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Prosthetic Reconstruction

Conserving-Surgery

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In my hands, I believe the most aesthetically pleasing result regarding both shape, consistency, and similarity, are the anatomical  contour silicone gel prosthesis.

Other options are round shape, and Normal Saline filled prosthesis.  There is no evidence to suggest that the silicone gel  prosthesis offer any health risks.   The manufacturing technology has improved dramatically in prosthesis that are approved by the TGA, and there is now very little risk of rupture, leak or capsular disintegration from wear and tear, as there was 15 years ago.

Single Stage Reconstruction

After a mastectomy, there is very little tissue remaining between the skin and chest wall muscle (pectoral muscle). Prosthesis are therefore placed under the pectoral muscle, within a muscular pocket.  The pectoral muscle does not extend across the whole chest wall, and becomes deficient at the lower and outer aspect when the prosthesis is placed under it.

In a single stage reconstruction , other material needs to be sutured to the bottom of this muscle, to create a sling, to hold the prosthesis in a pocket.  This can be  either alloderm graft from cadaver, or material from cow or pig intestine, or a synthetic mesh.

Procedure

The procedure is performed under general anaesthetic immediately after the skin sparing mastectomy.

It adds another 30-60 mins to the operating time.

There is always 2x drains.

Time in hospital:   5-7 Days due to drainage . (3-5 Days if discharge home with drains in situ)

Intravenous antibiotics preferable whilst drains are in.

Potential Complications

Skin loss

Infection

Haematoma

Capsular Contraction

Seroma formation

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

Post Operative Care

No driving for 2- 3 weeks

No heavy lifting for 6 weeks

Wear a medical compression bra for 5-6 weeks.

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