Operation

Operation:

1-2 Hours

anesthesia

Anesthesia:

General

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Clinic Stay:

1 Day

healthy

Healing:

1-2 months

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total stay:

7 Days

work

back to work:

7-10  Days

Breast reconstruction is a surgical technique to recreate a breast or both breasts after mastectomy or lumpectomy. In another word, women who have surgery as part of their breast cancer treatment are the most candidates for breast reconstruction surgery in order to rebuild the shape and appearance of the breast. In fact, the goal of breast reconstruction is to restore the appearance, shape, and size after lumpectomy or mastectomy.

The breast reconstruction process can start at the time of your mastectomy which is called immediate reconstruction or it can be done after mastectomy which is called delayed reconstruction.

Iran has acquired a top-level in cosmetic surgeries in the world because of the well-skilled and qualified plastic surgeons and advanced medical equipment like cutting-edge. Moreover, you receive what you desire at a competitive and reasonable price, so many patients from across the world choose Iran as their destination for medical and health tourism. We know finding a qualified cosmetic surgeon is really a tough job and we are here to help you. KIATREAT willingly is ready to shorten this time and make it easy for you to find your best and most desirable treatment in Iran.

Breast Reconstruction Procedure

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There are different types of breast reconstruction which the procedure differs according to the type you may choose. But usually, the breast reconstruction process requires two or more operations depending on the type of breast reconstruction. So, you can expect several appointments during 2-3 months after your initial surgery in order to expand and stretch the skin on your chest in preparation for the implant.

You shouldn’t expect that breast reconstruction re-create the exact look and feel of your natural breast. However, the contour of your new breast may restore a silhouette similar to the appearance of your own breast before lumpectomy or mastectomy.

In order to get prepared for breast reconstruction surgery, you should follow your surgeon’s instructions before surgery which include guidelines on eating and drinking, adjusting current medications, and quitting smoking.

Before going through breast reconstruction, it is good to ask yourself some questions to make sure you are really ready for this surgery.

    • How much is important to rebuild your breast?
    • Can you live with an artificial breast form?
    • Will breast reconstruction help you to gain your confidence and feel whole again?
    • Do you feel good about having more surgery for breast reconstruction after mastectomy or lumpectomy?

Prices & Plans

Best service at reasonable price

Normal

$

Popular

Basic

$

Professionals

$

Itinerary

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Depending on your arrival, you will be welcomed at the airport by our guide, then you will be picked up and transferred to your hotel*. Checking into the hotel; according to schedule you will be transferred from hotel to clinic or hospital to visit the doctor; Pre-op tests/images; Transfer from clinic/hospital to hotel.

Important note:

If you arrive late afternoon or early morning, you should inform us before your flight, so 1 day more will be added to your itinerary and the quotation will vary.

According to the appointment schedule, you will be transferred to the hospital; doing preparations for surgery; a conversation between doctor & patient, reviewing the expectations; Performing of surgery; post-op recovery at the hospital; taking doctor’s instructions; transfer to your hotel. You may stay 1 or 2 nights at the hospital depending on your physical situation.

This is a rest day in hotel or hospital; taking post-op medications; following instructed diet; follow-up through doctor’s assistant.

This is a rest day in hotel; having regular eating restarts; daily walking (30 min/day); taking post-up medications.

This is a rest day in hotel; having regular eating restarts; daily walking; follow-up through doctor’s assistant; drain removal by the doctor.

At this day, you can take a shower at the hotel (if your surgeon give permission); transfer from hotel to clinic; check-up and bandage removal (by your doctor) *; reviewing post-op instructions and dos & don’ts; receiving written certificate from doctor confirming patient is fit to fly; transfer from clinic to hotel.

According to your flight departure, you will be transferred from your hotel to international airport by KIATREATs driver; before transferring to airport, you can visit KIATREAT office and talk to customer relationship management about your trip to Iran and treatment schedule. Transfer to airport and farewell; start of permanent follow-up through communication channels.

* The doctor appointment may be in the 5th or 6th day depending on the circumstances.

** If your departure is in the weekends, this step may not be feasible. You will be contacted through email or WhatsApp.

*** It may be done by the doctor assistant (aide) while the doctor supervising.

Types of Breast Reconstruction

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There are two major techniques for breast reconstruction including implant reconstruction and flap reconstruction or Autologous. There is a third option combination of implant and flap reconstruction.

Implant Reconstruction:

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Breast reconstruction with breast implants is a complex surgical procedure which will be performed by a plastic surgeon under local or general anesthesia. In this method, the surgeon will insert an artificial implant inside your breast which is filled with saline (salt water) or silicon gel. The good news is that silicone gel implants are considered as a safe option, so there is no need to be worried about that.

Your plastic surgeon places the implant behind or in front of your chest muscle depending on the surgeon’s diagnosis. The implants that are inserted in front of the muscle will be held in place by using a special tissue called an acellular matrix. Your body will replace this tissue with collagen over time.

