{"id":2500,"date":"2021-02-05T14:19:54","date_gmt":"2021-02-05T14:19:54","guid":{"rendered":"https:\/\/ashrafelzayat.com\/?p=2500"},"modified":"2021-11-29T11:55:13","modified_gmt":"2021-11-29T11:55:13","slug":"breast-reconstruction","status":"publish","type":"post","link":"https:\/\/ashrafelzayat.com\/en\/breast-reconstruction\/","title":{"rendered":"Breast reconstruction"},"content":{"rendered":"

Breast Reconstruction<\/strong><\/span><\/h2>\n


\nBreast Reconstruction<\/strong> is an attempt by the surgeon to preserve the woman`s
\nShape to how she was, or correctly, near enough to how she was before her
\ncancer treatment.
\nCould be carried out either Immediately<\/strong>, at time of Mastectomy or Delayed<\/strong>, at any time later in life.
\n<\/span><\/p>\n

[\/bt_text][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”not-spaced” transparent_border=”noBorder” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][\/bt_hr][bt_header superheadline=”” headline=”1- Immediate Breast Reconstruction:” headline_size=”medium” dash=”no” dash_style=”btAlternateDash” subheadline=”” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][\/bt_header][bt_text]<\/p>\n

Immediate Breast Reconstruction is carried immediately at the time of <\/strong><\/span>Mastectomy, during same admission<\/span><\/strong>
\n:It has so many advantages, psychological and physical<\/strong><\/span>
\n,o Single operation<\/strong><\/span>
\n.o Same pain<\/strong><\/span>
\n.o Same admission<\/strong><\/span>
\no Huge psychological advantages, walk in with a 2 breasts and walk .out <\/strong><\/span>with 2 breasts<\/strong><\/span>
\no Economic advantages, only one period off work, costs of one<\/strong><\/span>
\n.operation instead of two<\/strong><\/span>
\no Most of the original skin envelop is preserved, maintaining the best<\/strong><\/span>
\n.possible cosmetic, near normal look<\/strong><\/span>
\n.o More Reconstruction options<\/strong><\/span>
\n\ud83d\ude2e But, also has some disadvantages<\/strong><\/span>
\n– Could delay the start of complementary treatment that may be<\/strong><\/span>
\n.needed should complication occurs<\/strong><\/span>
\n– Patients might feel rushed into decision making without sufficient<\/strong><\/span>
\n.counseling<\/strong><\/span><\/p>\n

[\/bt_text][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”not-spaced” transparent_border=”noBorder” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][\/bt_hr][bt_header superheadline=”” headline=”2- Delayed Breast Reconstruction:” headline_size=”medium” dash=”no” dash_style=”btAlternateDash” subheadline=”” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][\/bt_header][bt_text]<\/p>\n

Delayed Breast reconstruction could be carried out at any time the patient<\/span>
\nwishes after the initial surgery.<\/span>
\nThere is no time limit as to when the patient could have the reconstruction<\/span>
\nas long as she maintains good health.<\/span>
\nAdvantages are:<\/strong> No delay to needed complimentary treatment.<\/span>
\nPatients will have had better counseling .<\/span>
\nDisadvantages are:<\/strong> a second operation.<\/span>
\nA second period of hospitalization.<\/span>
\nMore costs on hospital and patients.<\/span>
\nA touch inferior cosmetic results compared to immediate<\/span><\/p>\n

[\/bt_text][bt_header superheadline=”” headline=”3- Immediate delayed:” headline_size=”medium” dash=”no” dash_style=”btAlternateDash” subheadline=”” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][\/bt_header][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”not-spaced” transparent_border=”noBorder” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][\/bt_hr][bt_text]<\/p>\n

Combines the benefits of immediate (by preserving the skin envelope) with<\/span>
\nthe benefits of the delayed (by keeping all the options open).<\/span><\/p>\n

[\/bt_text][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”not-spaced” transparent_border=”noBorder” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][\/bt_hr][bt_header superheadline=”” headline=”Who can have Breast Reconstruction:” headline_size=”large” dash=”no” dash_style=”btAccentDash” subheadline=”” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][\/bt_header][bt_text]<\/p>\n

