Breast reconstruction free tram photos-DIEP Flap, Free TRAM Flap, SIEA Flap

Our patients have told us that our care and service has been invaluable to them throughout their breast reconstruction experience. Anything related to your breast reconstruction needs will be happily taken care of by our friendly and compassionate staff. Previous Next. Read Our Patient Stories. Related Posts.

Breast reconstruction free tram photos

Breast reconstruction free tram photos

Breast reconstruction free tram photos

Breast reconstruction free tram photos

Breast reconstruction free tram photos

Options for flap-based breast reconstruction. If these vessels are adequate in size and BBreast support the needed flap volume, an SIEA flap may be performed without incising or harvesting any muscle. During mean follow-up of The tissue is used to create Breast reconstruction free tram photos breast shape without having to be tunneled under the skin as in the pedicled TRAM flap. This fact sheet is intended as a general introduction and is not a substitute for professional medical, legal or financial advice. The success rate in transferring tissue in this manner is very high in the hands of surgeons who perform microsurgery regularly, in institutions with experience monitoring these flaps. Patients and Methods A total of 28 consecutive patients who underwent unilateral vree reconstruction with SP-TRAM flap after mastectomy from April Sex yuong October at the Breast Center of the Cancer Hospital of Shantou University Medical College, 8 with previous low midline abdominal scar scar group and 20 without low midline abdominal scar control groupwere included in the study.

Heidi klum sexy desktop uk. Flap from the lower abdomen

Nipple reconstruction After your breast has healed from reconstruction or mastectomy, a plastic surgeon can reconstruct a Emergency flight nurses nipple and areola. This content does not have an English version. If you've had only one breast reconstructed, you'll need to have screening mammography done regularly on your other breast. However, if chemotherapy is needed, any additional surgery must await completion of treatment. Breast reconstruction free tram photos some cases, the skin and tissue need to be augmented with a breast implant to achieve the desired breast size. At that point, the patient can have revisions to the breasts and abdomen, and the nipple areola can be created. O'Halloran N, et al. TRAM stands for transverse rectus abdominis, a muscle in your lower abdomen between your waist and your pubic bone. You'll likely need another operation to perform nipple reconstruction. Much of the breast reconstruction using your body's own tissue can be accomplished at the time of your mastectomy immediate reconstructionthough sometimes it can be done as a separate procedure later delayed reconstruction. Also, the Breast reconstruction free tram photos will have the benefit of a flatter looking abdomen. Most of the abdominal muscle is left in place and Promotional codes for uniform corner muscle tissue is taken to form the new breast mound. You'll also have stitches sutures after your surgery. Your doctor will let you know of any restrictions to your activities, such as avoiding overhead lifting or strenuous physical activities. This may include guidelines on eating and drinking, adjusting current medications, and quitting smoking.

Woman after mastectomy, showing trans—rectus abdominis muscle TRAM and surrounding tissues, in preparation for reconstruction.

  • Site designed by Blue Echo Studios.
  • TRAM stands for transverse rectus abdominis, a muscle in your lower abdomen between your waist and your pubic bone.
  • Breast reconstruction is a surgical procedure that restores shape to your breast after a mastectomy — surgery that removes your breast to treat or prevent breast cancer.
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The shape of a breast can be built using muscle, fat and skin from another part of the body. This is called a flap reconstruction. This type of reconstruction may not be suitable for women with diabetes, connective tissue disease or vascular disease, or women who have had previous major abdominal surgery or who smoke.

The tissue for reconstructing your breast can come from different places. Your doctor will discuss the best location with you. All or some of this muscle and a flap of local skin and fat is moved to the chest to form a reconstructed breast.

This is called a transverse rectus abdominis myocutaneous TRAM flap. It can be moved in one of two ways. There will be a long scar across the lower abdomen from one hip to the other and a scar on the reconstructed breast, but little to no feeling in the skin over the breast. Woman with a TRAM flap reconstruction After the reconstruction you will have a scar on your breast and a scar across your abdomen.

The latissimus dorsi LD is a muscle on the back under the shoulder blade. This muscle and some skin and fat is moved from the back around to the chest to make a reconstructed breast.

This reconstruction can be completed in one operation but usually an implant is placed under the flap to create a breast that is similar in size to the remaining breast. If a tissue expander is used, the expansion process begins once the flap has healed.

Unless a nipple-sparing mastectomy is performed, the areola and nipple are created in a separate operation. The scar on the back is usually straight and can be covered by your bra strap. The scar on the breast will vary depending on the mastectomy technique used.

Some surgeons use a scarless LD flap reconstruction technique that avoids a scar on the back. The mastectomy scar is reopened and special instruments are used to bring the latissimus dorsi muscle forward toward the breast. Woman with an LD flap reconstruction After the reconstruction you will have a scar on your breast.

