How does breast reconstruction work?

October 04, 2022

The shape of the lost breast can be recreated for many women who undergo a mastectomy, a procedure to remove the entire breast to treat or prevent breast cancer.

There are various alternatives available to women who decide to have their breasts rebuilt. With implants, breasts can be reconstructed (saline or silicone). Autologous tissue can also be used to rebuild them (that is, tissue from elsewhere in the body). The breast can occasionally be rebuilt using both implants and autologous tissue.

Breast reconstruction surgery can be performed (or begun) immediately following a mastectomy (known as immediate reconstruction) or after breast cancer treatment is finished and the mastectomy wounds have healed (which is called delayed reconstruction). After a mastectomy, delayed reconstruction may take place months or even years later.

If a nipple and areola were not preserved following the mastectomy, they might be recreated as part of the breast reconstruction process.

Surgery on the opposite breast, or contralateral breast, may be performed in conjunction with breast reconstruction surgery to ensure that the two breasts are the same size and shape.

How do doctors restore a woman's breast with implants?

After the mastectomy, implants are placed beneath the skin or the chest muscle. (The majority of mastectomy procedures are carried out using a technique termed skin-sparing mastectomy, in which a significant portion of the breast skin is preserved for use in breast reconstruction.)

Implants are usually placed as part of a two-stage procedure.

The first step involves the surgeon inserting a tool known as a tissue expander beneath the skin that is still there after a mastectomy or beneath the chest muscle. Following surgery, the expander is gradually filled with saline during routine doctor appointments.

The expander is taken out and replaced with an implant in the second stage after the chest tissue has relaxed and healed sufficiently. After a mastectomy, the chest tissue is typically prepared for the implant 2 to 6 months later.

In rare circumstances, the implant can be inserted into the breast alongside a mastectomy, so that a tissue expander is not necessary to prepare the area for the implant.

Acellular dermal matrix is a substance that surgeons are increasingly using as a scaffold or "sling" to support implants and tissue expanders. Acellular dermal matrix is a type of mesh created from donated skin from pigs or humans that have been sterilized and processed to remove all cells in order to reduce the risk of infection and rejection.

Will breast reconstruction be covered by health insurance?

According to the Women's Health and Cancer Rights Act of 1998 (WHCRA), group health plans and health insurance providers who cover mastectomy procedures must also cover reconstructive surgery after the procedure. This coverage must cover all phases of breast symmetry surgery, breast prosthesis, and the management of post-mastectomy problems like lymphedema. It also needs to cover all stages of reconstruction and reconstruction surgery. The Department of Labor and the Centers for Medicare & Medicaid Services both have more details on the WHCRA.

Some government health plans and health plans supported by religious organizations can be exempt from the WHCRA. Also, Medicare and Medicaid are not covered by the WHCRA. After a mastectomy, Medicare may, however, pay for breast reconstruction surgery as well as external breast prostheses (such as a post-operative bra). For information on whether and how much breast reconstruction is covered by Medicaid, a woman should get in touch with her state's Medicaid office. Before deciding to have breast reconstruction surgery, a woman may wish to talk to her doctor and insurance provider about expenses and health insurance coverage. A second opinion may be required by some insurance providers before they will agree to cover a procedure.

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· https://medium.com/@elizaedwards2021/10th-world-breast-pathology-and-breast-cancer-conference-6db6e4fc81c2

· https://kikoxp.com/posts/11632

· https://www.quora.com/profile/BreastCancerUCGConferences/10th-World-Breast-Pathology-and-Breast-Cancer-Conference-Dear-colleagues-and-guests-welcome-to-the-10th-World-Breast-Pa

· https://sites.google.com/d/1GjMkcTpPR0amj-1dp877__PsqdODuGcv/p/16KaMjrLJn3LkYn4nRYLnRefvkHvCqL0M/edit

· https://www.reddit.com/user/breastcancerucg1/comments/taq1kt/10th_world_breast_pathology_and_breast_cancer/

· https://www.blogger.com/blog/post/edit/3238443600245550728/7246086302346767315

· 10th World Breast Pathology and Breast Cancer Conference | LinkedIn

· https://medium.com/@elizaedwards2021/10th-world-breast-pathology-and-breast-cancer-conference-6886c15ccb37