Breast reconstruction with implant constitutes the simplest technique to reconstruct a breast.
Supple and well vascularized skin is a necessary pre-condition for this procedure. If a mastectomy has been performed, the existing scar will be used in order to avoid additional scars. In case of breast abnormalities, the scar will be placed in the bottom fold of the breast or, in some cases, in the areola area.
Before the procedure
Before the surgery, physical therapy will be prescribed in order to prepare and to soften the skin, especially if radiation therapy has been administered to the patient previously. Massage can be executed alone or with the help of a physiotherapist.
It is necessary to stop smoking in order to favor an optimal healing.
The surgery is performed under general anesthesia, lasts between 1 and 2 hours, and the patient will be hospitalized for 3 or 4 nights after the surgery. Because of its anatomical shape, waterdrop shape, the implant offers an aspect which appears as natural as possible.
The implant is positioned behind the pectoral muscle in order to put as much tissue as possible in front of the implant.
In some cases, temporary tissue expansion prosthesis is performed in order to increase the covering tissues quality (skin, muscles) whichcan be used before placing the permanent implant in order to give the reconstructed breast a more natural appearance. If that is done, the surgeon will continue to inflate the prosthesis each week in her office in Paris.
After the procedure
Drains will be left in place in order to avoid bruising and they will be removed between the 2nd and the 4th day. The initial bandage is generally removed the day following the surgery and will be replaced with a medical front-fastening bra which is to be worn day and night during the first month following surgery.
The distension of the pectoralis major muscle may cause significant pain in the days following the procedure, but it is always treated preventively and accordingly to the patient’s needs.
Postoperative physical therapy with massages and rehabilitation of the upper limb may be prescribed in order to speed up recovery.
The definitive result will be appearing and be visible 3 to 6 months post surgery.
Several months later,, a second intervention, or even a third one, may be necessary in order to symmetrize the contralateral breast and to reconstruct the areola and the nipple.
The first shower is permitted the day after the surgery but baths should be avoided for the first month. The scars need to be protected from the sun for 1 year following surgery!