• BREAST RECONSTRUCTION SURGERY IN SPAIN

BREAST RECONSTRUCTION SURGERY IN SPAIN. SURGERY AFTER A MASTECTOMY.

Breast reconstruction surgery is a very highly developed cosmetic surgery in Spain.

The intention of breast reconstruction surgery  is to restore breast symmetry, creating a “new breast” with similar characteristics to the other in size and shape. Breast reconstruction surgery not only restores a lost organ, but also helps to recover psychological balance and femininity.

Recent studies indicate that breast reconstruction surgery is safe, and it doesn’t delay the treatment or the detection of tumour recurrence.

Breast reconstruction surgery requires a surgeon with wide experience who is at the forefront of the most advanced techniques.

BREAST RECONSTRUCTION SURGERY IN SPAIN. WHY CHOOSE DOCTOR BENITO FOR YOUR SURGERY?

Doctor Jesús Benito masters several surgical techniques which allow him to achieve the best results in breast reconstruction surgery.

With more than 20 years of experience, Antiaging Group Barcelona is a leading clinic in Spain for breast reconstruction surgery. Doctor Jesús Benito’s team of plastic surgeons (Antiaging Group Barcelona) counts on the necessary professionals and facilities to carry out breast reconstruction surgery with all the guarantees and safety.

Doctor Jesús Benito Ruiz is a recognised authority in Spain in plastic, reconstructive and cosmetic surgery.

FAQs about breast reconstruction surgery:

The breast reconstruction procedure can be started in the same mastectomy surgery or at any time afterwards.

Likewise, breast reconstruction surgey can be carried out using:

  • A silicone gel implant (reconstruction with implant), usually preceded by the use of a tissue expander.
  • The patient’s own tissue (reconstruction of autologous tissues)
  • A combination of autologous tissues and an implant.

Traditionally breast reconstruction surgery was carried out months or years after the mastectomy. However, evidence of the benefits and the safety of the procedure from an oncological point of view make immediate breast reconstruction surgery the most common option in the majority of clinics.

The advantages of immediate breast reconstruction in contrast to delayed reconstruction include cost reduction, better aesthetic results and less psychological effects.  Not all patients are good candidates for immediate breast surgery; but it is an excellent option for women with early stages of the illness (Stages 1 and 2).

We have to recognize that some women are so overwhelmed by the diagnosis of breast cancer and all the information they have to take in that they don’t feel up to making a decision about the reconstructive process. In these kinds of cases, probably the best alternative is to carry out a delayed reconstruction, dedicating all the initial care to eradicating the tumour.

Once the defect caused by the mastectomy has been reconstructed, the next challenge is to achieve symmetry between the two breasts. The options available to us to achieve this symmetry are breast reduction, mastopexy (breast lift), breast enlargement or a combination of these techniques. These options should be discussed with the patient before starting the reconstruction process and it can be carried out during the same surgical procedure or at a later time. Our plastic surgeons are supporters of carrying out the treatment on the contralateral breast during the first surgical operation so that the patient can get symmetry as quickly as possible.

The final step in breast reconstruction is the reconstruction of the areola-nipple complex. Normally the reconstruction of the areola and nipple is done between 6 and 8 weeks after breast reconstruction. The most commonly used option to reconstruct the areola is tattooing. The nipple may be reconstructed using local skin flaps.

In patients with large breasts and a localized tumour, it is possible to do a breast reduction. The tumour can be removed with sufficiently wide margins and the aesthetic result that can be obtained is similar to a conventional breast reduction.

The surgery must always be followed by radiotherapy. By reducing the other breast, as well as achieving symmetry, the risk of cancer is reduced. Recovery is similar to that of a standard breast reduction.

This is a recurring question that patients tend to ask. It’s logical that when a person decides to go in for breast reconstruction surgery there is a feeling of uncertainty. And here is where computer simulations come into play as they let you see a before & after result. Recent progress in photography software allows the patient to get an idea of what will be the final result that they are trying to get after the surgery.

When the surgeons use the computer simulation, it is usually so that the patient and surgeon reach an agreement on the result that they want to achieve with the surgery. But the computer simulation should in no way be considered as what the final result will be.

Undoubtedly the surgeons and the patients are the most interested in getting the desired result. But we should not forget that the plastic surgery involves working with living tissue. To change the appearance of something specific on the computer is a matter of seconds, but the computer doesn’t take into account the quality of the tissue, the thickness of the skin, how aged the skin is, and the wound healing of the tissues during the procedure nor the possible complications.

In this regard, the majority of the scientific societies don’t recommend the publication of before/after images on web pages, as there is always the question as to whether they have been manipulated. It is precisely for the adherence to these ethical principles and to avoid speculation that we don’t show photos on our website.

How much does breast reconstruction surgery cost?

This is one of the first questions that our patients ask. Breast reconstruction surgery cost depends on many factors. Without meeting the patient we don’t offer approximate prices as each patient is a different case. But we know that the economic factor is important when it comes to making a decision. Therefore, we offer the possibility for the patient to come to our facilities for a first free no-obligation visit. The patient can consult with the surgeon regarding all their doubts and worries. According to the characteristics of each patient, we will offer the best solution for each case.

Doctor Jesús Benito’s team of plastic surgeons has the necessary professionals and facilities to carry out breast reconstruction surgery with all the needed guarantees and safety.

