Breast reconstruction

Every woman is different, has a different history and different needs. Doctor Karim takes the time to listen to your story. On this basis we determine together how you can achieve the best result.

For almost every woman who underwent a mastectomy, breast reconstruction is possible, even though it is physically and mentally a heavy intervention. This can now be done after six to twelve months.

There are different methods to reconstruct a breast. In the consultation with doctor Karim it will be clear which method is most suitable for you.

STEP-BY-STEP PLAN

Preliminary visit
If you request an appointment you can nearly always count on being received by Dr. Karim within 2 weeks. We hold a preliminary visit in which we assess your requirements

Operation
The procedure can usually be performed within two weeks of the admission interview.

Rest
You should take things easy for at least two weeks after the procedure. Recovery from an operation is important, give yourself plenty of time and rest to recover!

Control
You will return two weeks after the procedure for us to check your progress and, if necessary, remove the stitches.

Final checkup
There is a final checkup three months after the operation. During the checkup, Dr. Karim ascertains whether everything has gone well and your satisfaction with the final result.

Before the operation

A breast reconstruction is both a physical and a mental intervention. Before, during and after the operation, we will do our best to make you feel comfortable. We will provide you with all the guidance and time you need.

Travel
Since you cannot drive home after the operation (no car or bicycle), it is important for you to make travel arrangements.

Drugs
Do you use blood-thinning drugs? Please let us know if you do. Ask the doctor from whom you get the prescription and find out if you can temporarily stop treatment. Your doctor will tell you how many days before the operation you should or can stop taking the blood-thinning drug. Dr. Karim wants to ensure this is possible in order to avoid unnecessary risks.

Disease
Fever or flu the day before the operation? Contact Dr. Karim to decide if the operation can be performed or should be postponed.

Cosmetics and personal care products
We understand that you always want to look your best, but on the day of surgery you cannot use skin care products or makeup.

Alcohol consumption
You may feel nervous about the operation, but you can’t drink alcohol the day before (or on the day itself, of course!)! Drinking alcohol increases the chances of subsequent bleeding of the wound.

Consent to the operation and description of the procedure
Generally, before each operation, you will sign an agreement and consent form.

During the operation

Prosthesis
We can place a silicone prosthesis under the skin and muscle as long as there is enough skin available and the main pectoral muscle is intact. If you already have a scar, we can usually avoid an additional scar.

Tissue expander
If there is not enough skin, we can stretch your skin with a “tissue expander”. This is a type of empty balloon under the skin that fills slowly over a period of eight to twelve weeks. As a result, the skin stretches slowly. If enough skin volume has developed, we can place the prosthesis.

Muscle
If the large pectoral muscle is no longer intact (damaged by radiation treatments or completely removed), we can remove tissue from your back and create a new breast.

After the operation

Dressing
After the procedure, you will have two small patches placed at the bottom of your breasts and be taken to the recovery room for recovery.

Drainage
You can go home the same day. When you have drains, you will return a few days later to have the tape and drains removed.

Sports bra
Wear a sports bra for six weeks after the procedure.

Showering
When the drains are removed, the wounds can be wet in the shower.

Pain
For the first few days you will feel pain in the breasts surrounding area. This lasts for a maximum of two weeks. During these two weeks you will need to take it easy to recover from the operation. Give yourself plenty of time and rest to recover!

Drugs
If you wish, you can take two 500 mg paracetamol tablets four times a day.

Soluble stitches
After a breast reduction operation, the wound is closed with soluble stitches.

Physical activity
Avoid physical exertion, such as bending over and lifting heavy objects, for at least two weeks.

Scar cream
Six weeks after the procedure, you can begin to apply scar cream.

Risks

Safe operation
A breast reconstruction is a safe procedure, especially in expert hands.

General risks of any operation
Subsequent bleeding, infection, fluid retention, thromboembolism, slow healing, and unsightly scarring are all risks in any surgery.

Specific risks
After a breast reconstruction operation, a temporary change in nipple sensation may occur.

Opening of the wound
The wound may open if the patches or stitches are removed prematurely. Keep patches and stitches in place until 2 weeks after the procedure.

Results

Results
A breast reconstruction provides a long-lasting result, after approximately one year it can be considered to reach its permanent appearance.

Symmetry
As with any bilateral surgery, perfect symmetry cannot be guaranteed. Fortunately nothing in nature is perfectly symmetrical.

Passage of time
Over time, the breasts may change. Due to pregnancy, fluctuations in your weight, or changes in hormone regulation.

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Facts about the Breast reconstruction treatment

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Anesthesia

General

Operation time

2,5 hours

Recovery

14 days - 40 days