Prof. Dr. Naci Karacaoğlan made statements about breast reconstruction (Reconstruction) within the scope of April 1-7 National Cancer Week.
“THE PURPOSE OF RECOVERING LOST TIP”
Prof. Dr. Karacaoğlan stated that cancer-related breast loss can cause psychological damage on women, “The breast is a symbol of femininity. It is also an important organ in which the feeling of motherhood and breastfeeding is experienced. Therefore, the breast is an integral part of the female body. Breast loss causes a sense of deficiency, asymmetry and a decrease in feminine behaviors. Breast cancer is one of the most common cancers in women. It is treated by removing all or a part of the breast. The purpose of repair is to regain the lost breast. The treatment of breast cancer is applied with a multidisciplinary approach. Breast cancer treatment is a general surgeon, plastic surgeon, oncologist, radiation oncologist, psychiatrist, “It is carried out with the common approach of branches such as psychologists.”
“NOZZLE REPAIR CAN BE DONE IN 2 TIMES”
Prof. Dr. Karacaoğlan continued as follows:
“Plastic surgery chooses the repair method according to the condition of the remaining breast skin and tissue after breast cancer surgery. Suitable candidates for breast repair are those whose cancer stage is not late and who want to regain their lost or lost breast. The second one can be done in time, and the second one can be done after cancer treatment. Regardless of the period of time, if there is enough skin, breast prostheses alone are sufficient for repair. If there is not enough breast tissue left, tissue can be transferred from another part of the person, such as the abdomen, back, etc. We can use both options in combination. “
“PROSTHESES ARE SUITABLE FOR LIFETIME USE”
Prof. Dr. Karacaoğlan pointed out that if there is sufficient skin and subcutaneous tissue left after cancer surgery, they perform repair with breast prostheses alone. “During cancer surgery, the nipple is preserved in some cases. If there is no chance of protection, the brown ring of the breast, which we call nipple and areola, is made in a period after the repair. After cancer surgery is completed, we reshape and repair the breast by placing a breast prosthesis in the appropriate shape and size, simultaneously taking into account the shape, size and structure of the patient’s other breast. The breast prostheses selected for repair are the current prostheses that have been used for breast augmentation since 1960 and have been technologically developed until today. These are known to have no significant side effects. It is possible to use prostheses for life. If sagging and deformations occur over the years, which can also be seen in normal breasts, it is possible to correct these problems without removing the prosthesis, ”he said.
“IT CAN ALSO BE APPLIED BY TAKING THE SKIN FROM THE BACK”
Prof. Dr. Karacaoğlan continued his evaluations as follows:
“If there is not enough skin and subcutaneous tissue left after cancer surgery, then we can repair the person using the tissues we call flap. One of these is the technique where we move the back area, muscle and skin to the diminished breast side and place prosthesis under it to create additional volume. While compensating, the lost breast volume and size are also provided with the prosthesis. Breast can be made from the person’s own tissue. These tissues are transported to the breast area using microsurgical techniques in the form of pedicled or free tissue. These transferred tissues are reshaped in a second session and the final shape of the breast is given.
“A GOOD PLANNING REQUIREMENT BEFORE”
Stating that a good planning should be done before breast repair surgeries, Prof. Dr. Karacaoğlan said, “The repair technique to be applied should be decided by considering the cancer surgery technique to be performed, the stage of the cancer, whether chemotherapy and radiotherapy will be applied or not, and the age and expectation of the patient. Regardless of which technique is decided, surgery should be started by making absolute planning and drawings before surgery. Patients who are kept in the hospital for a day or two after the operation are followed up closely after discharge. During the follow-up process, timing and planning are made for the second session of aesthetic repairs and the final shape of the breast is given. At this stage, the reconstruction process is completed by achieving breast symmetry and making the tip and aerola of the repaired breast ”.