When breast augmentation is mentioned, the first thing that comes to mind is a cosmetic
procedure to improve one’s figure. While
it is true that a significant number of patients seek this to increase their
bust size, the surgery is also a way to reconstruct the breasts of cancer
survivors who had mastectomy.
In 2010, approximately 93,000 breast reconstructive surgeries were performed in the country.
Most of the patients were cancer survivors who wanted to regain their
normal appearance.
According to the American Cancer Society, female patients
who have undergone breast reconstruction via breast implants, tissue-based method, or combination of both
procedures, have experienced dramatic improvement in their social and sexual
wellbeing after their traumatic experience with cancer and disfiguring surgical
treatment.
A recent study, which is conducted by researchers from
Memorial Sloan Kettering Cancer Center and The University of Toronto, examined
the wellbeing of post-cancer patients who had DIEP flap breast reconstruction,
a procedure in which their own abdominal tissue was used to create new breast
mound.
Before and after breast reconstruction, the respondents were
required to answer questionnaires that would determine the status of their
wellbeing and self-esteem. According to
the findings, majority had experienced significant improvements in terms of their
emotional health just three weeks after the reconstructive plastic surgery.
But as with any tissue-based breast reconstruction in which
the patients will likely experience muscle weakness in the donor site, most
patients had reported weakened abdominal wall three months after surgery. However, the symptom is usually tolerated
well by many.
While muscle weakness is one of the tradeoffs of breast
reconstruction via tissue-based technique, plastic surgeons can prevent this by
placing surgical mesh or support over the donor site.
Apart from using a person’s own tissue, plastic surgeons also use breast implants, either filled with
silicone gel or saline solution. But in
case that there is little tissue left after mastectomy, they will first insert
temporary implants that is inflated with saline solution every two weeks; once
there is enough room, they remove the tissue expander and replace this with a
permanent implant.
The appropriate breast reconstruction technique largely
depends on the amount of tissue left—or the lack of it. And in general, patients who had invasive
cancer surgery will likely need tissue-based surgeries.
On the other hand, women who are left with more amounts of
glandular tissue and skin after their cancer surgery will often have the
opportunity to choose breast implant surgery, which is less invasive and
results to less scarring than the tissue-based reconstruction.
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