Implant reconstruction

As you know, any surgery has risks and complications which there is no exception for Breast reconstruction. It is highly recommended to talk with your plastic surgeon about the cons and pros before going through the surgery. We listed below the possible risks and complications which a breast implant carries, including:

    • Breast pain
    • Asymmetry means Breasts don’t match each other in size or appearance
    • Implant rupture or deflation
    • Infection
    • Bleeding
    • Poor healing of incisions
    • Increased risk of future breast surgery to replace or remove the breast implant
    • Changes in breast sensation
    • Scar tissue that forms and compresses the implant and breast tissue into a hard, unnatural shape (capsular contracture)
    • Risks associated with anesthesia

It is very important to know that correcting any of these complications may require additional surgery.

You might not be a good candidate for breast implant reconstruction if you need post-mastectomy radiation or need adjuvant radiation therapy to the skin and chest wall after a mastectomy. This is because breast implant reconstruction makes it more difficult to deliver the radiation therapy effectively and the implant may need to be deflated. 

Flap Reconstruction :

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Flap reconstruction, also known as Autologous, is the most complex surgical option that uses tissues transplanted from another part of your body. The tissue usually will be taken from your thigh, belly or back.  Flap reconstruction will be performed by a plastic surgeon under general anesthesia.

There is another option for breast reconstruction which it is a combination of implant and flap reconstruction.

Flap reconstruction or Autologous

The best advantage of flap reconstruction, is that the tissue flaps look more natural and act more like natural breast tissue than breast implants. Tissue flaps will change like any other tissue in your body. For example, unlike implant reconstruction, they may get bigger or smaller as you gain or lose weight. In breast implants, if the implant ruptures, it needs to be replaced, while this is not a concern with tissue flaps.

Type of Flap Reconstruction

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Depending on the tissue taken from which part of the body, there are different types of flap reconstruction including:

abdomen (TRAM flap, DIEP flap, SIEA flap), Back (latissimus dorsi flap), Buttocks (gluteal flap) and Inner thigh (TUG).

You need to discuss your surgeon about the method is best for you based on your body type and your medical and surgical history.

Abdomen flap is one of the popular methods for flap reconstruction which has different procedures including TRAM flap, DIEP flap, SIEA flap. In all these procedures, your surgeon removes tissue from your abdomen.

In TRAM flap procedure, also called transverse rectus abdominis muscle, the tissue including skin, fat and the muscle will be removed from your abdomen.

In DIEP flap procedure, also called deep inferior epigastric perforator, your surgeon removes only skin and fat from your abdomen exactly from the same area as the TRAM flap and most of the abdominal muscle is left in place and minimal muscle tissue is taken to form the new breast mound.

SIEA flap is a variation of the DIEP flap, also called the superficial inferior epigastric artery flap, uses the same abdominal tissue but relies on blood vessels that aren’t as deep within the abdomen. However, this option is not suitable for all women specifically those SIEA blood vessels are not adequate for this type of flap surgery.

Back flap reconstruction, also known as latissimus dorsi flap, is a pedicle flap technique that takes skin, fat and muscle from your upper back. This method is often used with a breast implant to add volume to breast reconstruction. In this procedure, the fat, skin, muscle and blood vessels will be tunneled under your skin from your upper back to the front of your chest. This option is ideal for small and medium-sized breasts, because the amount of skin and other tissue is generally less.

Buttock flap also known as gluteal flap is another option which takes tissue from your buttocks and transplants it to your chest part. A buttock flap is an option for those women who don’t have enough extra tissue in their backs or abdomens for flap reconstruction. In fact, buttock flap is an option for women who cannot or do not wish to use the tummy part because they are thin, have previous incisions or have had a previous tummy tuck.

Inner thigh also called, the transverse upper gracilis (TUG) flap, is a newer option which uses muscle and fatty tissue from the bottom of the buttocks to the inner thigh.

* The doctor appointment may be in the 5th or 6th day depending on the circumstances.

 

** If your departure is in the weekends, this step may not be feasible. You will be contacted through email or WhatsApp.

Breast reconstruction with flap surgery is a major procedure which may carry some possible significant complications, such as:

    • Changes in breast sensation
    • Poor wound healing
    • Extended recovery and healing time
    • Prolonged time in surgery and under anesthesia
    • Fluid collection (seroma)
    • Bleeding
    • Infection
    • Loss of sensation at the tissue donor site
    • Tissue death (necrosis) due to insufficient blood supply
    • Abdominal wall hernia or weakness

There are some factors that can affect your decision for choosing the type of breast reconstruction as follows:

    • Type of mastectomy
    • Cancer treatments
    • Patient’s body type

It is very important to take into consideration the above factors when you choose the technique of breast reconstruction as the best option. You need to talk to your healthcare team about the advantages and disadvantages of breast reconstruction and the best technique that is appropriate and ideal for you.

Breast Reconstruction Surgery Before & After Photos

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    Breast Reconstruction SurgeryHospital in Iran

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