testimonials of Breast Reconstruction Surgery


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How can Kamol Cosmetic Hospital assist you in obtaining attractive breasts following Cancer Related Breast Reconstruction?

        Kamol Cosmetic Hospital is a specialized facility offering various cosmetic surgery services, including breast reconstruction after cancer treatment. The hospital has a team of experienced and skilled plastic surgeons who use advanced surgical techniques to help women achieve a more aesthetically pleasing appearance after undergoing mastectomy or lumpectomy.

Breast reconstruction after cancer is a multi-step process that can involve one or several surgeries and may take several months to complete.

"The reconstruction process is personalized to meet each patient's unique needs and goals. The surgeons at Kamol Cosmetic Hospital work closely with patients to determine the best approach to achieve their desired results."

One of the most popular breast reconstruction techniques offered at Kamol Cosmetic Hospital is implant-based reconstruction. This involves placing a breast implant in the breast to restore its shape and volume.

In addition to breast reconstruction, Kamol Cosmetic Hospital also offers a range of breast enhancement procedures, including breast augmentation, breast lift, and reduction. These procedures can help women achieve their desired breast shape and size and enhance their overall self-confidence and body image.

In conclusion,

Kamol Cosmetic Hospital can help you achieve beautiful breasts after cancer-related breast reconstruction by offering a range of advanced surgical techniques and a personalized approach to care. The hospital's experienced plastic surgeons will work with you to determine the best approach to meet your unique needs and goals and help you achieve a more aesthetically pleasing appearance.