Breast reconstruction in Iran after breast cancer treatment

Breast reconstruction is possible after mastectomy or breast removal. This surgery can be done about two years after the mastectomy and when other treatments such as chemotherapy and radiotherapy are completed and the patient is in a disease-free state.

How Long Is Breast reconstruction in Iran Applied After the First Surgery?

It is performed concurrently with breast removal or after that.

In cases where breast removal surgery is performed to prevent breast cancer, breast reconstruction should also be performed concurrently.

In some cases of early cancers, removal and reconstruction can also be performed concurrently, which the physician recommends if possible.

In delayed surgeries, after the completion of all phases of chemotherapy and radiotherapy, in a condition that is considered disease-free, the surgery will be performed with verification of oncologist.

Breast reconstruction surgery has no age limit and is not specialized for any particular stage of the disease.

Who can perform breast reconstruction surgery?

Specialist breast surgeons and plastic surgeons perform breast reconstruction surgery. When surgery is performed by a general surgeon, two surgical teams are required.

Does Breast Reconstruction Surgery Delay Diagnosis of Breast Cancer Recurrence? Or accelerates recurrence of cancer?

Recurrence of breast cancer is related to the biological factors of the cancer itself and reconstruction surgery does not accelerate it, and nowadays, with advanced diagnostic methods, reconstitution does not create a diagnostic problem in recurrence cases.

Do you recommend breast reconstruction surgery?

Yes, of course. Every woman should have two breasts and benefit from scientific advances.

Methods of breast reconstruction surgery:

Breast reconstruction in Iran is a complex procedure that is usually performed in more than one stage.

Patients should keep in mind that breast reconstruction is performed in at least two stages, one of the stages being the main stage and takes so much time, and the later stages are generally short and require no hospitalization.

The main stage of the operation, whether in the use of the prosthesis or the joints, is usually a major operation and requires at least two days of hospitalization.

Reconstruction is done with the use of the body’s own tissue, such as excess fat in the lower abdomen, or by using a prosthesis or both.

A breast or plastic surgeon, based on the appearance of your body, your age, your potential future pregnancy, your mood, the shape of the breast, and your history of radiotherapy and other concomitant diseases, suggests possible ways of breast reconstruction

Keep in mind that not every procedure is possible for every disease. Before you go to a reconstructing physician, try to get some information online.

Have more than one consultation session with your doctor. Record what they say and listen carefully and make the decision with your knowledge and trust your doctor.

Women who have lost their breasts for some time suffer from such severe torment due to the lack of a breast, that the average results of Breast reconstruction in Iran will make them happy.

Women who want to undergo concurrent reconstruction have the shock of losing their breast and having an unfamiliar new breast. It often causes severe mental injuries that sometimes shows itself as dissatisfaction with the results of their operation.

It should be borne in mind that the reconstructed breast is never like one’s own and is not as beautiful as the natural breast, and expecting 100% symmetry with the healthy side is an irrational and unreachable expectation.

Reconstruction results concurrently with removal are generally better than delayed reconstruction, but anyways, they are not as natural as the natural breast.

A brief description of the reconstruction methods:

TRAM method

It’s the joint of fat and abdominal muscle in the removed breast area

positive points:

Its beauty results are really acceptable
The transplanted breast looks like normal breasts, and becomes fat and thin when the person becomes fat or thin.
The probability of the graft becoming black is very low
Getting rid of fat under your belly at the same time.
Can be done after radiotherapy
Most do not require repair
The probability of transplantation is low

Disadvantages:

It is better for women who do not want to get pregnant, although pregnancy is not a problem after this procedure.
Complicated for smokers and diabetics
It is long and expensive
Sometimes the abdomen becomes uneven and prominent

Prosthetic method

It is used in delayed and concurrent reconstructions. It will make beautiful breasts that won’t drop like natural breasts. In cases of concurrent reconstruction, you can easily use prosthesis because there is enough skin but in delayed surgeries the fat expander should be injected or the skin loss can be fine by combining a graft with a deficient prosthesis.

positive points:

Extra cuts are not imposed on the body.
It can be done for skinny people and young women.
In two-way cases it is easy to be done.

cons:

Requires correction over time.
It should be combined with other procedures such as skin grafting or skin expander and fat injection.
Breast mirroring is needed.
4- It is not completely normal in the touch of the breast and it is fixed on the chest and does not have a normal breast dropping.

Back muscle + implant

In many cases the best method is reconstruction

Extra back muscle and skin are used for reconstruction

Pros:

Good and beautiful results

It is easy

Cons: Has side effects of prosthesis

The incision remains on the back

Reconstruction of the nipple and aura

It’s performed with a skin flap and tattoo and is the latest step in reconstruction and is very convenient to do in most offices.

Unfortunately, many of my patients with delayed breast reconstruction are happy with the shape of their breasts and won’t come again to undergo nipple reconstruction which doesn’t cost much and is the final step in the procedure and the nipple will make the mass look like a breast.

Pre-surgery tips

Listen carefully to know about the variety of ways and think about them

The reconstructed breast will look much like the opposite breast, but not at one stage and not completely

Be aware of the consequences of every good method

Expect close to reality

Most different procedures have postoperative pain and require hospitalization at least one night after surgery

In methods that use vascular bases or vascular grafts to partially it is possible for a part of grafts or all grafts to be black, do not be afraid of and be patient, it is fixable

When using prosthesis, retraction is possible it, it is also possible for the wound to be opened, for the prosthesis to get out and for the skin to be blacken.

Most nipple reconstructions are done at the earliest stage and is done with different methods

The long-term result of reconstruction with the body’s own tissue is much better and more natural than an implant

In reconstruction with the tissue itself, the tissue is removed by an additional incision, in case of implant this incision is not needed

Every breast can be reconstruction if there’s complete cancer control.

Breast reconstruction has many options depending on the patient’s body and her desire and the surgeon’s preference.

Breast reconstruction is possible in some cases with breast removal surgery.

Breast reconstruction is usually performed in several stages.

Breast reconstruction can be done at any age.

Post-surgery tips

Most reconstructive procedures have postoperative pain and require several days of hospitalization

Carefully follow the post-operative instructions to avoid complications in any reconstruction method.

Be patient about Breast reconstruction in Iran. The result will be very enjoyable after a while