How to cite this article: An analysis of underweight status on day outcomes after breast reconstruction.
Sign in to receive recommendations Learn more Breast reconstruction can be done at different times, depending on what works best for your situation: At the same time as mastectomy surgery.
This is called immediate reconstruction. As soon as the breast is removed by the breast cancer surgeon, the plastic surgeon reconstructs the breast either with tissue from another location on your body or with an implant and sometimes both. Nearly all of the work is done during one operation, and you wake up with a rebuilt breast or breasts.
This approach requires coordination of both the breast cancer surgery and plastic surgery teams. Immediate reconstruction may not always be possible if you need additional treatments such as chemotherapy or radiation therapy. In some cases, a surgeon will recommend waiting until after these treatments are finished before starting reconstruction.
You and your surgeon can discuss your particular situation and needs. After mastectomy or lumpectomy surgery, as well as after radiation therapy, chemotherapy, or targeted therapies that are given. This is called delayed reconstruction.
Treatments such as radiation therapy and sometimes chemotherapy given after surgery can cause the reconstructed breast to lose volume and change color, texture, and appearance. Radiation therapy in particular is known to cause undesirable changes to an implant reconstruction.
Cancers that are larger than 5 centimeters and that have spread to the lymph nodes are more likely to need radiation therapy after surgery. Research also suggests that a reconstructed breast may interfere with radiation therapy reaching the area affected by cancer, although this can vary on a case-by-case basis.
Some surgeons advise patients to wait until after radiation and chemotherapy are finished before having reconstruction. This means reconstruction might be done 6 to 12 months after mastectomy or lumpectomy.
Reconstruction also can be done years later if desired. As a staged approach, involving some reconstructive surgery during mastectomy or lumpectomy and more reconstructive surgery after any additional treatments. This is also called delayed-immediate reconstruction. The newer staged approach has been pioneered at the University of Texas M.
In delayed-immediate reconstruction, a tissue expander or ordinary breast implant is inserted under the chest muscle and preserved breast skin after the breast is removed. Temporarily placing an expander or implant will preserve the shape of the breast and breast skin during the upcoming radiation treatments and allow for the final benefit of a skin-sparing mastectomy technique.
It can take up to a week for this analysis to be done.
If radiation is necessary, the tissue expander or implant remains in place until after radiation is completed. The expander has a port a metal or plastic plug, valve, or coil that allows the surgeon to add or remove liquid a salt water solution over time. Some doctors choose to deflate the expander during radiation therapy to allow the radiation oncologist to precisely target the breast area affected by the cancer.
In this case, about 2 weeks after radiation is done, the tissue expander is gradually reinflated to its earlier size. As the expander is reinflated, you might feel some pain or pressure for a few hours after more liquid is added.
This usually goes away by the next day. The breast reconstruction is usually completed about 4 to 6 months after radiation. The timing of breast reconstruction is one of the most discussed topics in reconstruction research. Ideally, this group should meet before you make your decision about mastectomy or lumpectomy because the type of breast surgery you have can affect the reconstruction outcome.
For example, some women may opt to have mastectomy instead of lumpectomy because the plastic surgeon advises that reconstruction after mastectomy offers better cosmetic results.
Because each breast cancer is unique, each reconstruction surgery and its timing are unique. Together, you and your team can decide on an approach that is best for you. A number of factors influence the timing of your reconstruction: In general, women diagnosed with stage I or some stage II breast cancers who choose mastectomy based on a biopsy are less likely to need radiation or other treatments after mastectomy and are often good candidates for immediate reconstruction.
This is their best option because it combines the mastectomy and reconstruction into one surgical procedure. Your surgeon will help you choose the timing that is right for you. Women diagnosed with stage III or stage IV cancers almost always need radiation therapy or other treatments after mastectomy because of the size of the cancer or the number of lymph nodes involved.
In this case, some doctors recommend delaying reconstruction until all other breast cancer treatments are completed.Request an Appointment. If you are ready to make an appointment, select a button on the right.
If you have questions about MD Anderson’s appointment process, our . Update - The following Q&As address Medicare guidelines on the reporting of breast imaging procedures.
Private payer guidelines may vary from Medicare guidelines and from payer to payer; therefore, please be sure to check with your private payers on their specific breast imaging guidelines. THE DECISION GUIDE TO BREAST RECONSTRUCTION Breast reconstruction is the process of making a new breast after mastectomy (removal of the breast) for breast cancer treatment or prevention (“therapeutic” or “prophylactic” mastectomies).
Reconstructive Procedures; Breast Reconstruction Know Your Post-Mastectomy Options. Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy.
An international, peer-reviewed, open access journal focusing on cancer research and the optimal use of preventative and integrated treatment interventions to achieve improved outcomes, enhanced survival and quality of life for the cancer patient. REPORT BREAST IMPLANTS It is important that we report what breast implants have done to us to the FDA in the US at: Medwatch Online Voluntary Reporting Form and to Health Canada in Canada at: Health Product Complaint Process..
It is also very important that we report what breast implants have done to our children.