Breast Reconstruction Using Tissue from the Upper Back

The Operation In Short

The muscles and skin from the Rachi region are often used for Breast Reconstruction procedures using three different methods. Mr. Constantinos Benetatos often uses this flap in breast reconstruction procedures especially when patients have or will be irradiated as it gives better aesthetic results than restorative surgery with the addition of only one silicone insert.

1) Broad Back Muscle (classic)

This method is also the most common method of breast reconstruction in which the muscles and the skin over the flat dorsum are taken from the back area and used for rehabilitation, and then a silicone insert behind the muscle is added to the area of ​​the new breast, in order to give more volume.

Advantages

  • This method has excellent results in breast shape (better and more natural results compared to restoration with only silicone insert) and can be used in both immediate and late breast reconstruction.
  • The new breast (whether or not she has a silicone insert) can tolerate the radiation very well without creating complications from it, as it is a very well bleeding tissue.
  • It is a highly reliable surgical method that carries a failure rate of only one percent (1%)
  • It is one of the best methods of recovery and is considered by many Gold Standart surgeons, especially when radiation is involved as a complementary therapy.

Disadvantages

  • This is a difficult technical surgery that requires the patient to stay in the hospital for up to a week and then a recovery time of up to two months.
  • Also, although unusual, some patients may experience weakness and limitation in shoulder mobility after surgery.
  • The incision in the area of ​​the back may be a little stressed and may initially cause certain upper limb movements, but this improves rapidly over time.
  • There is a potential for two percent (2%) infection of the silicone insert as long as it is used and therefore needs immediate treatment.
  • There is a possibility of collecting fluid in the area of ​​the back from where the graft has been taken (which is to be removed).
  • Finally, there are some risks associated with silicone inserts if used. For more information, see Insertion Problems.

2) Extended Broad Back Muscle

This method of intervention avoids the use of an insert, as the muscle removed from the back (with the skin) contains enough fat, which is then used to give the desired volume to the breast.

Advantages

  • This surgery can bring an extraordinary aesthetic effect (better and more natural than the result of a recovery operation with the addition of silicone inserts) and can be used in both immediate and ultimate restoration.
  • Also, this method can be easily irradiated and is a very reliable operation with a probability of failure of about one percent (1%).
  • In case of post-operative infection, it can very easily be treated as there is no silicone insert, which if infected should be removed.

Disadvantages

  • This method is not suitable for all patients and Mr. Konstantinos Benetatos, during the session, will be able to evaluate, its suitability for your case
  • This is a difficult technical surgery requiring the patient to stay in the hospital for up to a week and then recovering for up to two months.
  • Also, although unusual, some patients may experience weakness and limitation in shoulder mobility after surgery.
  • The area of ​​the back may show a dent in relation to the other side, and it is just where the graft is removed.
  • It is difficult to calculate the size of the reconstructed breast, as it is about 30% in the volume in the first twelve (12) months.
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3) Mini Broad Back Muscle

This method is used when only a part of the breast has been removed (as in breast preservation surgery) and therefore it is required to move a small amount of muscle tissue only (usually no skin) to the surgical breast to fill the gap was created. This procedure can not be used in cases of full mastectomy.

Advantages

  • The aesthetic result of this method is excellent (much better compared to recovery surgery with the addition of silicone insert) and can be done in both immediate and ultimate restoration.
  • It is considered a highly reliable surgical procedure and since most breasts remain intact, there is preservation of sensitivity.

Disadvantages

  • It is important for the patient to consider that if in the future he needs a full mastectomy for any reason, then he will sacrifice an important way of restoring her breast (muscle and skin from the back).
  • Radiotherapy is also required (as in most breast preservation procedures).
  • Although the back area may present some healing and appearance problems (post-surgery may remain a dent in the skin) in the long term they are corrected.

Recovery from Surgical Operation and Final Outcome

The patient's residence time in the hospital

Usually six days.

Duration of surgery

From three to four (3-4) hours.

Stay in bed

Patients will need to remain bedridden for two (2) days, during which the addition of a bladder catheter will be necessary.

Mobilize a patient

After four (4) days they will be able to move, and after ten (10) days they will walk without feeling any inconvenience. After four weeks of recovery, they 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

Patients will wear some gauze in the chest and back area that should stay for one (1) week and then an elastic pressure corset / bra for four (4) weeks.
There is also a probability of approximately five percent (5%) of post-operative back pain such as shoulder stiffness, fluid collection and possible inflammation.

In addition, there is a probability of three percent (2%) of problems in the area of ​​the recurrent breast, such as the infection around the insert, and the partial or complete failure of the surgery.

Finally, there is a low risk of long-term post-operative problems such as hardening of the insert and asymmetry with the contralateral breast.

Please do not hesitate to contact us if you have any questions or wish to be further informed about the operation and its costs.

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