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Breast reconstruction and mastectomy

Summary of surgery

TIME

2 - 3h

ANESTHESIA

General

HOSPITALIZATION

1 Night

RECOVERY

1 week

English subtitled video

Breast reconstruction and mastectomy are plastic surgery operations that serve to reconstruct or remove the breasts unilaterally or bilaterally. The causes are usually due to a transgender change, congenital or acquired problems and diseases of different kinds, especially oncological or after-effects of accidents. These are surgical procedures that we routinely perform at Clínica Sanza Barcelona.

In many cases, breast reconstruction has to be performed in patients who have previously had one or both breasts removed. In any case, the main objective of Clínica Sanza’s Breast Unit is to perform the most natural, least aggressive and most immediate repair possible, obviously seeking to preserve or restore the harmony, aesthetics and symmetry of the breasts.

In the case of mastectomy, if we are talking about preventing oncological problems, normally in a single operation we remove the breasts and put breast prosthesis, preserving the areola and nipple. With this type of breast plastic surgery we intend to help the patient to keep her self-esteem, since she keeps her breasts in a very similar shape to what she has always had.

Clínica Sanza in Barcelona, is a reference center in the treatment of breast reconstruction and mastectomy.

WHERE DO WE OPERATE?

At Clínica Sanza we rely on the Sagrat Cor Hospital, part of the Quirónsalud group, to perform our surgical procedures.
Its prestige, facilities, medical and healthcare staff, as well as its technology are a guarantee.

BARCELONA: A HEALTH HUB

Do you want to know why it is worth coming to Barcelona for plastic surgery and why so many people come from abroad?

WE ORGANIZE EVERYTHING FOR YOU

Your trip, your flight, your operation, your transfer and your hotel with our support agency. We work with the best travel agencies worldwide.

calendario azul

Book a visit

You can do it in 3 ways:

Free on-site visit: Call +34 932066540 from Monday to Thursday from 9:00 am to 6:00 pm and Friday from 9:00 am to 3:00 pm.

Free on-site visit with IMMEDIATE booking: For booking outside office hours. We charge 60 € on your card to avoid false bookings. It is refunded on the day you come to the consultation.

ONLINE Visit: Video conference using whatsapp or Zoom. Cost of 60 € non-refundable. When booking indicate in the comments that you want videoconferencing and not on-site.

calendario azul

Book a visit

You can do it in 3 ways:

Free on-site visit: Call +34 932066540 from Monday to Thursday from 9:00 am to 6:00 pm and Friday from 9:00 am to 3:00 pm.

Free on-site visit with IMMEDIATE booking: For booking outside office hours. We charge 60 € on your card to avoid false bookings. It is refunded on the day you come to the consultation.

ONLINE Visit: Video conference using whatsapp or Zoom. Cost of 60 € non-refundable. When booking indicate in the comments that you want videoconferencing and not on-site.

PATIENT PROFILE

We have two quite different patient profiles:
On the one hand, women who present deformity or malformation of one or both breasts due to genetic or traumatic causes such as tumors, accidents or burns.

On the other hand, they may be transgender people who wish to remove their breasts with a mastectomy.

PROCEDURE

It is complex and variable depending on the patient’s desire (removal of the breasts or breast reconstruction) and the degree of unilateral or bilateral lesion, added radiotherapy, etc.

There are different techniques that we will only mention here as each case requires a specific treatment:

  • expander placement
  • prosthesis placement
  • latissimus dorsi flaps
  • abdomen distant flaps, TRAM
  • island flaps or microsurgery, DIEP

Each technique used will always be accompanied by an elevation, augmentation or reduction of the contralateral breast.

It may require two surgical times. In the second stage, the nipple-areola complex is reconstructed with micropigmentation, nipple flaps or areola grafts.

DURATION OF THE INTERVENTION

  • From 1 to 3 hours

PROTOCOL

Preoperative

  • Evaluation of the area to determine the adequacy of the treatment.
  • Follow specific guidelines determined by the doctor
  • CBC and tests on cardiac and respiratory status
  • Ultrasound and/or mammography

Anesthesia

  • Local and sedation, or general anesthesia.

Hospitalization

  • Admission from 24 to 48 h

Postoperative

  • Medication if required
  • Drainage and compressive bandage from 24 h to 48 h.
  • Special plasters for 4 or 5 days to contour the new submammary fold.
  • Once the drainage, bandage and adhesive tape have been removed, a special bra is used.
  • Mandatory check-ups after a few days, a few weeks and a few months, according to prescription

Convalescence

  • 4 to 5 days
  • Avoid carrying weights and sudden movements for at least 20 days.
  • Wearing a sports bra and comfortable, loose-fitting clothes for the first week.
  • Do not practice sports or activities that require effort and extensive movement for at least one month.

RESULTS

  • Very rewarding
  • Needs several steps to regain sensitivity
  • Improvement of the patient’s psychological profile and self-esteem.

DEGREE OF DIFFICULTY

  • Simple-medium intervention

LEVEL OF RISK

  • Low-medium, depending on breast size or sagging
  • Risks inherent to the operation: poor healing would lead to scar retouching.
  • Risks of any operation: bleeding, infection, impaired healing

BEFORE/AFTER PHOTOS

Previously Then
Previously Then
Previously Then
Previously Then

Do you want to know what breast scars look like?

We have a very informative article that talks in detail and shows graphics of what breast surgery scars look like, where the scar is made, and much more.

If you are interested click on this button:

Whatever your case may be, do not hesitate to contact us.
Sanza Clinic in Barcelona, quality of service

Frequently asked questions about breast reconstruction surgery

Breast reconstruction is a series of procedures performed on patients who have undergone partial or total mastectomies and who have had part or all of their breasts removed. For breast reconstruction it is possible to use muscle flaps, it is also possible to use breast implants or a combination of these and other methods.
No. Although many women are afraid of reoperating the area, there are many studies that show that there is no relationship between the evolution of the disease and the different techniques of breast reconstruction after mastectomy.
In these cases, surgery usually does not interfere with treatments such as radiotherapy or chemotherapy, and in many cases it is advisable to operate first (mastectomy and reconstruction) and treat later.
Yes, there is no greater problem than undergoing surgery again. Although it is always more advisable to do it in a coordinated way in the same surgical time as the mastectomy, or in the months following the surgery, especially for psychological reasons of the patient.
Yes, if your doctor recommends that you continue to have mammograms, be sure to find a radiology center that specializes in performing x-rays on women who have had breast reconstruction surgery and advise them of this prior to having the mammogram.

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