Breast reconstruction: breast reconstruction with implants or autologous fat?

Dr. Biesgen / Breast reconstruction: Breast reconstruction with implants or autologous fat?

Using a breast implant is one way of restoring the shape of your breast after surgery to remove the cancer. Different types of implants can be used. The breast shape can also be optimized with additional autologous fat.

This type of breast reconstruction can be performed at the same time as the cancer operation. Or it can be started during cancer surgery and completed later.

You should understand the benefits and risks of breast reconstruction implants and discuss them with your doctor.

Breast reduction: How small can I go?

Von fmandi

The decision to have a breast reduction is a major life decision for many women. Although most patients who visit my office ask how big they go with a traditional breast augmentation, there are many who try to go in the opposite direction. Normal breast size, without discomfort Due to discomfort and other limitations caused by oversized breasts, I...

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Does the breast size decrease after a breast lift?

Von fmandi

The breasts sag due to pregnancy, weight loss, age, cigarette smoking and menopause. A sagging breast is generally perceived as less attractive than a plump breast, which is why breast lift surgery is often desired. Women often come to Dr. Biesgen's practice for a breast lift. Breast lift Most women who are only after a breast lift...

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The optimal bra selection for your breast shape

Von fmandi

The right bra for you may very well be the one you have always worn. It may or may not need to be adjusted. If there is tension during healing, a bra extender can help by increasing the circumference of the bra so that it is not too tight around the breast.

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Breast implant removal: What you should know

Von fmandi

Many women undergo breast augmentation safely every year and are very satisfied with their results. Despite the excellent safety record and success of breast augmentation, some women choose to replace or remove their implants for specific reasons. It is important that every woman who wishes to undergo breast augmentation considers the long-term care of her...

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Advantages of fat grafting in reconstructive breast augmentation

Von fmandi

In a newer technique, a person's fat can be harvested from one part of the body (buttocks, thighs or abdomen) and transferred to the reconstructed breast to correct shape abnormalities that may occur after the initial breast reconstruction surgery. The fat is harvested by liposuction, purified and then dissolved so that it can be easily injected into the area.

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Preparation for breast reconstruction surgery

Von fmandi

If you are preparing for breast reconstruction surgery, ask your surgeon what you can expect. Your surgeon can help you be as prepared as possible. You should have realistic expectations of how your body will look and feel after surgery, and understand the benefits and risks of the type of reconstruction you are considering.

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DIEP flap for breast reconstruction

Von fmandi

flap uses fat and skin from the same area as the TRAM flap, but does not use the muscle to shape the breast form. This method uses a free flap, which means the tissue is completely excised from the abdomen and then transferred to the breast. As with the free TRAM operation, a microscope is required to...

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Free gluteal flap (GAP flap) in breast reconstruction

Von fmandi

The gluteal free flap or GAP flap uses tissue from the buttocks to create the breast shape. The gluteal free flap may be an option for women who are unable or unwilling to use the abdominal sites due to thinness, previous incisions, failed abdominal flap or other reasons, but is not offered at all surgical centers. This method is...

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Reconstructive breast augmentation with inner thigh (TUG flap)

Von fmandi

A newer option for women who cannot or do not want to use a TRAM or DIEP flap is a procedure that uses muscle and fat tissue along the lower buttock crease that extends to the inner thigh. This is called a transverse upper gracilis flap or TUG flap and is only performed in some medical centers. The skin, the...

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Breast expander in breast reconstruction: guide

Von fmandi

In one type, the surgeon injects a saltwater solution under the skin through a tiny valve at regular intervals (every 1, 2 or 3 weeks) to fill the expander over several months. In the other type, the expander uses compressed carbon dioxide gas. The patient uses a remote control to fill the expander several times a day for 2 to 3 weeks.

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Breast corrections after lumpectomy or partial mastectomy: methods and advantages

Von fmandi

Most women who undergo breast-conserving surgery (lumpectomy or partial mastectomy) do not require breast reconstruction. However, some women may experience a breast deformity as a result of cancer surgery, such as a dent caused by the removal of a large tumor from a small breast. Some breast specialists address this issue by...