These include:. To help reconstruct a small breast shape, the surgeon may remove fat from another part of the body liposuction , then inject it into the breast to create or improve the shape and contour.

In some cases a whole new small breast may be built. This is known as lipo-filling. This is because removing the rectus muscle can weaken the abdominal wall and cause a hernia, which is when part of the bowel juts out through the abdominal wall. Inserting mesh into the abdomen to replace the muscle helps strengthen the abdominal wall.

You will need to avoid heavy lifting for 6—12 weeks after the operation. This may cause the tissue to die leading to a partial or complete loss of the flap. This is more common in women who smoke or have recently quit, although quitting smoking before surgery helps to decrease the risk.

This is known as fat necrosis. The affected areas in the reconstructed breast can feel firm and are easily seen and diagnosed on a mammogram. They can be left in place or surgically removed.

Women who smoke or have had radiation therapy are more at risk of fat necrosis. I delayed having a reconstruction for four years because I wanted to see if the cancer came back. I had a nipple reconstruction quite a long time after the TRAM flap. Twelve months after the nipple reconstruction, I had it tattooed. My reconstructed breast is absolutely amazing.

The scars are unsightly, especially on the donor site. The scar on the new breast mound is not nice. My skin was compromised badly by the radiation therapy so there was never going to be a good outcome. We are grateful to Amoena Australia Pty Ltd for supplying the breast form images, which appear in this section.

The breast reconstruction images have been reproduced with permission from Breast Cancer: Taking Control, breastcancertakingcontrol. Always consult your doctor about matters that affect your health. This fact sheet is intended as a general introduction and is not a substitute for professional medical, legal or financial advice. Information about cancer is constantly being updated and revised by the medical and research communities. While all care is taken to ensure accuracy at the time of publication, Cancer Council Australia and its members exclude all liability for any injury, loss or damage incurred by use of or reliance on the information provided in this fact sheet.

Coping with cancer? Learn more about chemotherapy Chemotherapy is the use of drugs to kill or slow the growth of cancer cells. What is cancer? How cancer starts and spreads. Cancer Council NSW would like to acknowledge the traditional custodians of the land on which we live and work. We would also like to pay respect to the elders past and present and extend that respect to all other Aboriginal people.

ABN 51 At Cancer Council NSW, we recognise the importance of your privacy and the safeguarding of your personal information.

For more details, please read our Privacy Policy. Most methods only use your own living tissue to create the breast. This often results in a more natural look and feel. The flap maintains its look and feel over the long term and generally adjusts if your body weight changes. Using your own tissue means there is no risk of possible rupture.

Less chance of long-term complications needing additional surgeries later in life. Drawbacks The operation will take several hours and you may need to stay in hospital for about a week. Recovery takes longer than after an implant reconstruction as there is an abdominal or back wound as well as a breast wound to heal.

Risks include infection and the flap not healing properly. Surgery usually causes more than one scar but these fade over time. Depending on the type of flap you have, you may need an implant as well. Muscle weakness may occur after the operation, which could affect your lifestyle e. With TRAM reconstruction, there is a risk of hernia see below.

Location of flap reconstructions The tissue for reconstructing your breast can come from different places. Flap from the lower abdomen The tissue from the lower abdomen is moved to the chest area to reconstruct the breast. Types of abdominal flap reconstructions Surgery for a flap reconstruction can be done in several ways. Pedicle TRAM flap The muscle remains attached to the original blood supply and is tunnelled under the skin of the upper abdomen to the breast.

Operation usually takes 3—4 hours, and requires 4—7 days in hospital. The surgeon may also arrange to bank your blood in case you need a transfusion during surgery. About two weeks before the main operation, you may need a small operation to improve the blood supply to the tissue that will be used in the breast reconstruction.

This is more common for women with larger breasts. This is done using microsurgery. Free TRAM flap is better for creating a larger breast. It is also easier for the surgeon to shape the breast for a more accurate final result, but it is a more complicated and longer operation. Operation takes 5—7 hours, and requires 4—7 days in hospital.

The abdominal muscle is left in place. This type of reconstruction is called DIEP because deep bloodvessels called inferior epigastric perforator are used. The DIEP detached and transplanted at the breast surgery site, where reconnected to local blood vessels in the breast area.

Women who are in good overall health and have no existing scars on their abdomen and enough fatty tissue in the lower abdominal area, are suitable. Flap from the back LD flap reconstruction The latissimus dorsi LD is a muscle on the back under the shoulder blade.

These include: superior gluteal artery perforator SGAP flap or inferior gluteal artery perforator IGAP flap using tissue from the bottom transverse myocutaneous gracilis TMG flap or transverse upper gracilis TUG flap using tissue from the inner thigh.

