Breast Reconstruction Program

Breast Reconstruction Program

The Surgery

Comparison of Breast Reconstruction Choices


Type of reconstruction TRAM Tissue Expander Latisimus dorsi
Length of surgery 3-4 hours 1-1.5 hours 3 – 4 hours
Hospital stay 3 days 1 day 2 days
Drains remain
in place
5 – 14 days 2 – 10 days 5 – 14 days
Recovery at home 6 - 12 weeks
No strenuous exercise or heavy lifting to protect the stomach area
2 – 4 weeks
No strenuous exercise or heavy lifting. Limit arm motion on side of reconstruction
3 – 4 weeks
No strenuous exercise or heavy lifting
Scarring 1. Breast at mastectomy site
2. Lower abdominal scar from hip to hip
1. Scar is the same as the mastectomy scar 1. At mastectomy site
2. On the back
Follow up visits 2- 4 weeks unless problems dictate more frequent visits 2- 4 weeks
after surgery Every 2 weeks for expansion of the implant. This may take 4 – 12 weeks and then it will stay over inflated for 2 – 3 months.
2 –4 weeks after surgery
Every 6 weeks unless problems dictate more frequent visits
Follow-up surgeries 1. Minor revisions to abdomen or breast to adjust size and shape. 2. Nipple reconstruction if desired 4 – 6 months following initial surgery.
3. Areola tattooing
1. Replacement of tissue expander with permanent prosthesis under general anaesthetic.
2. Nipple reconstruction, if desired, 3 – 6 months after expansion is complete under local anaesthetic
1. Nipple reconstruction, if desired, 4 – 6 months after initial surgery.
2. Areola tattooing
Complications 1. problems with anaesthetic
2.
infection
3.
bleeding
4.
seroma
5.
delayed wound healing
6.
abdominal hernia
7.
fat necrosis
8.
blood circulation problems
9.
excessive scarring
10.
muscle weakness
11.
DVT/PE
12.
breast asymmetry
1. problems with anesthetic
2.
infection
3.
bleeding
4.
seroma
5.
delayed wound healing
6.
excessive scarring
7.
DVT/PE
8.
capsular contracture
9.
implant displacement
10.
rupture
11.
thinning of stretched skin
12.
breast asymmetry
1. problems with anesthetic
2.
infection
3.
bleeding
4.
seroma
5.
delayed wound healing
6.
fat necrosis
7.
excessive scarring
8.
muscle weakness
9.
DVT/PE
10.
blood circulation problems
11.
breast asymmetry
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