Is reconstruction possible without the need to move a muscal (flap) after radiation for breast cancer? Thanks Vic
Is Reconstruction Without Moving Muscle Possible After Radiation for Breast Cancer?
Doctor Answers (6)
Is reconstruction without moving muscle possible after radiation for breast cancer?
There are many options to breast reconstruction including implant-based and flap-based procedures. The complication rate with implants following radiation is reported as high as 60-70% in some studies. Flap reconstruction is usually recommended, but there are several centers who perform implants following radiation with great success and results. I typically prefer flaps, such as the DIEP flap. Other flaps are the conventional TRAM, latissimus flap, SGAP/IGAP, and, TUG.
You are a candidate for other procedures, if you are willing to continue with your journey for a reconstructed breast. Flaps such as those above, including others, are available. The decision to continue with this will be your decision and what you are willing to go through. There are risks and benefits with everything that we do in Surgery - discuss the various options with a board certified plastic surgeon who will educate you on all of the options and help you to decided if breast reconstruction or which procedure will be best for you. Hope that this helps and best wishes!
Breast Reconstruction After Radiation
Thank you for your question.
Breast reconstruction can either be achieved by using your own tissue (skin/muscle flap) or by using implants. Generally reconstruction using your own tissue is preferred following radiation because radiated skin is much less reliable and more likely to have complications than non-radiated skin. This is especially a concern when there is an implant under the skin because if the skin breaks down and the implant becomes exposed or infected additional surgery is required to remove/replace the implant.
To determine what type of reconstruction you are a candidate for visit a Board Certified Plastic Surgeon.
I hope this helps.
Do I need to have a muscle flap for Breast Reconstruction after Radiation?
Fat grafting is a valuable tool in breast surgery. This technique has gained more popularity over the past 7 years. There are many techniques used to harvest the fat, process the fat and then re-inject the fat. Conventional suction lipectomy is performed with a small diameter cannula, processed by separating the liquid and fibrous tissue from the fat, and then placed into syringes for re-injection or through a closed system.
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Reconstruction after radiation for breast cancer
can be done in several ways. You should see a plastic surgeon who specializes in microsurgical reconstruction for options that would not require muscle flaps. He/She could also educate you on the possibilities using other modalities such as expanders and fat grafting. Best wishes! If you were in my neck of the woods, California Pacific Medical Center is where I would suggest you check.
Is Reconstruction Without Moving Muscle Possible After Radiation for Breast Cancer
It all depends on the quality of the skin
Expansion reconstruction ,either internal or external, can be performed if tissues are sufficient.This may be supplimented with fat and PRP injections