Breast Reconstruction Surgery using Natural Tissue

What is a Natural Tissue Breast Reconstruction?

Your own tissue is used in this operation to reconstruct a new breast. Tissue is taken from the back or "tummy tuck" region and no synthetic prostheses or expanders are necessary.

When is it desirable?

Natural tissue breast reconstruction surgery is used to reconstruct the breast after mastectomy (usually for breast cancer) and is best performed at the time of mastectomy. Delayed reconstruction can also be performed at any time when body healing is normal (ie after chemotherapy or radiotherapy has finished).

How is the operation performed?

You will be advised on the best method for your reconstruction. A flap of muscle, fat and skin, with its own blood supply, is transferred from either the back or lower abdomen. These are reliable methods with a low incidence of complications. Operating time, when combined with mastectomy may take three to five hours.

The two techniques commonly used by Mr Geoff Barnett are:

1The Free T.R.A.M. Flap technique
[With tissue from the tummy tuck area]

2The Latissimus Dorsi Added Fat Flap technique
[With tissue from your back]

The Free T.R.A.M. Flap Technique

The Latissimus Dorsi Added Fat Flap Technique

How long will I be hospitalised?

This procedure requires admission to hospital and general anaesthesia. Your hospital stay will depend on your general health and the extent of the procedure, and may be up to five to seven days.

What results can I expect?

Your "new" breast will be soft, with a natural curve, and of normal weight and body temperature. This normality of body image has major psychological benefits compared to mastectomy. Confidence and self-esteem improves in all aspects of life, including wearing normal clothes, sports and sexual life.

Will the operation leave any scars?

Even though every effort will be taken to m ake the scars as inconspicuous as possible, they are the inevitable result of this procedure. One of the principal aims in this operation is to make the scars easily covered by swimwear or lingerie.

Are there any side effects?

Some temporary swelling and bruising are common, as is a slight asymmetry with the other breast. Other post operative complications, such as delayed healing, infection, or localised blood collections are uncommon. These will be discussed prior to your operation.

Are there any additional procedures necessary?

Once the new breast has matured, nipple reconstruction and later colour tattooing is done in the rooms. Should the other breast require adjustment., this can be best done in hospital with an overnight stay.