Implant breast reconstruction
It is important that enough skin remains after the mastectomy to perform a breast reconstruction using implants in order to fully cover them and allow for some flexibility. It is a great procedure for women who have always had small breasts and would like a breast augmentation.
Choosing the right implant is crucial. Anatomical implants used to yield the best results, but since the occurrence of a few rare cases of lymphoma in patients with those implants, round implants have become the safest choice. Thanks to lipomodelling, we can now improve the final shape of the breast and get even better results than with anatomical implants.
The implant is placed under the skin and the pectoral muscle. A fat transfer is sometimes needed before the implant is placed. If it is a secondary reconstruction, the scar of the mastectomy is used to place the implant and no additional scar is created.
If there isn’t enough skin, an expander will be used for a few weeks before the final procedure. An expander is a pouch placed under the skin where the future breast will be. It inflates with physiological serum during a painless procedure conducted at the medical office. This causes the creation of more skin, like during a pregnancy.
The operation is performed at a clinic under general anesthesia. It lasts an hour and a half and the patient has to stay at the clinic for at least 24 hours/one night.
A special bra is immediately placed on the patient, who will have to wear it day and night for three weeks, except during showers of course! The patient can go home the next day or two days after the operation. The patient must take at least 10 days off from work after the procedure, although the recommended time is 3 weeks.
Results are immediately visible, the volume is visible in the bra and the patient has a new, real cleavage. The result is fully permanent after about 2 months.