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Article #214: Breast Reconstruction Decision

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With today's advanced surgical whether you experience intervening
procedures, most women who undergo infections or other breast problems.
surgery for breast cancer are candidates Immediate Reconstruction: Yes or No?
for breast reconstruction. There are Once you know you must undergo
various types of reconstruction, and they mastectomy, it is usually difficult to
are available to women who have had a also have to think about reconstruction.
mastectomy, partial mastectomy, or This is the time to surround yourself
lumpectomy. with supportive individuals, be they
The decision of whether to have breast family, friends, health care providers,
reconstruction arises at a very emotional or breast cancer support group members.
time usually at the same time a woman It is also the time to educate yourself
learns she has breast cancer and needs about reconstruction. This is a way to
surgery. It is a time when many questions take charge of your health, to have some
come up about reconstruction, the most control over the direction your life is
common of which are answered here taking.
briefly: When it comes to the question of whether
Is age a factor? you are a candidate for immediate or
As long as a woman is in good general delayed reconstruction, ask your breast
health and chooses a procedure that is and reconstruction surgeons to explain
compatible with her physical condition, why they are recommending one or the
age is usually not a factor. Breast other.
reconstruction is frequently done for The primary factor that determines the
women in their 70s. best approach is whether the cancer has
Who should not have breast affected the lymph nodes and to what
reconstruction? extent. Chemotherapy usually is not
Women who are in poor general health, who started until 2 or 3 weeks after
have psychological problems that would be mastectomy to allow for healing. If your
exacerbated by the surgery, or who have surgeons believe you must begin
severe diabetes, Alzheimer's disease, a chemotherapy immediately to get the best
recent stroke nine-art attack, or severe possible outcome, they may recommend
lung disease usually should not have delaying reconstruction.
breast reconstruction. Combining mastectomy and reconstruction
Do I have to make a decision about having adds days and occasionally weeks to the
reconstruction before I have the healing period, which would significantly
mastectomy? delay chemotherapy and possibly have a
No, but the best time to think about negative impact on your prognosis.
breast reconstruction and to consult with If your surgeons say immediate
a reconstruction surgeon is before you reconstruction is an option for you, you
have your mastectomy. Depending on the must decide if it's best for you.
type of mastectomy you have, you may be To help you make a decision, it may help
able to undergo immediate reconstruction to look at the pros and cons (outlined
while you're still on the operating below) and to discuss your concerns with
table. There are advantages and those close to you. The best candidates
disadvantages to having immediate for immediate reconstruction are women
reconstruction (see below). Not all with early breast cancer who are in good
mastectomies lend themselves to this general health, women with small breasts,
approach, however, which means it is and those who need both breasts
important for you to understand all your reconstructed. However, even if you are
options prior to mastectomy. Then if you ready physically, you may not be mentally
choose to delay reconstruction, you at or emotionally prepared. In that case, it
least were given the opportunity to make may be better to delay reconstruction.
an informed decision. Advantages and Disadvantages of Immediate
Are there any health conditions that Reconstruction
could have a negative effect on PROS
reconstruction? · Avoiding an additional surgical
Women who smoke are more susceptible to procedure.
postoperative infections and slow · One less procedure means less chance
healing, so if you smoke it is best to of complications.
quit before surgery. Obesity is · Less recovery time needed.
associated with an increased risk of · Costs less money
pneumonia, blood clots in the legs, and · Less time to dwell on the cancer.
complications related to anesthesia. The · Less negative impact on body image.
results of both types of reconstruction · Faster opportunity to get on with your
(implant and flap, both described below) life.
are frequently unsatisfactory in obese CONS
women. · Less time to gather information to
How many operations are involved in make an informed decision.
breast reconstruction? · Surgical procedure is longer, which
Most breast reconstructions can be increases the chances of complications.
completed in two operations. The majority · Possible dissatisfaction with the
of the work is done during the first results
procedure, and the second usually · May delay mourning period for the
involves reconstructing the nipple and missing breast
areola, improving symmetry of the Get a copy of Ms Yvonne Lee Best Selling
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Does breast reconstruction cause cancer? breast enhancement techniques from every
There is no evidence that breast corner of the world. A book endorses by
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How will my breast reconstruction look in This article is not designed as a
5 to 10 years? The long-term results of substitute for personal medical advice
breast reconstruction are different for but as a supplement to advice for those
each woman and depend on the type of wishes to understand more about her
procedure you have, your weight, and condition.






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