Aesthetic Plastic Surgery
Breast Reconstruction After Mastectomy
Breast reconstruction is part of the overall care available after mastectomy. Surgical techniques are selected individually according to anatomy, medical history, cancer treatment and the needs of each patient.
Breast Reconstruction After Mastectomy
Reconstruction may be performed with the patient’s own tissue, tissue expanders, implants or a combination of techniques. The result varies between patients, and suitability is assessed according to anatomy, medical history and the course of cancer treatment.
Reconstruction with Tissue Expanders and Implants
A tissue expander may be placed beneath the pectoral muscle at the time of mastectomy or later. It progressively stretches the tissues before being replaced with a permanent implant; selected expanders may remain in place. In some cases, an implant can be placed without expansion. The nipple–areola complex may be reconstructed in a later stage when required.
Reconstruction with the Latissimus Dorsi Muscle
The latissimus dorsi muscle and a skin island can be transferred through a tunnel beneath the armpit to the chest wall, creating coverage for an implant or expander. This approach may be considered when additional skin is required or after radiotherapy.
Reconstruction with a Free DIEP Flap
DIEP flap reconstruction uses skin and fat from the abdomen without an implant. The tissue is transferred to the breast and its blood vessels are connected microsurgically. Surgery takes approximately 5–6 hours and requires a clinic stay of about five days. The aim is a result compatible with the patient’s anatomy and individual plan, while the donor area is reshaped. Nipple and areola reconstruction may be performed after six months.
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Frequently Asked Questions
What is breast reconstruction after mastectomy?
It recreates the breast after mastectomy and may be performed immediately or later using implants or the patient’s own tissue.
Why may a patient choose reconstruction?
Reconstruction may support body image and wellbeing. Technique and timing are coordinated with the treatment team to support oncological follow-up.
Which reconstruction methods are available?
Methods include implants with or without tissue expanders, latissimus dorsi or DIEP flaps, and combined approaches.
What is a tissue expander?
It is placed beneath the chest muscle to stretch the tissues gradually before replacement with a permanent implant.
When may a latissimus dorsi flap be used?
It may be considered when additional skin is required or after radiotherapy, providing tissue coverage for an implant.
What is a DIEP flap?
It uses skin and fat from the abdomen while preserving the abdominal muscles. The donor area is reshaped as part of the procedure.
How long is recovery after breast reconstruction?
Recovery depends on technique. DIEP flap reconstruction requires about five days in the clinic, and return to daily life takes several weeks.
Can the nipple and areola be reconstructed?
They may be reconstructed in a later stage using surgery or tattooing.
When can breast reconstruction be performed?
It may be immediate at mastectomy or delayed, depending on medical status and the course of treatment.
How is breast reconstruction assessed in Thessaloniki?
Assessment considers medical history, anatomy and the treatment pathway before a method is selected.
Would you like to discuss which option is suitable for you?
The right indication and a personalised treatment plan are determined after medical assessment.