Breast Reconstruction Surgery:
Breast reconstruction is restoring the breast in all its dimensions to as close as normal as possible after breast cancer mastectomy.
Breast cancer affects 1 in 10 women and presents the patient with enormous challenges as they go through mastectomy surgery, chemotherapy and often radiotherapy. Dr Jack Zoumaras works alongside breast surgeons in a multi-disciplinary clinic to offer the patient breast reconstructive surgery after the cancer is treated. This may be performed either immediately or delayed.
Dr Jack Zoumaras is highly trained and skilled in all techniques of breast reconstruction including the gold standard TRAM/DIEP reconstruction, expander/implant reconstruction and latisimmus dorsi with implant reconstruction.
Transverse Rectus Abdominus Myocuatenous Flap (TRAM)/Deep Inferior Epigastric Artery Perforator Flap (DIEP):
A TRAM or DIEP is the gold standard in Breast Reconstruction and involves harvesting the abdominal skin and fat and parts of the rectus muscle if necessary attached to blood vessels. This flap of tissue is then transplanted to the chest and sculpted to a breast. The closure of the abdomen results in the benefits of an abdominoplasty.
The first stage of the reconstruction involves implantation of a silicone empty shell, which is subsequently expanded with saline to the desired size. After a minimum of 6 months the expander is exchanged for a permanent breast implant (Stage II).
Latissimus Dorsi with Implant Reconstruction:
Combines using ones own tissue and an implant. The broad latissimus dorsi muscle on the patients back is transferred to the chest and used to cover a breast implant.
All women have the option of a nipple-areolar reconstruction once the breast reconstruction is completed after 3-6 months. This involves a combination of local flaps, skin grafts and tattooing.
The procedure will be illustrated in detail and you will be given a detailed instruction sheet on expected post-operative course and potential complications during your consultation with Dr Jack Zoumaras.
It is recommended that you are a stable weight for at least 3-6 months to obtain the best possible results.
It is advised to stop smoking at least 6 weeks before and after surgery.