Breast Reconstruction (cont.)
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- What is breast reconstruction?
- Who is a candidate for breast reconstruction?
- What are the potential risks associated with breast reconstruction?
- When is breast reconstruction performed?
- What are the different types of breast reconstruction procedures that are available?
- Is breast reconstruction surgery possible after radiation?
- What is the recovery like after breast reconstruction surgery?
- What type of screening for breast cancer should be done after reconstructive surgery?
- Find a local Plastic Surgeon in your town
Is breast reconstruction surgery possible after radiation?
Radiation therapy can change the breast reconstruction options that are available for a woman. Some may decide not to have the surgery if there is concern about monitoring the chest wall for recurrence. If the plan for chest radiation is known prior to the mastectomy, the surgical team may recommend a “delayed” reconstruction. On the other hand, some surgeons now also place a temporary implant, the “expander,” into the pocket prior to the radiation therapy. All of these efforts are to minimize complications after the final reconstructive procedure since the risk of complications is now higher after the breast is radiated. Radiation therapy changes the skin often causing the skin to “shrink wrap” and be very difficult to stretch.
What is the recovery like after breast reconstruction surgery?
Like any surgery, recovery varies after breast reconstruction surgery. Healing will continue for several weeks and one should follow the surgeon's instructions during this period. It is important to not lift, strain, or experience excessive force around the surgical area during the recovery period. The plastic surgeon will give the instructions that will include how to care for the surgical site, possible warning signs to watch for, and which medications to take to increase healing and reduce the risk of infection. It is generally recommended to take sufficient time off work to allow for the healing to take place. In addition, good nutrition is important as the body is working overtime to heal the surgical areas. Physical therapy is a crucial component of healing phase and it is recommended for all the types of procedures that are performed. Knowing the limitations of physical activity is important and continuous support of the new chest with a supportive bra for 2 to 3 months following the reconstruction is essential. The body heals over a period of time. Unusual breast sensations, twitching, and some discomfort are part of the entire healing process that can take a couple of years.
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