After the reconstruction you need to do some exercises to get your arm and shoulder moving properly again. Ask your nurse or download this fact sheet about exercising after breast cancer. View our editorial policy Always consult your doctor about matters that affect your health. Support services Coping with cancer? Cancer Council NSW acknowledges the traditional custodians, both past and present, of the lands on which we live and work. Find us on social facebook instagram twitter youtube.

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Your doctor may recommend waiting until you're finished with radiation therapy before proceeding with the second stage of the breast reconstruction. Your plastic surgeon will describe your surgical options and may show you photos of women who have had different types of breast reconstruction. Tissue from your back or — less commonly — your buttocks may also be used. While it's the most popular flap reconstruction procedure, a TRAM flap isn't for everyone. For example, smoking, diabetes, and obesity are considered to be relative contraindications to having a pedicled TRAM flap breast reconstruction. Latissimus dorsi flap In this flap procedure, the surgeon takes tissue from the latissimus dorsi muscle in your back, tunnels it underneath your skin to its new location and uses it to form a new breast mound. Boughey JC, et al.

Breast reconstruction free tram photos

Breast reconstruction free tram photos. TRAM Flap Reconstruction

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Diep Flap Breast Reconstruction: 5 Photos that Show Results

Breast reconstruction is a surgical procedure that restores shape to your breast after a mastectomy — surgery that removes your breast to treat or prevent breast cancer. Breast reconstruction with flap surgery involves taking a section of tissue from one area of your body — most often your abdomen — and relocating it to create a new breast mound.

Breast reconstruction with flap surgery is a complex procedure performed by a plastic surgeon. Much of the breast reconstruction using your body's own tissue can be accomplished at the time of your mastectomy immediate reconstruction , though sometimes it can be done as a separate procedure later delayed reconstruction. Your plastic surgeon may recommend a two-stage procedure. The first stage is to place an implant expander and the second stage is to complete the tissue reconstruction.

You'll likely need another operation to perform nipple reconstruction. Breast reconstruction with flap surgery is a major procedure and carries with it the possibility of significant complications, including:.

Radiation therapy delivered to the skin and chest wall may pose complications during healing if it's given after breast reconstruction surgery. Your doctor may recommend waiting until you're finished with radiation therapy before proceeding with the second stage of the breast reconstruction. Before a mastectomy, your doctor may recommend that you meet with a plastic surgeon.

Consult a plastic surgeon who's board certified and experienced in breast reconstruction following mastectomy. Ideally, your breast surgeon and the plastic surgeon should work together to develop the best surgical treatment and breast reconstruction strategy in your situation. Your plastic surgeon will describe your surgical options and may show you photos of women who have had different types of breast reconstruction. Your body type, health status and cancer treatment factor into which type of reconstruction will give you the best result.

The plastic surgeon also provides information on anesthesia, where the operation will be performed and what kind of follow-up procedures may be necessary.

Your plastic surgeon may discuss the pros and cons of surgery on your opposite breast, even if it's healthy, so that it more closely matches the shape and size of your reconstructed breast. Surgery to remove your healthy breast contralateral prophylactic mastectomy can double the risk of surgical complications, such as bleeding and infection.

Also, there may be less satisfaction with cosmetic outcomes after surgery. Before surgery, follow your doctor's instructions on preparing for the procedure. This may include guidelines on eating and drinking, adjusting current medications, and quitting smoking.

Chances are your new breast won't look exactly like your natural one did. However, the contour of your new breast can usually be restored so that your silhouette looks similar to your silhouette before surgery.

Breast reconstruction with flap surgery is the most complex breast reconstructive option. Your surgeon transfers a section of skin, muscle, fat and blood vessels from one part of your body to your chest to create a new breast mound. In some cases, the skin and tissue need to be augmented with a breast implant to achieve the desired breast size.

In a pedicle TRAM flap procedure, the surgeon cuts a section of skin, muscle, fat and blood vessels from your abdomen, tunnels the tissue underneath your skin to its new location, and uses it to form a new breast mound.

During a free TRAM flap procedure, the surgeon disconnects a section of abdominal tissue — including skin, fat and sometimes muscle — from its blood supply and attaches the tissue to blood vessels in your chest area using microsurgical techniques. During a deep inferior epigastric perforator DIEP flap procedure, the surgeon removes a section of abdominal skin and fat, along with the associated blood vessels. Using complex microsurgical techniques, the blood vessels are attached to the ones in your chest and the skin and fat are used to create a breast.

In this flap procedure, the surgeon takes tissue from the latissimus dorsi muscle in your back, tunnels it underneath your skin to its new location and uses it to form a new breast mound. The tissue for reconstructing your breast most often comes from your abdomen.

Tissue from your back or — less commonly — your buttocks may also be used. Your surgeon determines which method is best for you based on your body type and your medical and surgical history. Abdomen TRAM flap. Your surgeon removes tissue — including muscle — from your abdomen in a procedure known as a transverse rectus abdominis muscle TRAM flap.

