• Ελληνικά
  • български
Menu

Breast Reconstruction Using Tissue from the Abdomen

The Operation In Short

The surgery involves the skin displacement and fat located in the lower portion of the abdominal wall in-between the umbilicus and the pubic hair (the same tissue is removed during an operation abdominoplasty for aesthetic reasons) – the area of the breast that has been the mastectomy with the purpose of restoring it. The skin from the abdomen area is the most ideal skin for rehabilitation, as it resembles the normal breast both in color and in the composition of fat (soft and supple) and is therefore considered the best restoration that one can offer to patients of.

Additionally, the most important of this method is that the graft is preserved for a lifetime without problems, is diminished subsequently with the rest of the body and is hot and soft as a normal breast. Autologous transplantation (tissue transplantation from our own body) is done by rejoining the flaps / skin of the abdomen into the breast area using the microsurgery method. If done as an immediate rehabilitation surgery at the same time as a mastectomy procedure, then the skin of the breast is usually preserved and the skin of the abdominal area is used to give shape to the breast as well as form the nipple.

In the event that an Ultimate Restoration is to be carried out then the abdominal skin is used to create the new skin of the removed breast. Mr. Constantinos Benetatos is a well-trained plastic surgeon in this type of surgery, having been trained in special centers abroad for many years, performing weekly surgical interventions using abdominal implants in both private and public hospitals. Its success rates are more than ninety-six percent (96%) with extremely aesthetic results. This operation, having an established team of partners, lasts from six to eight hours (6-8) [earlier it lasted eight to ten (8-10) hours] allowing for a faster recovery of patients and a reduction in their stay in the hospital .

Microsurgery

The concept of microsurgery involves tissue transplantation by welding vessels (arteries and veins) having a diameter of less than 3-4 millimeters below the magnification of an electron microscope. This is the most modern technique in the field of restoration in the framework of Reconstructive Plastic Surgery. Regarding the application of microsurgery in the context of breast reconstruction, it is done by welding the vessels of the abdominal skin with the vessels in the breast area, thus giving life again to the flap (skin and fat) that has already been removed from the abdomen . The vessels to reach the skin and belly fat pass through the muscles of the abdominal wall.

In most cases, it is possible to keep the anatomy of the area intact when the graft is taken, where all the right abdominal muscles remain in the abdomen, while in the remaining cases some or all of the muscles are removed along with the vessels to ensure proper blood flow flap and its survival. In the first case that all of the muscles will remain behind, the flap is called DIEP (Deep Inferior Epigastric Perforator flap) and in cases where the muscles around these vessels are removed, then the flap is called TRAM (Transverse Rectus Abdominis Muscle Flap) or Ms-TRAM (Muscle Sparing Transverse Rectus Abdominis Muscle Flap – Absolute Abdominis Muscle Flap with Partial Muscle Removal). Apart from the small difference in muscle removal or not, this is essentially the same surgery. Mr. Constantinos Benetatos realizes the DIEP method, which is also considered to be the world’s leading method of breast reconstruction – in seventy-five percent (75%) of patients.

Benefits of Using the Abdominal Flap (Abdominal Tissue)

  • The use of the abdominal flap (skin and fat) to restore the breast has the best aesthetic effect, as it resembles the natural breast in both texture and behavior (fall, mobility, variation in size following the patient's physical changes)
  • The new breast will have the same shape as the contralateral breast.
  • The results of this recovery method improve over time.
  • This operation is completed with a surgical procedure and the abdominal area becomes flatter and weaker (abdominoplasty).

It is considered worldwide as the most successful breast reconstruction surgery with a success rate of ninety nine percent (99%).

Disadvantages of Abdominal Knee Use (Belly Tissue)

  • Although it is now performed in less time, however, there remains a major surgery, lasting up to 8 hours, and a recovery period of two to three (2-3) months.
  • The surgery has one to two percent (1-2%) failure rate and this depends on the risk factors including obesity, smoking, previous surgical procedures and other illnesses, and whether radiotherapy has been used to treat cancer.
  • In the lower abdomen area where the graft will be taken, there will be a section similar to that of a simple abdominoplasty, and there may be a temporary hypoaesthesia that will improve over time.
  • Rarely patients may experience some degree of pain, weakness or swelling / swelling in the abdomen, and there is also a small risk of generalized post-operative complications such as pneumonia and thrombosis.
DiepTramFlap-ContentImage1

Recovery from Surgical Operation and Final Outcome

Patient's stay in the hospital duration

It is usually five days, and the duration of the surgery from 6 to 8 (6-8) hours.

Time in bed

Patients will need to stay bedded for two days during which a bladder catheter will be required.

Mobilization

After three to four days they will be able to move, and after ten to fourteen days they will walk without feeling any inconvenience.

Excercise

At the end of four weeks of recovery, patients will be able to exercise and after two to three months they will have fully recovered and will be able to return to their workplace.
The bandages that patients have on the chest and abdomen should stay for a week, and it is recommended to use an elastic band of abdomen that will stay for four weeks.

There is also a probability of about six percent (6%) of postoperative problems such as abdominal pain and swelling, skin inflammation, fluid collection, wound disruption and possible post-operative herniation.

There is also a probability of about five percent (5%) appearance of small nodules in the breast that are nothing but fatty cysts (deadly fat) and partial or complete failure of the surgery.

Please do not hesitate to contact us if you have any questions or wish to be informed about the cost of the operation, whether you have security or not.

Copyright © All rights reserved
powered by digitalarc.gr