{"id":1524,"date":"2021-07-16T13:36:58","date_gmt":"2021-07-16T13:36:58","guid":{"rendered":"http:\/\/lymphoedemacenter.com?page_id=1524"},"modified":"2022-04-04T09:37:51","modified_gmt":"2022-04-04T09:37:51","slug":"chirurgie-mammaire","status":"publish","type":"page","link":"https:\/\/lymphoedemacenter.com\/?page_id=1524","title":{"rendered":"Breast reconstruction after breast cancer"},"content":{"rendered":"<hr class=\"wp-block-separator has-text-color has-background has-black-background-color has-black-color is-style-default\">\n\n\n\n<p class=\"has-text-align-center text-justify\">The unit at the american hospital of paris , do propose all the techniques for the breast reconstruction, regarding the quality of the skin, and the extension of the defect. <\/p>\n\n\n\n<p class=\"has-text-align-center text-justify\">If the remaining skin is large, and soft &nbsp;enough, the combination&nbsp;of implant and\/or fat filling&nbsp;can be the easier alternative Reconstruction of the breast&nbsp; after total <a class=\"glossaryLink\"  title=\"Glossary: Mastectomy\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Mastectomy&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;Surgical removal of the whole breast.&lt;\/div&gt;\"  href=\"https:\/\/lymphoedemacenter.com\/?glossary=mastectomy\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>mastectomy<\/a> by&nbsp;filling&nbsp;(in 2 cessions), the skin must be expanded , and always some&nbsp; fat resorption.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><a href=\"http:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Reconstruction-of-the-breast.png\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Reconstruction-of-the-breast-1030x449.png\" alt=\"\" class=\"wp-image-2921\" width=\"350\" height=\"153\" srcset=\"https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Reconstruction-of-the-breast-1030x449.png 1030w, https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Reconstruction-of-the-breast-300x131.png 300w, https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Reconstruction-of-the-breast.png 1035w, https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Reconstruction-of-the-breast-300x131@2x.png 600w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\"\/><\/a><figcaption><strong><em>&#xA0;<\/em><\/strong><em>Reconstruction of the breast<strong>&#xA0;by Prothesis and filling&#xA0;<\/strong>after mastectomy and radiotherapy<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-text-align-center text-justify\">The unit at the american hospital of paris , do propose all the techniques for the breast reconstruction, regarding the qIf the skin has no more elasticity and too tie, the only way to rebuilt a breast, is a <a class=\"glossaryLink\"  title=\"Glossary: Flap\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;Flap&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;Flap surgery is a technique in plastic and reconstructive surgery where any type of tissue is lifted from a donor site and moved to a recipient site with its own blood vessels.&lt;\/div&gt;\"  href=\"https:\/\/lymphoedemacenter.com\/?glossary=flap\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>flap<\/a>. It can be a pediculated&nbsp;<strong>musculo-cutaneous flap (dorsalis flap)<\/strong>&#xA0;or just cutaneous flap based on the same vessels if it remains an extra fold in the axillair region (TDAP).The scar will be in the lateral and dorsal region under the bra.Thoses flap do require sometimes insertion of a prothesis to have enough volume.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><a href=\"http:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/reconstruction-of-the-breast-with-the-dorsalis-muscle-when-the-skin-is-too-tie-and-cannot-be-extended.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/reconstruction-of-the-breast-with-the-dorsalis-muscle-when-the-skin-is-too-tie-and-cannot-be-extended-1030x322.jpg\" alt=\"\" class=\"wp-image-2918\" width=\"350\" height=\"109\" srcset=\"https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/reconstruction-of-the-breast-with-the-dorsalis-muscle-when-the-skin-is-too-tie-and-cannot-be-extended-1030x322.jpg 1030w, https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/reconstruction-of-the-breast-with-the-dorsalis-muscle-when-the-skin-is-too-tie-and-cannot-be-extended-300x94.jpg 300w, https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/reconstruction-of-the-breast-with-the-dorsalis-muscle-when-the-skin-is-too-tie-and-cannot-be-extended.jpg 1035w, https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/reconstruction-of-the-breast-with-the-dorsalis-muscle-when-the-skin-is-too-tie-and-cannot-be-extended-300x94@2x.jpg 600w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\"\/><\/a><figcaption><em>Reconstruction of the breast with the dorsalis muscle when the skin is too tie and cannot be extended<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-text-align-center text-justify\">The reconstructions without foreign body do require microsurgical techniques : The use of the skin and fat below the ombilicus combine the abdominoplasty and the breast reconstruction. This is a very elegant technique, but needs experimented hands.