The TRAM flap can be transferred as a free flap or a pedicled flap. A pedicled TRAM flap uses your whole rectus muscle — one of the four major muscles in your abdomen. For a muscle-sparing free TRAM flap, your surgeon takes only a portion of your rectus abdominis muscle, which may help you retain abdominal strength after surgery. Abdomen DIEP flap. Most of the abdominal muscle is left in place and minimal muscle tissue is taken to form the new breast mound.

Reattaching blood vessels requires expertise in surgery through a microscope microsurgery. An advantage to this type of breast reconstruction is that you'll retain more strength in your abdomen. Because adequate blood supply is critical to the survival of transplanted tissue in flap surgery, your surgeon may prefer not to perform a pedicled flap procedure if you're a smoker or if you have diabetes, vascular disease or a connective tissue disorder.

If you smoke, you may be asked to quit for four to six weeks before your surgery. Also, obesity may preclude you from having a pedicled TRAM flap. In general, flap breast reconstruction surgery is more extensive than is mastectomy or implant reconstruction. Flap procedures result in larger incisions that take longer to heal, so they require a longer recovery period and may require a longer hospital stay.

A new technique for breast reconstruction, autologous fat grafting, uses liposuction to gather fat tissue from your thighs, abdomen or buttocks to reconstruct the breast or to improve the appearance of your breast after reconstruction. After your breast has healed from reconstruction or mastectomy, a plastic surgeon can reconstruct a new nipple and areola. The surgeon makes a star-shaped incision to form the new nipple and then adds a tattoo to shade in the new areola. Breast reconstruction may also entail reconstruction of your nipple, if you choose, including tattooing to define the dark area of skin surrounding your nipple areola.

You may be tired and sore for a few weeks after your surgery. Your doctor can prescribe medication to control your pain. You may have drainage tubes in place for a short time after your surgery to remove excess fluids that collect in the surgical site.

Wearing an elastic bandage or support bra can help keep swelling down and support your breast while it heals. You'll also have stitches sutures after your surgery. They'll probably be absorbable sutures, though, so you won't need to have them removed.

Scarring is permanent, but the scars generally fade over time. Getting back to normal activities may take up to six weeks or more. Your doctor will let you know of any restrictions to your activities, such as avoiding overhead lifting or strenuous physical activities.

Don't be surprised if it seems to take a long time to bounce back from surgery — some women report that it takes as long as a year or two before feeling completely healed and back to normal.

If you've had only one breast reconstructed, you'll need to have screening mammography done regularly on your other breast.

Mammography isn't necessary on breasts that have been reconstructed. You may also choose to perform breast self-exams on your natural breast and the skin and surrounding area of your reconstructed breast. This may help you become familiar with the changes to your breast after surgery so that you can be alert to any new changes and report those to your doctor. Keep your expectations realistic about your surgery. Breast reconstruction offers many benefits, but it won't make your breast look or feel exactly like it did before your mastectomy.

Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Breast reconstruction is a surgical procedure that restores shape to your breast after a mastectomy — surgery that removes your breast to treat or prevent breast cancer. Request an Appointment at Mayo Clinic. Pedicle TRAM flap In a pedicle TRAM flap procedure, the surgeon cuts a section of skin, muscle, fat and blood vessels from your abdomen, tunnels the tissue underneath your skin to its new location, and uses it to form a new breast mound.

Free TRAM flap During a free TRAM flap procedure, the surgeon disconnects a section of abdominal tissue — including skin, fat and sometimes muscle — from its blood supply and attaches the tissue to blood vessels in your chest area using microsurgical techniques.

DIEP flap During a deep inferior epigastric perforator DIEP flap procedure, the surgeon removes a section of abdominal skin and fat, along with the associated blood vessels. Latissimus dorsi flap In this flap procedure, the surgeon takes tissue from the latissimus dorsi muscle in your back, tunnels it underneath your skin to its new location and uses it to form a new breast mound. Nipple reconstruction After your breast has healed from reconstruction or mastectomy, a plastic surgeon can reconstruct a new nipple and areola.

Share on: Facebook Twitter. Show references AskMayoExpert. Breast reconstruction. Rochester, Minn. Breast reconstruction after mastectomy.

National Cancer Institute. Accessed Nov. Townsend CM Jr, et al. Philadelphia, Pa. Accessed Sept. Nahabedian M. Options for flap-based breast reconstruction. Sbitany H. The Surgical Clinics of North America. Boughey JC, et al. Annals of Surgical Oncology. O'Halloran N, et al. Recent advances and future directions in postmastectomy breast reconstruction. Clinical Breast Cancer. Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.

Breast reconstruction free tram photos

Breast reconstruction free tram photos

Breast reconstruction free tram photos