The breast reconstruction after cancer


Mastectomy, or breast removal after breast cancer, usually places a heavy burden on women. The removal of the tumor tissue, sometimes also the entire breastbut in many cases it is medically unavoidable. Sick and elderly patients sometimes still have to wear loose prostheses. Many also shy away from further surgery.

In most women, however, the breast is well supported with Silicone implants or Own tissue can be reconstructed. Depending on the indication and the patient’s decision, this can be done at the same time as the breast surgery, a few weeks after the mastectomy, but also months or years later.

When is breast reconstruction useful and possible after a mastectomy?

To build up your breast with silicone implants or your own tissue is the decision of each individual woman. Of course, this possibility must be clarified by a doctor. Breast reconstruction is just as possible after mastectomies as it is as a breast-conserving surgery (BET), when the breasts are different sizes as a result of cancer-related surgery. Breast reconstruction is something very personal. That is why Dr. Martha Bernard will advise you personally and comprehensively in her Munich practice.

Many women also want to make contact with like-minded people in advance. The German Cancer Society with its nationwide network of counseling centers and self-help groups is a competent and discreet point of contact for you. Incidentally, the statutory health insurance companies bear the costs of breast reconstruction and, depending on the contract, also private health insurance companies.

What are the advantages of breast prosthesis?

Shortly after her breast surgery, every woman in the hospital receives her Initial care bra and breast prosthesis. These inserts are light and soft. They are gentle on your skin and allow the wound to heal. If you shy away from a second operation or still have to wait, you can then choose a soft plastic prosthesis made of silicone that matches the color, shape and weight of the natural bust resembles.

The lightweight prostheses, which adhere well to the skin and do not slip, do not, of course, replace the loss of the female organ breast. Those who accept them usually want to be left alone surgically or shy away from breast reconstruction for reasons of age or illness. He or she is paid for the permanent prosthesis by the statutory health insurers and, by agreement, also by private insurers. In addition, subsidies are available for the required special underwear granted.

Breast reconstruction as a means of choice

For many women, the desire for Restoration of their femininity but greater than the fear of the extended procedure. Breast reconstruction helps them to physical and emotional injuriesThe aim of the program is to help patients cope better with the injuries caused by cancer and to restore balance to their bodies and souls.

Breast reconstructions made of the body’s own tissue are natural and mobile like the healthy breast and almost as delicate. If breast reconstruction with autologous tissue is not possible, the breast can also be built up with an implant filled with silicone gel or a saline solution. The artificial breast is almost as flexible as the natural one. Let us advise you!

The breast reconstruction with implant

Implants are made of silicone or saline-silicone mixtures like cushions that are as heavy as the breast tissue. They are inserted either under or partly over and partly under the pectoral muscle. If enough skin mantle remains after surgery, the implant can be inserted directly. Otherwise, a silicone sheath is inserted first, which is gradually filled with saline and stretches the tissue until the cushion can be implanted.

The pectoral muscle provides the necessary support for the implant and protects the cushion from injury. In addition, implanting below the pectoral muscle reduces the risk of encapsulation. Also, by using structured silicone cushions that are stable on the inside, through tissue-conserving surgical techniquesantibiotic irrigation and drainage, it is now possible to minimize the risks of breast reconstruction with silicone implants to the greatest possible extent.

Mesh-assisted breast reconstruction is also an option. In this case, an artificial mesh or acellular matrix made of real organic skin is used to prevent the implant from sagging. The implants must, of course, be checked regularly by a doctor. After a few years, the cushions must also be replaced, as their lifespan is limited. Combination with radiotherapy also requires medical clarification.

Breast reconstruction with autologous fatty tissue

Often, breast reconstruction using the patient’s own body tissue is also possible. For this purpose, medicine uses fatty tissue and skin from the patient’s lower abdomen, buttocks or back. The blood vessels are also removed with the tissue. These are then reconnected to the body’s blood circulation at the chest wall. Alternatively, only the skin flaps can be detached, relocated to the breast region along with their preserved blood vessels, and implanted there.

After surgery, each woman receives clinical care for several days. Occasionally, a second, smaller operation is then necessary after a few months. This is because, as the breast changes under the influence of gravity, the symmetry restored can be achieved. Finally, in another procedure, the nipples and areola are surgically reconstructed.

The patient decides Dr. Martha Bernard advises and provides specialized medical care

Whether you decide on loose prostheses, an individual breast reconstruction or initially a life without and later with a breast is entirely up to you. Dr. Bernard and her team will be happy to advise and accompany you. Arrange your personal consultation appointment in the renowned Munich practice. The specialist for plastic-aesthetic surgery, Dr. med. Martha Bernard, has specialized in breast surgery and has extensive experience in the care of breast patients. She will be happy to advise you in detail in a personal and non-binding consultation.