Breast Reconstruction After Mastectomy

Rehabilitation after mastectomy is imperative. According to statistics one in eight women will be diagnosed with breast cancer. Nowadays, this type of cancer is no longer life-threatening. But women after mastectomy feel mutilated literally and figuratively. Breasts are the symbol of female appearance both maternal and erotic.

Rehabilitation after mastectomy: why is it necessary?

The woman after the removal of the breast feels half, undesirable and almost “crippled”. Rehabilitation after mastectomy is necessary because through this the woman leaves faster behind her the adventure that went through the diagnosis of the disease. She feels comfortable, she can wear whatever garment or swimsuit she wants, she is able to exercise and perform any kind of activity without worrying about the intention being moved, as was the case in the past with the external intentions that were used.

Rehabilitation after mastectomy: in what ways is it done?

Rehabilitation after mastectomy can be done in the following ways:

Restoration with silicone insert

Rehabilitation with autologous tissues

Rehabilitation with self-transplant fat

Rehabilitation after mastectomy: analysis of methods

Restoration with silicone insert

This method is completed in one or two phases. If used in the beginning silicone implant is placed just below the major pectoral muscle. The surgery has similarities with breast augmentation.

If a silicone diator is used, the restoration is completed in two phases. During the first phase the placement of the alternator is done and injected into it normal serum every 2 weeks until the breast acquires the desired size. In the second phase the diffuser is removed and placed in place of the silicone implant.

Rehabilitation with autologous tissues

This method removes flaps from the abdomen or muscles from the dorsal area in order to be placed in the removed breast position. To remove the flaps from the abdomen precedes abdominoplasty surgery. So along with the rehabilitation of the breast is restored to the abdomen, benefiting doubly the overall appearance of the patient.

Rehabilitation with self-transplant fat

During the last period, rehabilitation after mastectomy with the use of fat from the patient itself is gaining ground. Initially liposuction is performed in areas where there is excess fat such as the abdomen, or buttocks, then fat is subject to special centrifugation treatment in order to isolate substances that are not of any use and then Injected, through special tools, in the area of the removed breast.

Rehabilitation after mastectomy: advantages and disadvantages of methods


The main advantage with regard to rehabilitation after mastectomy with the use of silicone implants is that it is not necessary to transfer fat or tissues from another part of the body. So there is no need to undergo the patient in another surgery or there will be scarring in other parts of the body.

The main advantage in rehabilitation after mastectomy with the use of tissues or fat is that there is no way to cause an allergic reaction since the grafts belong to the patient itself.


In terms of rehabilitation using implants as a disadvantage, the case could be reported to form a capsule around the implant. The appearance of a capsule is the reaction of the organism when it does not accept the implant and understands it as a foreign body. However, this case is extremely rare, with an incidence of less than 1%. For this reason, rehabilitation with an insert is first in the preferences of women.

The disadvantages of rehabilitation using autologous grafts are the following:

Removing flap or fat from both the abdomen or the buttock area presupposes the existence of excess weight, so it is not suitable for skinny women.

The patient should undergo multiple surgeries.

The recovery interval will be greater.

Rehabilitation after mastectomy: the area of the nipple and areolar

For the restoration of the breast tumor to be complete, regeneration of the nipple area and areolar should be done. This is usually done 3 to 5 months after the breast reconstruction surgery after the position is stabilized and the shape is finalized.

The nipple can be restored in the following ways:

Inserting small flap

Graft placement from the existing nipple

The corona Alas is formed either with a graft from the thigh-groin, where the skin is dark or with the method of dermatosis (medical tattoos). The second method is preferred because it does not require recovery and the result is more reliable.

Rehabilitation after mastectomy: when should it be done?

The ideal would be surgery to achieve rehabilitation after mastectomy to be done in the same surgery. In this way the patient is not subjected to another surgery, nor is the consequences of the removal in her psychology so pronounced. However, many women proceed to this procedure after a long period of time ranging from eight months to three years after removal. This is either because they were not adequately informed or why they had to undergo radiation therapy.

Rehabilitation after mastectomy: How safe is the surgery?

Rehabilitation after mastectomy is an operation characterized by maximum safety. It is worth noting that it has been applied for forty years with excellent success and minimal risk of developing side effects. Of course it is important to choose a reliable plastic surgeon who cooperates with a well-equipped clinic and has many successful interventions.