Breast
If a breast is diagnosed with breast cancer, treatment is usually carried out in a breast centre. The aim is to remove the tumour completely and reconstruct the breast either immediately or in a second step. Following the actual breast reconstruction, patients often wish to have the nipple and areola reconstructed. It may also be necessary to adjust the shape and size of the opposite side. We offer these procedures at the Clinic for Aesthetic Surgery.
The elegant thing about nipple or areola reconstruction is that the areola can be reconstructed using skin from the upper eyelids. An upper eyelid lift is performed at the same time in order to obtain the required skin. The nipple is often reconstructed using nipple tissue from the opposite side or by means of a localised flap. Occasionally, an autologous fat transfer can also be performed to improve the shape of the reconstructed breast.
Overview
Breast cancer patients
Duration of the surgery is 1.5 to 3 hours, depending on the procedure
Work possible after 1-2 weeks
Sport possible after 4-6 weeks
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Suitability
Patients who have suffered from breast cancer and whose breasts have already been reconstructed but the nipple and areola are still missing benefit from this procedure. Depending on the situation, an autologous fat transfer may also be desired. Under certain circumstances, the opposite side, which is not affected by breast cancer, must be adapted in size and shape to the reconstructed breast.
Good general health is an advantage. Certain medications such as blood thinners must be discontinued before the procedure.
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Consultation
During an initial consultation at the Clinic for Aesthetic Surgery, we will discuss the various surgical methods in detail. If you decide in favour of surgery, a further consultation will follow to discuss any questions you may have and to plan the procedure.
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Intervention
The areola can be reconstructed using skin from the upper eyelids. The nipple is reconstructed using tissue from the opposite side or using a localised flap. These procedures are performed under local anaesthetic.
If autologous fat is also transplanted, twilight sedation can be used. If the size and shape of the opposite breast is adjusted, anaesthesia is required.
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Aftercare
The operation is performed on an outpatient basis so that the patient can leave the clinic on the day of the operation.
A special dressing is applied, which is removed after a few days in our clinic. Several months must be expected before the final result of the nipple and areola reconstruction is visible.