After autologous breast reconstruction, usually an extra piece of skin, called a skin island, will be left somewhere in the breast reconstruction which is part of the donor tissue. Second stage surgery encompasses many reconstructive and cosmetic-based procedures after an initial breast reconstruction. I was told I could sleep in any position I was comfortable in. I hope my explanation of phase 2 and reading about my experience helps you (or someone you know) with yours (theirs). Your body type, health status and cancer treatment factor into which type of reconstruction will give you the best result. Breast Reconstruction: Surgery Options after Mastectomy | CTCA | City of Hope. The final stages of reconstruction. "At MD Anderson our plastic surgeons are involved from the very beginning. By preserving the abdominal muscles in a DIEP surgery, patients have less postoperative pain, less post-surgical abdominal wall weakness, and a decreased risk of hernia formation. Our team is made up of doctors and oncology certified nurses with deep knowledge of cancer care as well as journalists, editors, and translators with extensive experience in medical writing. Don't be surprised if it seems to take a long time to bounce back from surgery — some women report that it takes as long as a year or two before feeling completely healed and back to normal. DIEP flap surgery is not for everyone. So take frequent naps/rest breaks — no guilt allowed! In the initial procedure, placing as much volume as possible behind the PMP is important.
In the majority of today's cases, this is no longer necessary. These form on the ends of the abdominal scar after DIEP flap surgery. As with any surgery, you should learn as much as possible about the benefits and risks, and discuss them with your doctor, before having the surgery. Second Stage Breast Reconstruction Procedure. Please let us know how we can help you and a member of our team will reach out to you shortly to assist. Using complex microsurgical techniques, the blood vessels are attached to the ones in your chest and the skin and fat are used to create a breast. Outer thigh: Another option for women who might have more fatty tissue on the outer part of their thighs and cannot have or choose not to have a DIEP flap is the lateral thigh perforator (LTP) flap.
Partially erase the physical reminders of your disease. One of the main advantages of DIEP Flap surgery is the ability to closely mimic the natural look and feel of a native breast. If you've had only one breast reconstructed, you'll need to have screening mammography done regularly on your other breast. Natural Look and Feel. When it is necessary to reduce the reconstructed breast, the surgeon has several options. Showering: If that's all you had done – shifting fat, sucking out fat, injecting fat, and tightening up skin, you can shower after 24 hours. What are the benefits of the team approach? While the initial reconstruction usually is planned at a stressful point in the patient's life, the second stage is quite different. After diep flap surgery. That's roughly double the recovery time of implant-based reconstruction. This, too, you can do! The most common pedicle flap used for breast reconstruction is the latissimus dorsi (LD) flap, where tissue from the back (skin, fat, and muscle) is used to make a new breast. We were happy to oblige. The tissue for reconstructing your breast most often comes from your abdomen. After all, this is your life.
There are also pedicle back flaps that do not take any muscle. When Can DIEP Flap Reconstruction Be Performed? As you continue to heal, the nerves can start connecting again, which will restore sensation. Patel K, Bloom J, Nardello S, Cohen S, Reiland J, Chatterjee A.
You will have to avoid heavy lifting, strenuous exercise, and sexual activity during your recovery period. Second stage diep flap surgery video. Sadeghi does his best to ensure these incisions (and inevitable scars) are easy to conceal under bras and bathing suits. This procedure often reduces post-operative pain and recovery time, in addition to providing better aesthetic results. With implant-based reconstruction, it may be recommended that implants be replaced every 10-15 years.
This decision is ultimately the patient's, but fortunately legislation has made reimbursement possible for surgery on the opposite breast to match the reconstructed breast. Keep your expectations realistic about your surgery. This type of reconstruction can sometimes be used without an implant depending on the amount of tissue and the desired breast size. Breast reconstruction options: What to know about DIEP flaps and tissue flaps. No, breasts do not define us, but they sure as heck are (or were) part of us and for many years too. It uses your own tissue and sometimes can be completed the same day as your mastectomy. A second surgery rebuilds your breast. The skin, fat, and blood vessels are removed from the lower back area (also sometimes called "love handles") and moved to the chest and the blood vessels are reconnected.
Because DIEP flap breast reconstruction uses patients' own tissue to recreate their breasts, there is no need for routine maintenance screenings or surgery. There are many donor sites of the body that can be utilized to reconstruct a breast. Less than 5% of surgeons in the United States perform this intricate procedure, and the board-certified reconstructive surgeons at The Breast Center Park Meadows Cosmetic Surgery are proud to be among them. People who smoke are often advised to delay breast reconstruction until they have abstained from smoking for at least two months. If the patient is opposed to prosthetic material, a latissimus flap can fill in a defect on any quadrant. Second stage diep flap surgery and lymphedema. I had my first follow-up at about 10 days. The doctor did am amazing job with my breast, I feel so much better and lighter. The procedure gets its name from the deep inferior epigastric perforator, the DIEP, which is the branch of blood vessels relocated during the procedure.
As stated earlier, you should avoid strenuous exercise after your surgery. While preparing for surgery, your doctor may give you blood thinners or other preventative medications before your surgery. You may also choose to perform breast self-exams on your natural breast and the skin and surrounding area of your reconstructed breast. In addition to improving breast shape and volume, transferring fat may help stimulate the formation of new blood vessels and improve skin texture. This time, I am mulling over doing 3D tattooing only.
Help your breasts look natural under clothing or a bathing suit. A gluteal flap may be an option for women who prefer tissue reconstruction but who don't have enough extra tissue in their backs or abdomens. Implant-based reconstruction operations do not take as long as autologous procedures, and recovery often takes two to three weeks. The blood vessels (arteries and veins) must then be reconnected to the chest wall vessels for the tissue to survive. I've been having an issue getting a portion of mine covered, so just a heads up. When the procedure is done simultaneously with a mastectomy, it's called immediate breast reconstruction. Not gonna lie, it was startling. Patients often experience some pain at the procedure sites, but care teams can provide multiple techniques for managing pain.
De La Cruz L, Blankenship SA, Chatterjee A, et al. You might want to read, Dear Plastic Surgeons, 14 things we want you to understand.
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