BR should aim to achieve an oncologically safe and aesthetically favorable long-term outcome. Therefore, one should try to achieve a breast with a natural and symmetrical appearance and with sensitivity and without rigidity. To improve the final result and achieve the symmetrization we can resort to procedures such as reduction mammoplasty, mastopexy, and symmetrization, which will not be addressed in this work. First of all, reconstruction should never cause a delay in initial chemotherapy or radiotherapy. (6)
BR presents advantages such as eliminating the need for external breast prostheses and helping to regain feelings of femininity and fullness, improving women's self-image. However, in choosing this procedure there is still the burden of fear of …show more content…
These contraindications are stage of advanced cancer; Smoking; obesity; Previous radiotherapy; Prior surgery at the tissue donor site for retail (in the case of ABR) and medical comorbidities. (5) Current or long-term smoking is associated with deterioration of the microcirculation and hence with an increase in the frequency of healing problems. There is also a significant (p 600g or cup> C), with a risk of large breast complication of 18%, compared to a mean %) And small (3%). (6)
One of the important factors to take into account is radiotherapy. Whether it is in the pre or postoperative period of IBR significantly increases the risk of complications such as wound infection, skin necrosis, seroma formation, and capsular contractures. Significantly more complications in IBR with postoperative radiotherapy (41% -48% cases) than without radiotherapy (4-23% of cases). In the long term, in the case of radiotherapy after mastectomy, there are 7-22% cases of Baker's grade 3 or 4 capsular contractures; But only in 0.5-2% of cases when radiotherapy is not given.
BR presents advantages such as eliminating the need for external breast prostheses and helping to regain feelings of femininity and fullness, improving women's self-image. However, in choosing this procedure there is still the burden of fear of …show more content…
These contraindications are stage of advanced cancer; Smoking; obesity; Previous radiotherapy; Prior surgery at the tissue donor site for retail (in the case of ABR) and medical comorbidities. (5) Current or long-term smoking is associated with deterioration of the microcirculation and hence with an increase in the frequency of healing problems. There is also a significant (p 600g or cup> C), with a risk of large breast complication of 18%, compared to a mean %) And small (3%). (6)
One of the important factors to take into account is radiotherapy. Whether it is in the pre or postoperative period of IBR significantly increases the risk of complications such as wound infection, skin necrosis, seroma formation, and capsular contractures. Significantly more complications in IBR with postoperative radiotherapy (41% -48% cases) than without radiotherapy (4-23% of cases). In the long term, in the case of radiotherapy after mastectomy, there are 7-22% cases of Baker's grade 3 or 4 capsular contractures; But only in 0.5-2% of cases when radiotherapy is not given.