(<a class=\"glossaryLink\"  title=\"Glossary: DIEP\"  aria-describedby=\"tt\"  data-cmtooltip=\"&lt;div class=glossaryItemTitle&gt;DIEP&lt;\/div&gt;&lt;div class=glossaryItemBody&gt;A &amp;lt;strong&amp;gt;DIEP flap&amp;lt;\/strong&amp;gt; is a type of breast reconstruction in which blood vessels called Deep Inferior Epigastric Perforators (DIEP), and the skin and fat connected to them are removed from the lower abdomen and used for reconstruction. Muscle is left in place.&amp;lt;br \/&amp;gt;&amp;lt;span style=&amp;quot;font-size: 10px;&amp;quot;&amp;gt;&amp;lt;em&amp;gt;Source: NCI Dictionnary of Cancer terms&amp;lt;\/em&amp;gt;&amp;lt;\/span&amp;gt;&lt;\/div&gt;\"  href=\"https:\/\/lymphoedemacenter.com\/?glossary=diep\"  data-gt-translate-attributes='[{\"attribute\":\"data-cmtooltip\", \"format\":\"html\"}]'  tabindex='0' role='link'>DIEP<\/a>)<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full\"><a href=\"http:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/b3c220_1fcdb7345acf4e2ebdfad036bda8415b_mv2.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"236\" src=\"http:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/b3c220_1fcdb7345acf4e2ebdfad036bda8415b_mv2.jpg\" alt=\"\" class=\"wp-image-2915\" srcset=\"https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/b3c220_1fcdb7345acf4e2ebdfad036bda8415b_mv2.jpg 350w, https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/b3c220_1fcdb7345acf4e2ebdfad036bda8415b_mv2-300x202.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\"\/><\/a><figcaption><em>DIEP with nodes for breast reconstruction and lymphoedema treatment<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-text-align-center text-justify\">We can also use a skin paddle from the interior or post part of the thigh (TUG or PAP).All those flaps can be combined with a free lymphnodes transplantation , to replace the nodes in the axillair region and treat the lymphoedema.<\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large is-resized\"><a href=\"http:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Screenshot_1-2.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Screenshot_1-2-1030x474.jpg\" alt=\"\" class=\"wp-image-2924\" width=\"350\" height=\"161\" srcset=\"https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Screenshot_1-2-1030x474.jpg 1030w, https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Screenshot_1-2-300x138.jpg 300w, https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Screenshot_1-2.jpg 1035w, https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Screenshot_1-2-300x138@2x.jpg 600w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\"\/><\/a><\/figure><\/div>\n\n\n\n<p class=\"has-text-align-center text-justify\">Secondary corrections are performed to perform the symetrisation of the both breasts: reduction , mastoplasty of the other breast, fillings and reconstruction of the areola. The areola can be rebuilt or, by 3D tatoo, or with the upper lid skin (blepharoplasty), or with some skin of the contralateral areola in case of reduction and mastoplasty of the normal breast <\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full\"><a href=\"http:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Screenshot_2-1.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"350\" height=\"236\" src=\"http:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Screenshot_2-1.jpg\" alt=\"\" class=\"wp-image-2927\" srcset=\"https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Screenshot_2-1.jpg 350w, https:\/\/lymphoedemacenter.com\/wp-content\/uploads\/2021\/12\/Screenshot_2-1-300x202.jpg 300w\" sizes=\"auto, (max-width: 350px) 100vw, 350px\"\/><\/a><\/figure><\/div>\n\n\n\n<p class=\"has-text-align-center text-justify\">The realisation of all these interventions needs: intensive care unit, microscope, laser, monitoring of flaps by tissue oximeters, state-of-the-art equipment for the realization of lipofilling, etc. This comprehensive offering allows patients to perform the most appropriate reconstruction method for their case.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The unit at the american hospital of paris , do propose all the techniques for the breast reconstruction, regarding the quality of the skin, and the extension of the defect. If the remaining skin is large, and soft &#xA0;enough, the&#x2026; <\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1524","page","type-page","status-publish","hentry"],"aioseo_notices":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Breast reconstruction after breast cancer - Dr Corinne Becker - Lymphoedema Center<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/lymphoedemacenter.com\/?page_id=1524\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Breast reconstruction after breast cancer - Dr Corinne Becker - Lymphoedema Center\" \/>\n<meta property=\"og:description\" content=\"The unit at the american hospital of paris , do propose all the techniques for the breast reconstruction, regarding the quality of the skin, and the extension of the defect. 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