Breasts
are an essential and integral part of a woman’s body. The breast differs from
other parts of the anatomy. It plays an important role in mothering and
nourishing the young. This part of her body remains highly important to her as
a connection to her womanhood/ femininity and sensuality.
Issues
occurring with the breasts can be categorized into 5 types.
- Congenital – or birth deformities where the breast and/or chest wall cage are underdeveloped
- Underdeveloped or small for size breasts.
- Normal breasts with/ without age related changes.
- Large/ massive breasts.
- Cancer and its consequences.
Treatments
in each of these conditions vary and have to be individualised. Remember “NO
SINGLE KEY FITS ALL LOCKS”.
There
are many methods of reconstructions that are performed according to the
condition and requirement to correct the problems. Some need volume addition;
some need volume removal while some need volume adjustment. Depending on the
situation a detailed discussion and planning is required between the patient
and doctor to arrive at the best possible result for the individual.
FAQ’S
1 1. Am I the right
candidate for the procedure?
Any
woman above the age of 22 years otherwise healthy or investigated properly with
realistic thoughts is right candidate for breast surgeries.
2 2. What are the different
procedures normally done and what is right for me?
Breast
implants, breast reduction, mastopexy (a procedure where the volume is ok but
sagging is pronounced need to be corrected to give shape and size. Sometimes an
implant has to be added to the procedure if volume is deficient).
3 3. Are implants safe?
There
are a variety of implants available in the market. Please choose the right
doctor who will use only approved implants. Never compromise on quality.
4 4. I’m not suffering from
cancer. Can I undergo the procedure?
Breast
reconstruction does not increase the risk of cancer. However you could discuss
with your doctor and get investigated thoroughly before taking a decision.
5 5. I’m suffering from
breast cancer. What do I discuss with my doctor with regard to breast
reconstruction?
Ask
your doctor details about the type of surgery and possibility of radiation. If
you are in the early stages then procedures like lumpectomy, nipple sparing and
skin sparing surgeries are possible which will greatly help in giving you a
more natural and normal appearance.
6 6. I have a family history
of cancer. Can I undergo breast corrective surgery?
Recent
trend shows that many women after discussing with their oncologist/ oncosurgeon
are undergoing prophylactic mastectomy and reconstruction. On the other hand
one could have periodic checkups and go for reconstruction too.
7.I Have cancer and am
about to undergo treatment. What is the right time to undergo reconstruction?
Make
sure you are aware of the type of surgery beforehand. However the plan might
have to be altered depending on the condition and pathology report during the
surgery. Also know your schedule of radiation and discuss with your plastic
surgeon the different options to give you the best possible outcome.
8. I am presently
undergoing treatment for cancer and am interested in undergoing breast
reconstruction. When is the right time?
Without
radiation corrective surgery can be taken up within 6-8 weeks. If you are
undergoing radiation then reconstruction should be planned 3-6 months after
completion of radiation.
9 9. Will radiation affect
the outcome of my reconstruction?
In
fact with the newer techniques done by us the ill effects of radiation on the
skin and breast will improve dramatically and we are trying to extend this
benefit for patients who are getting affected by radiation at other sites too.
1 10. I have had surgical
removal (partial/ total) of my breast /s some time ago. Can I get
reconstruction done?
Meticulous
planning, compliance and patience are very important with patient, caretakers
and the doctor to give optimum result.
1 11. Is it a one stage
procedure?
We
believe in giving the best outcome with an attempt to restore the loss in toto.
Though every attempt is made to minimize the number of surgeries we do not make
false promises or assurances. The end justifies the means.
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