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Where are some of the places that one can find more information on a TRAM flap breast reconstruction procedure?
The Mayo Clinic is a great place to learn more information about TRAM flap breast reconstruction. It also has information on TRAM flap procedures located places other than the breast.
What are the processes of DIEP breast reconstruction?
To perform this reconstructive surgery, a small incision is made in the abdominal muscle. The affected flap is then removed and a new one is transplanted and reattached. It is then finally shaped to form a new breast.
What are the possible consequences of diep flap breast reconstruction?
The main consequences of diep flap breast reconstruction include fat necrosis and abdominal hernia or bulge. The occurrence liability of fat necrosis is about 12% whereas abdominal hernia occurrence is about 0.7%.
What are the three steps involved in breast reconstruction?
the TRAM flap surgery. In a procedure similar to traditional abdominoplasty, excess skin and fat is removed from the lower abdomen, then stitched into place to create a breast. The construction of a nipple takes place several months later
What is a transflap surgery?
Trans Flap surgery is a cosmetic procedure usually performed on women who have had their breast removed due to Breast Cancer. A fatty portion of the abdomen is removed and sewn in leau of the absent breast. A nipple is then tattood on.
Breast reconstruction - natural tissue?
DefinitionAfter a mastectomy, some women choose to have cosmetic surgery to remake their breast. During breast reconstruction therapy using natural tissue, the breast is reshaped using muscle, skin, and fat from another part of your body.This surgery can be performed at the same time as mastectomy or later.Alternative NamesTransverse rectus abdominous muscle flap; TRAM; Latissimus muscle flap with a breast implantDescriptionIf you are having breast reconstruction at the same time as your mastectomy, your surgeon may do a skin sparing mastectomy. This means only the area around your nipple and areola is removed, and more skin is left to make reconstruction easier.If you will have breast reconstruction later, your surgeon will remove enough skin over your breast to be able to close the skin flaps.The 2 most common methods of breast reconstruction are transverse rectus abdominous muscle flap (TRAM) and latissimus muscle flap with a breast implant. For both of these procedures, you will have general anesthesia (asleep and pain-free)For TRAM surgery:Your surgeon will make an incision (cut) across your lower belly, from one hip to the other. Your scare will be hidden later by most clothing and bathing suits.Your surgeon will loosen skin, fat, and muscle in this area. The surgeon will then tunnel this tissue under the skin of your abdomen up to the breast area. Your surgeon will use this tissue to create your new breast. Blood vessels remain connected to the area where the tissue is taken from.In another method, the skin, fat, and muscle tissue are removed from your lower belly. Then the surgeon places it in your breast area to create your new breast. In this method, the arteries and veins are cut and reattached to blood vessels under your arm.This tissue is then shaped into a new breast. Your surgeon will match the size and shape of your remaining natural breast as closely as possible.Your surgeon will close your belly incision with stitches.If you would like a new nipple and areola created, you will need a second, much smaller surgery later.For latissimus muscle flap with a breast implant:Your surgeon will make an incision in your upper back, on the side of your breast that was removed.Your surgeon will loosen skin, fat, and muscle from this area and then tunnel this tissue under your skin to the breast area. This tissue will be used to create your new breast. Blood vessels will remain connected to the area the tissue was taken from.This tissue is then shaped into a new breast. Your surgeon will match the size and shape of your remaining natural breast as closely as possible.An implant may be placed underneath the chest wall muscles to help match the look of your other breast.If you would like a new nipple and areola created, you will need a second, much smaller surgery later.When breast reconstruction is done at the same time as a mastectomy, it adds about 2 to 3 hours to the surgery. When it is done as a second surgery, it may take more than 2 or 3 hours.Why the Procedure Is PerformedYou and your doctor will decide together about whether to have breast reconstruction, and when. The decision depends on many different factors.Having breast reconstruction does not make it harder to find a tumor if your breast cancer comes back.The advantage of breast reconstruction with natural tissue is that the remade breast is softer and more natural than breast implants. The size, fullness, and shape of the new breast can be closely matched to your other breast.But muscle flap procedures are more complicated than placing breast implants. You may need blood transfusions during the procedure. You will usually spend 2 or 3 more days in the hospital after this surgery compared to other reconstruction procedures. Also, your recovery time at home will probably be longer.Many women choose not to have breast reconstruction or implants. They may use a prosthesis (an artificial breast) in their bra that gives a natural shape, or they may choose to use nothing at all.RisksRisks for any surgery are:Blood clots in the legs that may travel to the lungsBreathing problemsInfection, including in the surgical wound, lungs (pneumonia), bladder, or kidneyBlood lossHeart attack or stroke during surgeryReactions to medicinesThe risks for breast reconstruction with natural tissue are:Skin loss or chronic wounds on the chest wallScarsThere is also a risk of bleeding into the area where the breast used to be. Sometimes a second operation is needed to control this bleeding.Before the ProcedureAlways tell your doctor or nurse if you are taking any drugs, supplements, or herbs you bought without a prescription.During the week before your surgery:Several days before surgery, you may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), vitamin E, clopidogrel (Plavix), warfarin (Coumadin), and any other drugs that make it hard for your blood to clot.Ask your doctor which drugs you should still take on the day of your surgery.On the day of your surgery:Do not eat or drink anything after midnight the night before surgery.Take your drugs your doctor told you to take with a small sip of water.Shower the night before or the morning of surgery.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureYou will stay in the hospital for 2 to 5 days.You may still have drains in your chest when you go home. Your surgeon will remove them later during an office visit. You may have pain around your incision after surgery.Fluid may collect under the skin of your armpit. This is called a seroma. It is fairly common. Seromas usually go away on their own, but sometimes they need to be drained.Outlook (Prognosis)Results of reconstruction surgery using natural tissue are usually very good. But reconstruction will not restore normal sensation on your new breast or nipple.Recovery is usually faster when reconstruction is done after the mastectomy wound has healed.Having breast reconstruction surgery after breast cancer can improve your sense of well-being and quality of life.ReferencesWilhelmi BJ, Phillips LG. Breast reconstruction. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 35.
Do plastic and reconstructive surgeon's perform breast implant surgery?
Sometimes the surgeon who did the mastectomy can recommend a plastic surgeon. I had my reconstruction " tram flap" done by a plastic surgeon who is also a hand surgeon , he specilized in reconstruction and micro vascular surgery but also does facelifts and other plastic surgery. I had gone to 3 plastic sugeons for consultation, all were recommended, and picked the one that spend the most time with me, answered all my questions, explained everything in detail, pros and cons of the type of procedure I wanted.
What are the two main methods of performing breast reconstruction after mastectomy?
Oh, dude, it's like choosing between chocolate and vanilla ice cream. You've got the implant option, where they pop in a silicone or saline implant to give you that perky look, or the flap reconstruction, where they take tissue from another part of your body and move it up top. Both get the job done, just depends on whether you're more of a silicone or a tissue kind of person.
What is used in autologous reconstruction?
The skin and muscle used in autologous reconstruction can come from one of several possible places on the body, including the abdomen (tummy tuck flap), the back (latissimus dorsi flap), or the buttocks (gluteus maximums free flap).
What is modified widman flap?
its a type of flap used in periodontal surgery for pocket reduction
Aerola tattos because of breast cancer?
because of tram flap.
How long after breast surgery can you fly?
Flying on an airline has no effect on breast implants. If you are asking about how long after a surgery before you can fly, that will depend on how healthy you are and how long your recovery takes. You will have to ask your doctor to be sure.
