/ Treatments / Breast / Breast reconstruction

Breast reconstruction after breast cancer

Breast cancer is a widely spread disease among women. Breasts do not always have to be removed, but a reconstruction of the breast (or both breasts) is almost always possible after amputation (mastectomy). However, this procedure should be performed as early as possible.

In the most favourable case, this will be done in connection with the initial operation or immediately after subsequent treatment (radiation or chemotherapy).

The selection of the procedure that is most suitable for breast reconstruction depends on different conditions: Age, health status, skin condition, existence of sufficient autologous tissue, size and shape of the healthy breast, individual decision in favour of more sophisticated or simple procedures and, in connection with this, a shorter or longer incapacity for work. Generally speaking, the following procedures are available among others:

  • Breast reconstruction using an expander / implants
  • Breast reconstruction using a skin- / muscle flap from the back
  • Breast reconstruction using a skin- / fat flap from the abdomen (TRAM, Diep),
  • Breast reconstruction using relocation of skin flap from the torso
  • Breast reconstruction using autologous fat grafting

In rare cases, a breast is not properly developed for hereditary reasons. More often, injuries (burns in particular) are accountable for the absence of one breast, but in most cases, surgical interventions have produced this outcome.

Breast cancer is a widespread disease among women. On the one hand, the number of afflicted women increases, but, on the other hand, the chances of being cured increase as well. In early surgery, the cure rate is usually over 80%.

Only very few women resign themselves to the loss of a breast that is sometimes inevitable to get cured. Prostheses to be used in pocketed lingerie are a common means, but they only affect the appearance in clothing. Often, there is a constant worry that the prosthesis might shift and be noticed by others.

Please do not hesitate to contact us for a personal consultation. Our surgeons will review, explain in detail, and discuss your options regarding »breast reconstruction« at Park-Klinik Birkenwerder/Berlin.

Is there a risk that cancer will reappear once a surgical intervention is performed in the area of the old scar?

Numerous scientific studies have shown that there is no reason for this widespread fear.

Are any blood bags required for breast reconstruction?

Large flap operations usually require blood transfusions. We therefore recommend that you donate autologous blood prior to surgery. Blood sampling and scheduling are organised by Park-Klinik Birkenwerder/Berlin.

What are the complications that can occur in breast reconstruction?

In all relocations of larger skin areas, there is the general risk of ischemia and of tissue necrosis. The back muscle is much safer in this than the abdominal skin. A complete necrosis of a tissue flap is rare to see, but individual parts of an abdominal skin flap (TRAM) have to be removed more frequently due to ischemia. As excess tissue is planned in advance, this has only rarely a negative impact on the final result.

Important things to know – after breast reconstruction

After important breast reconstruction surgery, the period of incapacity for work might take four to six weeks. After this period, sports and exercise are almost always possible without restrictions. In a complete breast reconstruction, subsequent surgical interventions are usually required for final shape adjustment and nipple reconstruction. These interventions are usually performed in an out-patient setting and under local or regional anaesthesia.

Surgery information

Surgery duration:
about 60 minutes
depending on treatment type
incl. 19% VAT plus anesthesia
Twilight sleep or general anesthesia
outpatient or 1-2 nights stationary
After treatment:
Plasters remain for about four weeks, wear compression wash depending on the type of surgery, re-presentation after 10 days, no stringing needed

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Park-Klinik Birkenwerder
Hubertusstraße 22
16547 Berlin Birkenwerder

03303 513 4000 0

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    Dr. med. Ursula Tanzella and Dr. med. Klaus Ueberreiter would be pleased to advise you personally.

    Make an appointment.