What are the pros and cons of breast reconstruction?

Sep 20, 2024 Source: Cainiu Health

Dr. Lv Dapeng

Introduction

In general, breast reconstruction refers to breast rebuilding surgery, which mainly includes techniques such as local flap reconstruction, latissimus dorsi flap, transverse rectus abdominis myocutaneous (TRAM) flap, implant-based reconstruction, and composite reconstruction. The advantages of breast reconstruction include no risk of rejection, stable flap shape, excellent shaping results, natural appearance, and broad applicability.

In general, breast reconstruction refers to breast reshaping surgery, which mainly includes techniques such as local flap reconstruction, latissimus dorsi flap, transverse rectus abdominis myocutaneous (TRAM) flap, implant-based reconstruction, and composite reconstruction. The advantages of breast reconstruction include no risk of rejection, stable flap shape, excellent shaping results, natural appearance, and broad applicability. The disadvantages mainly involve surgical complexity, potential scarring, improper implant positioning, insufficient sense of implant sagging, and high technical demands.

Analysis of Breast Reconstruction Techniques:

Procedure Name	Local Flap Reconstruction	Latissimus Dorsi Flap	TRAM Flap	Implant-Based Reconstruction	Composite Reconstruction
Principle	Utilizes skin and subcutaneous tissue from around or within the breast area to improve breast contour	Transplants skin and tissue from the latissimus dorsi muscle to the chest for breast reconstruction	Transplants abdominal skin and tissue to the chest for reconstruction	Inserts implants into the space left after mastectomy to reconstruct the breast	Combines autologous tissue transfer with implant placement to reconstruct the breast
Advantages	1. No immune rejection 2. Natural shape	1. Rich blood supply 2. Stable flap shape	1. Large volume of available tissue 2. Excellent shaping capability	1. Minimal invasiveness 2. Natural appearance	1. Long-lasting results 2. Broad applicability
Disadvantages	1. Technically complex 2. Potential for scarring	1. Donor site morbidity 2. Bulky flap appearance	1. Larger scars 2. Technically complex	1. Improper implant positioning 2. Insufficient sense of natural droop	1. Complex procedure 2. High technical skill required
Potential Risks	1. Hematoma 2. Infection 3. Flap necrosis	1. Infection 2. Impaired back function 3. Thrombosis	1. Abdominal wall weakness 2. Flap necrosis	1. Capsular contracture 2. Infection 3. Rejection reaction	1. Infection 2. Hematoma
Recovery Period	1–2 months	1–2 months	1–2 months	2–4 weeks	1–3 months
Duration of Results	10–20 years	10–20 years	10–20 years	10–15 years	10–20 years
Estimated Cost	20,000–40,000 RMB per session	40,000–50,000 RMB per session	60,000–80,000 RMB per session	30,000–40,000 RMB per session	40,000–80,000 RMB per session
Suitable Candidates	Patients with small mastectomy areas and relatively intact surrounding skin tissue	Patients with significant chest skin loss or severe breast trauma after mastectomy	Patients requiring large volumes of tissue for reconstruction after mastectomy	Patients seeking minimal surgical trauma and faster recovery	Patients needing substantial tissue for reconstruction but lacking sufficient autologous tissue

Patients are advised to keep the surgical incision clean and dry, follow medical instructions for regular dressing changes, and avoid vigorous upper limb movements or chest impacts to prevent compromising surgical outcomes.

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Can breastfeeding mothers eat roast duck after getting vaccinated?

If the mother has no discomfort such as fever, fatigue, or nausea after vaccination, and the roast duck is fresh, thoroughly cooked, and meets hygiene standards, consuming a small amount generally will not interact with vaccine components nor affect the immune response induced by the vaccine. Moreover, roast duck can provide nutrients such as protein, and as long as intake is not excessive, it usually will not have adverse effects on breastfeeding.