1VIC

Breast reshaping

Treatment Effect

Treatment Outcomes

- Restores breast shape, revitalizes the patient's body contours, alleviates psychological stress and emotional disorders caused by breast loss, boosts confidence and social engagement, and enhances overall quality of life.

- Different reconstruction methods offer distinct advantages: autologous tissue breast reconstruction yields results that more closely resemble natural breast tissue, while implant-based reconstruction involves minimal trauma and allows for quicker restoration of breast shape.

Is this suitable for me?

- Breast reconstruction can theoretically be performed on any patient with breast cancer that has not metastasized. Immediate breast reconstruction is an option for patients with early-stage breast cancer.

- It is also suitable for patients with congenital breast hypoplasia or those who have acquired breast defects due to trauma or other factors.

- However, suitability should be determined through consultation with a specialist, who will evaluate the patient's overall health, tumor status, and personal preferences to make a comprehensive assessment.

Select Device

Select Equipment

Breast reconstruction surgery may involve equipment such as tissue expanders. When selecting, consider the quality, safety, and compatibility of the devices. High-quality tissue expanders should exhibit good biocompatibility, effectively expand tissue, and resist rupture or leakage. It is generally recommended to choose brands and models that are certified by relevant authorities, have a strong reputation, and possess extensive clinical application experience.

Select Brand

Select Equipment

Equipment involved in breast reshaping surgery may include tissue expanders, among others. When selecting, consider the quality, safety, and compatibility of the devices. High-quality tissue expanders should exhibit excellent biocompatibility, effectively expand tissue, and resist rupture or leakage. It is generally recommended to choose brands and models that are certified by relevant authorities and have a strong reputation with proven clinical application experience.

Price

Price

The cost of breast reconstruction varies depending on the reconstruction method, materials used, region, hospital, and surgeon.

Implant-based reconstruction is relatively more affordable, typically ranging from approximately 20,000 to 50,000 USD, though the exact price depends on the brand and model of the implant.

Autologous tissue breast reconstruction is more complex and costly, often ranging from 100,000 to 200,000 USD or more, due to the extensive surgical procedures and additional hospital care required.

Expected Outcome

Expected Outcomes

Ideally, breast reconstruction should restore the shape, size, and texture of the reconstructed breast to closely resemble a natural breast, achieving basic symmetry between both sides and enhancing the patient's aesthetic appearance and self-confidence.

Immediate breast reconstruction, performed under favorable tissue conditions, may yield superior aesthetic results. In contrast, delayed breast reconstruction patients may have somewhat lower expectations regarding outcomes, yet they still anticipate restoration of a natural breast contour.

Combination Therapy

Combined Therapy

- Autologous tissue combined with implant-based breast reconstruction: This approach is used when autologous tissue volume is insufficient or to achieve better outcomes. For example, a latissimus dorsi myocutaneous flap combined with implant insertion allows the latissimus dorsi muscle to provide adequate tissue coverage while the implant increases breast volume.

- Oncoplastic breast surgery combined with breast reconstruction: For patients with breast deformities following breast-conserving surgery, deformities can first be corrected via oncoplastic breast surgery, followed by breast reconstruction as clinically indicated.

Adverse Effects and Complications

Side Effects and Complications

- Implant-based reconstruction:

- Requires well-vascularized soft tissue coverage; inadequate coverage may lead to implant exposure and subsequent infection.

- Ptosis of implant-based breast reconstruction is typically less pronounced than with autologous reconstruction, often necessitating adjustment of the contralateral breast to achieve symmetry.

- Capsular contracture may occur, resulting in breast firmness, deformity, and pain.

- Autologous tissue breast reconstruction:

- Involves additional surgical trauma; when using latissimus dorsi or rectus abdominis flaps, incisions are required at the donor site, which may lead to poor wound healing, infection, or pain.

- Transfer of a rectus abdominis myocutaneous flap can cause abdominal wall weakness, bulging, or hernia; prophylactic hernia mesh placement may be necessary.

- Free flaps carry a risk of total flap necrosis.

Select Instrument

Select Instruments

In addition to tissue expanders, auxiliary instruments such as microscopes may be used during surgery (particularly in free flap procedures). When selecting instruments, ensure they offer stable performance, high precision, and excellent safety, while meeting surgical requirements and standards. Choose instruments manufactured by certified producers and schedule regular maintenance and calibration.

Project Contraindications

Contraindications for the Procedure

- Breast reconstruction is generally not recommended for patients with breast cancer that has metastasized to distant sites.

- Patients with poor physical condition who cannot tolerate surgery, such as those with severe cardiopulmonary diseases or impaired liver and kidney function.

- Patients with local tissue infections or inflammation are not suitable for immediate reconstructive surgery.

- Patients with unrealistic expectations regarding surgical outcomes or with unstable psychological conditions.

Select Item

Contraindications for the Procedure

- Patients with breast cancer that has metastasized to distant sites are generally not suitable candidates for breast reconstruction.

- Patients with poor overall health who cannot tolerate surgery, such as those with severe cardiopulmonary diseases or liver and kidney dysfunction.

- Cases with local tissue infections or inflammation where immediate reconstruction surgery is not advisable.

- Patients with unrealistic expectations regarding surgical outcomes or with unstable psychological conditions.

Side effects

Side Effects

In addition to the side effects and complications mentioned above, the following may occur after breast reconstruction surgery:

- Bleeding: Bleeding may occur during or after the surgery, and severe cases may require re-operation to control the bleeding.

- Swelling: Swelling of the breasts and surrounding tissues is common after surgery and typically subsides gradually over time.

- Sensory changes: The reconstructed breast may experience reduced sensation, numbness, or tingling. In some patients, these sensations gradually return over time.

Self-Symptom Check

Symptom Self-Assessment

- Redness, swelling, discharge, fever, or worsening pain at the surgical incision site may indicate infection.

- Sudden, significant swelling and pain in the breast could suggest bleeding or fluid accumulation.

- If the reconstructed breast undergoes noticeable changes, such as implant displacement or flap necrosis, seek medical attention promptly.

Select treatment plan

Patients should communicate fully with their doctors, informing them of their physical condition, medical history, personal preferences, and other relevant details. Based on the patient's specific situation, such as the extent of breast loss, overall physical condition, and the need for radiation therapy, doctors will conduct a comprehensive evaluation and recommend an appropriate treatment plan. Patients can learn about the pros and cons, risks, and expected outcomes of different treatment options and make a choice that best suits their individual needs.