Reconstruction after mastectomy

Reconstruction after mastectomy is always possible if the patient wishes. It can be immediate or delayed. Different techniques are possible and must be discussed on a case-by-case basis.

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La reconstruction mammaire après une masectomie (technique) | Paris | L'Institut Du Sein
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Reconstruction by prosthesis

In both immediate and delayed reconstruction, prosthesis placement is the most common technique.
Excedent cutaneo-graisseux utilise en reconstruction mammaire par lambeau de grand dorsal institut du sein paris

Reconstruction by latissimus dorsi muscle flap

The breast is reconstructed using a flap made up of the excess skin and fat of the back and part of the large dorsal muscle. This is a very reliable technique.
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Reconstruction with DIEP and other free flaps

Free flaps involve transferring tissue from one part of your body to another using microsurgery. They give very natural results. The most commonly used flap is the abdominal flap (DIEP).
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Lipofilling in reconstruction

Lipofilling is a major tool to improve the results of a reconstruction. More than 7000 Lipofillings have been performed at Paris Breast Center.
Seringues Utiliser pour transfert de graisse lors d'un lipofilling exclusive Institut du sein paris

Exclusive lipofilling

Reconstruction by exclusive lipofilling is sometimes possible. It requires several procedures and sufficient fat to be collected.
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Areola and nipple

Reconstruction of the areola and nipple is the final step in breast reconstruction. There are several techniques: the most frequently used are a tattoo for the areola and a graft for the nipple.
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Improvement of your reconstruction

In the event of an unsatisfactory result, an improvement is always possible, even long afterwards. Paris Breast Center is an expert center for breast reconstruction. We can transform the results of your reconstruction.
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Your reconstruction in time

There are many different techniques for breast reconstruction. Their results evolve over time and with weight variations. A touch-up, often simple, can correct the changes induced by time.
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La reconstruction mammaire Ă  l'Institut du Sein Paris

Dr Isabelle Sarfati

Chirurgie reconstructrice et esthétique

Les innovations pour la reconstruction immédiate

Dr Krishna B. Clough

Chirurgie cancĂ©rologique – Chirurgie reconstructrice et esthĂ©tique

Les techniques de reconstruction du sein

Dr Neil Ouar

Chirurgie plastique

See the transcript

Les prothèses et les lambeaux

Dr Neil Ouar

Chirurgie plastique

See the transcript

Reconstruire ou pas

Dr Isabelle Sarfati

Chirurgie reconstructrice et esthétique

See the transcript

Généralité sur la reconstruction

Dr Isabelle Sarfati

Chirurgie reconstructrice et esthétique

See the transcript
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What is breast reconstruction?

In case of cancer, the surgeon may have to remove the breast: this is called a “mastectomy”. After this operation, reconstruction is a major step.

Psychological issues

The physical consequences of a mastectomy are accompanied by a psychological impact that varies from one woman to another. Some women do not feel the need for reconstructive surgery, but the vast majority want reconstruction.

The repercussions of a mastectomy on self-perception, sexual life and daily activities can be severe. Breast reconstruction can minimize these after-effects, restore physical and psychological balance and improve the patient’s quality of life.

Immediate and delayed reconstruction

After a mastectomy, the reconstruction of the breast can be done at the same time as the removal, this is called immediate reconstruction, or in a second time, a few months after the end of the treatments. This is called delayed or secondary reconstruction.

Immediate reconstruction

The Paris Breast Center systematically considers immediate reconstruction, i.e., within the same procedure as the removal of the breast. The surgical procedure is then longer and more complex than in the case of a simple mastectomy and the indications are discussed with the patient on a case-by-case basis according to her wishes, the characteristics of the cancer, the planned treatments and the morphology.

Delayed Reconstruction

It is always possible to reconstruct a breast. Reconstruction can begin a few months after the end of treatment, depending on the characteristics of the treatment and the chosen reconstruction method. Some patients opt for a later reconstruction, sometimes several years after the end of treatment.

Reconstruction is a patient’s decision. We are at your disposal.

The different stages of breast reconstruction

Breast reconstruction is almost always done in two stages: 

  • The first stage allows for the reconstruction of the volume and shape of the breast. Most often, the other breast is modified to ensure optimal symmetry from the first procedure. 
  • the second stage allows for the improvement of the result and the perfection of the symmetry. Most often, the procedure is performed on an outpatient basis.

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