I am going to have a breast reconstruction and my surgeon wants to reconstruct my Breast with my tummy muscle and fat. Advice?
Doctor Answers 2
Breast reconstruction with tummy tuck tissue
Thank you for your question.
The radiotherapy given to your right breast means that there is a very high risk of implant infection/exposure if your surgeon tries for an implant only reconstruction. So the better options are to either wrap the implant in tissue that hasn't had radiotherapy or make the whole breast from your own tissue, and not use an implant at all.
Using your own tissue to reconstruct a breast is called an "autologous" reconstruction. It is considered to be the best form of breast reconstruction, as the tissue loses weight and gains weight with you. It tends to look, feel and behave more like a natural breast than an implant. The goal of all reconstruction is symmetry with the other breast, and an autologous reconstruction gives you the best chance at that.
If you have enough tissue in your lower abdomen that you could use a tummy tuck, then you can have a tummy tuck and your plastic surgeon will use that tissue to make you a breast. The operation is a big one - larger than your mastectomy procedure - but it is the best form of reconstruction available. There will be some temporary numbness of the lower abdomen but it should not affect your bladder in any way.
The name of the flap of tissue used is either a TRAM flap or a DIEP flap. You will be able to see many before and after photos of this procedure on this site.
I hope this helps.
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