When reconstructing a breast that has undergone a mastectomy, the surgeon must also think about the normal changes that it will experience the natural breast, the healthy one, with the passage of time. The challenge is to ensure the right symmetry to the patient. This happens also acting on the breast that has not undergone mastectomy. There speaks Prof. Paolo Persichetti, an expert in Plastic and Aesthetic Surgery
The importance of a symmetrical breast
Symmetry is one of the main challenges of breast reconstruction, especially when it acts on one breast, namely healthy. In addition, it must allow the patient to follow a proper oncologic follow-up. The surgical procedure, in fact, must be chosen also according to the stage of the disease, the characteristics of healthy breast, the type of mastectomy suffered and preferences of the patient.
When you need adjust the contralateral breast?
There are many opinions on what is the best time to act on the contralateral breast. According to some surgeons, the symmetrization should already be in the first phase of the reconstruction, so that the healthy breast by model face for the breast to be reconstructed. Other surgeons, however, prefer to act on the healthy breast at a later time, after adjuvant therapy.
How it affects the contralateral breast?
The choice of surgical technique depends on the volume, the shape and position of the healthy breast, but also on the type of prosthesis chosen for the reconstruction of sick sinus. Based on these parameters, you choose whether to make a reduction (on a very large healthy breast) or a breast augmentation (when healthy breast is small).
You will have to intervene even after the contralateral breast?
The evolution of each intervention of breast reconstruction may take in time of revision procedures and correction in order to ensure a balanced outcome in the time it takes account of changes related to the evolution of the prosthesis and an aging patient.
The symmetry of the breast is a fundamental element, a challenge that the surgeon must prevail to win. We must ensure the patient of the female form and harmonics, the kind that had before the cancer hit her.
Editor Karin Moscow