Surgery on a breast, especially mastectomy (removal of the breast), can be perceived as mutilation for women. Today, reconstructive surgery aims to restore the aesthetics of the breast.
LBreast reconstruction recreates the volume of breasts damaged following cancer. It is offered to women who have undergone a mastectomy, that is to say a total or partial removal of one or two breasts. In France, regarding 30% of women use it, indicates the High Authority of Health. This intervention makes it possible to avoid using an external breast prosthesis and plays an important role in self-perception. However, some women decide not to carry out this operation and to fully live their femininity by assuming their new “asymmetry”.
Breast reconstruction can be done at the same time as the removal, this is called immediate reconstruction, or later, a few months following the end of treatment. This is called deferred or secondary reconstruction. Different techniques exist. They must be discussed with the surgeon, according to the choices and objectives of the patient and the medical data in her file.
Principles and techniques
The process generally takes place in 3 stages. The first step is to reconstruct the curve of the breast from the thorax, using your own tissues and implanting a prosthesis filled with physiological saline or silicone gel. Then, a small operation on the other breast is usually performed for reasons of symmetry. Finally, three months later, reconstruction of the nipple and areola is performed on the first remodeled breast using a skin graft or tattoo technique. The nipple will not regain its sensitivity or erectile function. Absolute rest is necessary following breast reconstruction. Sports and heavy lifting should be avoided for approximately 3 to 6 weeks depending on the reconstructive surgery. A suitable bra (sports bra) improves healing. A work stoppage of 6 to 8 weeks is often considered.
Breast reconstruction absolutely cannot promote a relapse and has no impact on the cancerous disease. It does not compromise the chances of recovery, nor does it interfere with subsequent monitoring. This intervention is covered at 100% within the framework of the ALD (long-term illness) on the basis of the Health Insurance tariff. Excess fees are to be expected depending on the establishment or the technique envisaged.
