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Prosthetic Reconstruction (Two Stage)

Conserving-Surgery

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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.

First Stage Reconstruction

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

Second Stage Reconstruction

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

Potential Complications

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

What’s the next step?

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

Contact

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

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© 2022 Dr Nicole Yap