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Latissimus dorsi flap in breast reconstruction: procedure and advantages

Von fmandi

The latissimus dorsi flap is often used with a breast implant. In this procedure, the surgeon tunnels muscle, fat, skin and blood vessels from your upper back under the skin to the front of the breast. This provides additional coverage over an implant and provides a more natural looking breast than just an implant alone. This type of reconstruction can...

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Breast reconstruction with autologous tissue: an overview of flap procedures

Von fmandi

Tissue reconstruction of the breast A tissue flap procedure (also known as autologous tissue reconstruction) is a way of restoring the shape of your breast after surgery to remove the cancer. As with any surgery, you should be as informed as possible about the benefits and risks and discuss them with your doctor before undergoing the procedure. Body parts...

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Walking Flat After Breast Removal: An Informed Path

Von fmandi

Some women who do not undergo reconstructive surgery choose to forgo breast shaping. For most women, there are probably no additional health problems from the reduction, especially if both breasts have been removed. But if you've only had one breast removed, you may notice problems with balance, posture or back pain, especially if you have...

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Choosing the optimal breast prostheses: your guide

Von fmandi

The prices for breast forms vary considerably. A high price does not necessarily mean that the product is the best for you. Take your time when shopping for a good fit, comfort and an attractive, natural look in your bra and under clothing. Your clothes should fit the way they did before surgery....

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Please note that the descriptions in the above articles are for general information purposes only. A personal consultation with Dr. Biesgen is required for a well-founded assessment of your situation and your desired treatment. We will also discuss your anatomy, your needs, your lifestyle and your goals in order to jointly define an optimal approach for your treatment.

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Topics and reports:

  • All topics
  • Breast surgery
  • Breast malformation
  • Breast implant
  • Breast reduction
  • Reconstruction
  • Revision

Double bubble vs. bottoming out: complications after breast augmentation

Chest - Breast implant,revision
Breast augmentation is a wonderful procedure that can restore any patient's shape, body proportions and self-confidence. However, there are several potential long-term problems that can occur and that need to be recognized ...
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Breast reduction: When does health insurance cover the costs?

Chest - Breast reduction
Large and heavy breasts can be a psychological and physical burden for affected women. If aesthetic operations affect health and are medically necessary, the health insurance company (health insurer) may, in certain cases, ...
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Rippling after breast augmentation: causes and treatment of wrinkling of the décolleté

Chest - Breast implant,revision
After a perfect breast operation, the implants should neither be noticeable nor should the contours be visible. Rippling, which rarely occurs after breast augmentation with breast implants, results in visible and palpable folds on the ...
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Changing slipped breast implants: Treatment of bottoming out

Chest - Breast implant,revision
Bottoming out means that inserted breast implants move or slip downwards while the breast tissue does not move. The lower part of the breast and especially the skin ...
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Deformity after breast augmentation: causes and treatment of waterfall deformity

Chest - Breast implant,revision
Waterfall deformity is a complication that can occur after breast augmentation with implants. Viewed in profile, the deformed breast resembles the contour of a waterfall, because the patient's own breast tissue ...
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Double bubble after breast augmentation: causes, symptoms and treatment

Chest - Breast implant,revision
After a perfect breast operation, the implant is placed in the underbust fold and adapts to the natural breast so that the breast implants can neither be felt nor seen. If the breast implant is not ...
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Capsular fibrosis after breast surgery: causes, symptoms and treatment

Chest - Breast surgery,Revision
However, capsular fibrosis in the breast, whether unilateral or bilateral, only becomes critical and painful when the capsule becomes extremely dense and hard. The initially slight ...
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Breast amputation (mastectomy): Reasons, procedure and aftercare

Chest - Breast surgery,reconstruction
The removal of the mammary gland on one or both sides is called a mastectomy (also known as ablatio mammae). If breast-conserving surgery is not possible for breast cancer or other tumors, a mastectomy can ...
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Glandular prolapse (swollen nipples): Causes, symptoms and treatment options

Chest - Breast surgery,Breast malformation
Glandular prolapse describes the protruding, visually swollen nipples. In glandular prolapse, the glandular tissue presses on the nipple from the inside, so that the appearance of the breast resembles that of a ...
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