Numerous recent studies have highlighted the benefits of fat grafts in breast reconstruction surgery. Fat transfer is a safe and simple procedure that allows us to perfect the final result regardless of the breast reconstruction technique used.

The fat is obtained through liposuction from other parts of the patient’s own body. It usually comes from the abdomen, thighs, hips and double chin which also allows for reducing the level of fat in these zones.

The graft using the patient’s own fat (fat transfer) is a technique which avoids any possible rejection or incompatibility. As it is the patient’s own fat, the result is less dangerous for the body. Another of the biggest advantages is that the grafted fat cells form part of the breast and this results in giving a completely natural look. Antiaging Group Barcelona (Spain) is a pioneering centre in Spain for the introduction of Dr. Coleman’s technique which guarantees the greatest survival of the grafted fat and minimizes the incidence of cysts.

What techniques are there for breast reconstruction surgery?

The breast reconstruction technique with an expander and an implant usually involves at least two interventions.

In the first intervention, a temporary placement is made of an implant with expansion capacity which is filled gradually with liquid. Through the regular infusion of liquid (every 1 or 2 weeks) the desired volume of skin expansion is achieved. This first surgical phase lasts approximately two hours. Normally it requires 2 days of hospitalization.

Once the ideal size is reached, two to six months need to pass before proceeding to the second intervention, when a standard breast implant is inserted (of silicone gel) to recreate the shape of the original breast.

This second operation which consists of implanting the prosthesis lasts an hour and a half. The patient needs to stay in the hospital for a day and to rest for a week.

After a few months, the patient can decide to have a third intervention under local anaesthetic and on a smaller-scale to reconstruct the areola and the nipple.

Breast reconstruction with an expander and implant is indicated for patients with small breasts who don’t want the reconstruction with their own tissue because they don’t want any additional scars in the donor zone or because they prefer a simpler treatment which has a quicker postoperative recovery.

There are several advantages to breast reconstruction with an expander and implants. The expanded skin is sensitive and has the same characteristics in terms of colour and texture. Surgery time and postoperative recovery time is shorter. It is a relatively easy technique.

As to disadvantages, we can say that the total time for reconstruction is longer (the installation of the expander, the gradual expansion of it and the replacement of it with the definitive implant). A second operation is required to change the expander for the implant. Finally, the result isn’t usually as natural; the aging of the reconstructed breast is usually different to the other breast.

In 20% of the cases, the complications that are presented are infection, malposition and rupture. In the case of previous radiotherapy, the percentage of complications could increase by up to 60% and usually require extracting the implant. As well as that there could be seromas (accumulation of liquid) or hematomas (bruising). The main long-term complication is capsular contracture, which occurs in 3% of patients and consists of an excess of scar tissue around the implant which causes visible deformity.

In the field of breast reconstruction surgery, the Latissimus Dorsi flap is a very useful skin flap given its nearness to the reconstruction zone.

This technique is indicated in the case of the prior failure of breast reconstruction using implants or with another flap, in obese or extremely thin patients in whom the DIEP flap in contraindicated and in patients with very thin skin flaps to cover the implant after the mastectomy. The main disadvantage in breast reconstruction with the Latissimus Dorsi flap is that it leaves a significant scar in the area of the back.

The most significant complications in breast reconstruction with the Latissimus Dorsi flap are related to the implant: risk of breaking, displacement, contracture and infection. In the donor zone hematomas (bruising), seromas (accumulation of liquids) or unsightly scarring may appear. There is also a risk of partial or total necrosis of the flap.

  1. Pedicule TRAM
  2. Microvascularized TRAM
  3. DIEP flap

The DIEP flap is the most innovative technique in breast reconstruction surgery and the most used in the most prestigious medical centres in the world. It involves taking advantage of the excess skin and fat from the abdomen of the woman for the breast reconstruction. This allows for remodelling a new breast which is very similar to the natural one.

By not using any material that is foreign for the body (breast implants) the DIEP flap doesn’t interfere with the treatment, nor the subsequent control of the breast cancer. After the operation, when the patient loses weight the new breast will slim down too. If the patient puts on weight, the breast will also increase in volume. When the patient gets older and the breasts sag, both breasts will do so in a symmetrical way.

Without a doubt, the DIEP flap is one of the best techniques that we have currently for breast reconstruction. It allows for a natural reconstruction, with the patient’s own tissue. On the other hand, the donor zone is left as if we had done abdominal surgery (tummy tuck).

The biggest disadvantage is that it is a 5-hour operation and requires a team that is qualified in microsurgery. A combination of general and epidural anaesthetic is used. Despite being a long surgery, pain levels are moderate, and as it is an intervention that is not very aggressive, it only needs a mild anaesthetic. After the operation the patient must stay in the clinic for 4-5 days.

Book an appointment with breast reconstruction specialist team to analyse your case and offer you the best solution.

The first visit is free and without obligation.

You can contact us on WhatsApp or Viber at +34 657 460 421.

If you wish, you can send us some photos to have an estimate quote. Photos will not be stored and will be treated with the utmost confidentiality. Please explain the results you wish to obtain.

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Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito

Antiaging Group Barcelona

Ronda del General Mitre, 84, 08021 (Barcelona, Spain)

Nearest Metro Stations: Les Tres Torres / La Bonanova

Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito
Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito

Antiaging Group Barcelona

Ronda del General Mitre, 84, 08021 (Barcelona, Spain)

Nearest Metro Stations: Les Tres Torres / La Bonanova

Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito
Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito