Breast reconstruction provides a variety of methods, from implant reconstruction to complex flap procedures, with no single approach suitable for all women. Patient preferences, health factors, and individual breast characteristics must be considered when making decisions. Early diagnosis of breast cancer is crucial, allowing for more treatment options and including a plastic surgeon on the medical team from the start can enhance outcomes.
Preoperative MRIs are invaluable for assessing cancer location, skin thickness, and blood supply, aiding surgical planning. The decision to remove the nipple-areola complex is controversial and should be made carefully, as preserving skin and the complex can improve aesthetic results. After surgery, waiting three months before placing a tissue expander is recommended to avoid complications.
Tissue expanders allow patients to select their final size before transitioning to permanent implants, which can yield excellent results, especially with smooth, round gel or newer form-stable implants. Fat transfer has also gained popularity for refining breast contours and enhancing natural feel. Overall, early intervention and a collaborative approach among specialists are critical for optimal patient outcomes in breast reconstruction.
We are happy to collaborate with your surgical oncologist.