Currently, for plastic surgeons who are specifically interested in breast reconstruction, simultaneous re-forming of the breast in patients who have received some or all of their breasts for early stage, breast reconstruction is part of their treatment. In the same way, breast reconstruction can be repaired in women who have breast cancer and who have completed the chemotherapy and radiotherapy process.
Why Should I Have Breast Reconstruction?
Women prefer breast reconstruction surgery for many reasons such as having more symmetrical breasts, permanently regaining their breast shape, and not having to use prosthesis to cover the gaps.
Patients can see the difference between the two breasts postoperatively, however, when wearing a bra, this difference becomes invisible with many clothes and patients feel more comfortable. Your post-operative body shape and self-esteem may be replaced, but this is not always the case. Surgery may solve everything that makes you unhappy before, and you may like the new breast shape and feeling after surgery. You and your relatives should be informed about what to expect from surgery.
Breast reconstruction to which patient groups?
All women diagnosed with breast cancer are candidates for breast reconstruction surgery, whether they are early, late or radiotherapy / chemotherapy. Only patients with a condition that prevents them from having medical surgery can be excluded.
When is breast repair done, which factors affect timing?
Breast repair is performed concurrently with breast cancer surgery or in the late period after the end of the radiotherapy and chemotherapy process.
Patients whose breast surgery can be performed simultaneously with cancer surgery
Breast reconstruction can be performed in the same session with cancer surgery in all patients who are not likely to receive radiotherapy. The only exception to this group is patients who will receive a partial breast and then receive radiotherapy. Breast repair is performed in this group at the same time as cancer surgery and then they receive radiotherapy.
Breast repair is not performed concurrently with cancer surgery in cases whose breasts are completely removed and will receive radiotherapy because radiotherapy has negative effects on soft tissues and prosthesis. It causes asymmetries, deformations and bad cosmetic results in prosthesis and patients who have used their own tissue. However, patients with partial breast removal and subsequent radiotherapy are exceptions. After tumor removal, the shaping of the breast and, if necessary, the symmetry of the opposite breast can be performed simultaneously with cancer surgery. Patients then receive radiotherapy.
To summarize, the patient group that can undergo simultaneous breast repair is as follows:
Patients with early stage breast tumors:
- Patients who will have full breast, chemotherapy, but not radiotherapy
- Some of the breasts will be taken, patients will receive radiotherapy after surgery
Patients with late breast reconstruction after oncologic treatment is completed
Late breast reconstruction is the breast repair performed after the patient’s chemotherapy and radiotherapy process is over. The group of patients who can undergo late reconstruction is as follows:
- Patients whose entire breast was removed and whose radiotherapy process was completed
Patients whose breasts were partially removed and whose radiotherapy was finished