This procedure can be performed as immediate or delayed reconstruction.
It enables the prosthesis to sit under full muscle coverage. This is a better technique in that it allows for better preservation of the nipple-areolar complex, and also affords protection of the implant against involvement with potential complication of post operative infection. Importantly, it allows the patient more input into the eventual size of their reconstructed breast. This empowerment is very important for women undergoing treatment for breast cancer.
PROCEDURE:
Under general anaesthetic , 30-60 m .
Submuscular insertion of an EXPANDER. This is an empty silicone bag with a valve. This is placed under the pectoral muscle and sutured into this submuscular pocket. Once the pocket has healed (5-6 weeks), expansion of this bag occurs, usually in the rooms. A magnet is used to locate the valve, and Normal Saline is inserted via a needle into the valve. The amount of solution injected depends on the patient’s tolerance to the muscle pocket becoming tighter and firmer. This is done serially, on a number of occasions, until the desired volume is achieved.
Two drains are inserted per breast
Time in hospital depends on drainage (average 4-5 days)
Patients can go home with drains in situ in some circumstances.
POST OPERATIVE CARE:
No driving 2-3 weeks
No heavy lifting for 6 weeks
Removal of expander and insertion of definitive cohesive gel prosthesis.
PROCEDURE:
Under general anaesthetic, 30 -120 mins.
Insertion of one drain.
Time in hospital average is 1-3 days.
POST OPERATIVE CARE:
No driving for 2 weeks
No heavy lifting for 6 weeks
Infection
Skin loss
Haematoma
Capsular Contraction
Deflation
Seroma formation
Infill valve problems
Implant extrusion
Rippling
The Complication Rate are increased with:
|
Smoking Age >65 Obesity and hypertension Radiotherapy |
2.2X 2.5X 2X |
Total loss of the implant (failure) has an increased risk with:
|
Obesity Smoking Hypertension |
7X 5X 4X |
The next step is to book a consultation with our qualified team.
You can book your treatment online or call our friendly team on 03 9041 8445.
Professional Associations and Memberships
To assist patients, Dr Yap consults and operates at a number of locations across Melbourne.
There is a centralised booking process from the main rooms.
Main Rooms:
St Vincent’s Private
Suite 8, Level 4,
55 Victoria Parade,
Fitzroy 3065
Other Locations:
The Valley Pvte, Cnr Police & Gladstone Road., Mulgrave 3170
Melbourne Eastern Pvte, 157 Scoresby Rd, Boronia, 3155
Ringwood Pte, 36 Mt Dandenong Rd., Ringwood East 3135
Latrobe Pvte, Cnr Plenty Rd. & Kingsbury Dv.,Bundoora 3083
Reservoir Private, 73 Pine St., Reservoir 3073
Phone Number
03 9041 8445
Mobile Number
0413 162 462
Fax Number
03 9041 8445
Email
dr.nicole yap@gmail.com
© 2022 Dr Nicole Yap