Any woman could have Breast Reconstruction regardless of age,<\/span>
\nethnicity, culture or education.<\/span>
\nFew exceptions:<\/span><\/strong>
\no Auto-immune disorders like, Systemic Lupus, Rheumatoid etc.<\/strong>.<\/span>
\no Diabetes Mellitus, esp. type one.<\/span>
\no Smokers are better avoided.<\/span>
\no Heart dysfunction.<\/span>
\no Lung dysfunction.<\/span><\/p>\n

o Some malignant tumors, like Inflammatory Cancer.<\/span><\/p>\n

[\/bt_text][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”not-spaced” transparent_border=”noBorder” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][\/bt_hr][bt_header superheadline=”” headline=”How it is done :” headline_size=”large” dash=”no” dash_style=”btAccentDash” subheadline=”” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][\/bt_header][bt_text]<\/p>\n

To build a breast you simply need SKIN<\/strong> and a Filling<\/strong><\/span><\/p>\n

1. Implant only Reconstruction:<\/strong> Using either a Silicon or Saline filled<\/span>
\nimplant inserted under or more recently over the chest wall muscle.<\/span>
\nOverall , satisfactory results.<\/span>
\nSimple operation.<\/span>
\nOne incision.<\/span>
\nLess pain.<\/span>
\nRelatively quick recovery.<\/span>
\nBut has many Disadvantages:<\/span>
\n-Sometimes, least satisfactory look or feel.<\/span>
\n-Slightly higher rate of infection.<\/span>
\n– Does not stand well the insult if Radiation therapy if needed.<\/span><\/p>\n

4- Tissue Transfer \u2013 FLAP- Surgery:<\/strong> It involves moving tissue around (muscle \u2013<\/span>
\nfat and overlying skin) to be used to replace the removed breast.<\/span>
\n– Conventionally, either the back muscle or the abdominal muscles are<\/span>
\nused.<\/span>
\n– Superior look and feel.<\/span><\/p>\n

– Examples are: Latissimus Dorsi Flap (LD) and TRAM Flap, free flaps<\/span>
\nBut, bigger operation.<\/span>
\nMore risk of complications that might compromise complementary<\/span>
\ntreatment<\/span>.<\/p>\n

[\/bt_text][bt_header superheadline=”” headline=”Facts:” headline_size=”large” dash=”no” dash_style=”btAccentDash” subheadline=”” publish_datetime=”” expiry_datetime=”” el_class=”” el_style=”” responsive=””][\/bt_header][bt_text]<\/p>\n

o Breast Reconstruction stood the test of time.
\no Has become an integral and essential part of breast cancer
\nmanagement.
\no It proved to be fairly safe.
\no Does not increase or interfere with diagnosing disease recurrence.
\no In reality, it reduces disease recurrence by allowing the surgeon to be
\nmore aggressive with the disease at the first operation.
\no A woman chooses to undergo Breast Reconstruction only to fulfill her
\nwishes, not anyone else.
\no Women have to be realistic in their expectation.
\no The results are very satisfactory in at over 80% of patients.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Breast Reconstruction Breast Reconstruction is an attempt by the surgeon to preserve the woman`s Shape to how she was, or correctly, near enough to how she was before her cancer treatment. Could be carried out either Immediately, at time of Mastectomy or Delayed, at any time later in life. [\/bt_text][bt_hr top_spaced=”topSmallSpaced” bottom_spaced=”not-spaced” transparent_border=”noBorder” publish_datetime=”” expiry_datetime=”” […]<\/p>\n","protected":false},"author":11,"featured_media":2069,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[11],"tags":[],"acf":[],"jetpack_featured_media_url":"https:\/\/ashrafelzayat.com\/wp-content\/uploads\/2021\/01\/Armpit-iStock-500875670.jpg","_links":{"self":[{"href":"https:\/\/ashrafelzayat.com\/en\/wp-json\/wp\/v2\/posts\/2500"}],"collection":[{"href":"https:\/\/ashrafelzayat.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ashrafelzayat.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ashrafelzayat.com\/en\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ashrafelzayat.com\/en\/wp-json\/wp\/v2\/comments?post=2500"}],"version-history":[{"count":0,"href":"https:\/\/ashrafelzayat.com\/en\/wp-json\/wp\/v2\/posts\/2500\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ashrafelzayat.com\/en\/wp-json\/wp\/v2\/media\/2069"}],"wp:attachment":[{"href":"https:\/\/ashrafelzayat.com\/en\/wp-json\/wp\/v2\/media?parent=2500"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ashrafelzayat.com\/en\/wp-json\/wp\/v2\/categories?post=2500"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ashrafelzayat.com\/en\/wp-json\/wp\/v2\/tags?post=2500"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}