Breast Reconstruction

Breast reconstruction refers to surgical procedures performed after mastectomy (removal of breast tissue) to restore the breast both aesthetically and functionally. This process represents not only physical recovery but also the rebuilding of femininity, body integrity, and psychological balance.

With modern techniques, breast reconstruction is performed using three main methods:

Breast Reconstruction with Abdominal Tissue (Autologous Reconstruction)

In this method, the patient’s own body tissues are used, providing maximum natural aesthetics and tissue compatibility.

Features:

• Skin and fat tissue are usually taken from the abdominal area (DIEP or TRAM flap).

• Transferred to the breast region using microsurgical techniques.

• Especially advantageous in patients whose tissue quality has been damaged after radiotherapy.

• Provides a breast appearance very close to the natural form.

• Minor revisions may be needed over time.

• Recovery period is usually between 4–6 weeks.

Alternative Donor Sites:

• Back muscle (Latissimus Dorsi): Often used together with a silicone implant.

• Upper buttock area (SGAP flap)

• Inner thigh (PAP flap)

These donor sites are safely preferred when abdominal tissue is insufficient.

2. Implant-Based Breast Reconstruction (Silicone Implant Reconstruction)

This is a suitable option for patients seeking a shorter surgery and recovery period.

Features:

• Silicone implants filled with gel or saline are used.

• If the skin has sufficient elasticity, the implant is placed directly.

• If the skin is insufficient, a temporary tissue expander is placed first, followed by a permanent implant.

• Modern silicone implants are safe; they do not carry a risk of rupture or leakage.

• The risk of complications is low, though infection may rarely occur.

• Return to normal life is usually achieved within 2–4 weeks.

3. Hybrid Breast Reconstruction (Implant Supported with Fat Grafting)

This method combines implants with the patient’s own fat tissue, improving both natural appearance and tissue quality.

Features:

• After tissue expansion, several sessions of fat grafting are performed.

• Improves skin quality and thickness.

• Supports recovery in tissues damaged by radiotherapy.

• Implant volume is reduced, achieving more natural contours.

• Recovery period varies between 2–4 weeks.

Which Method Is Right for You?

Breast reconstruction is a personalized process. The preferred method depends on the patient’s overall health status, previous treatments, body structure, and expectations.

After examination and detailed evaluation, the most suitable treatment plan for you is determined together.

About the Author

Prof. Dr. Osman Kelahmetoğlu
Specialist in Plastic, Reconstructive and Aesthetic Surgery

This article was prepared by Prof. Dr. Osman Kelahmetoğlu based on scientific sources and clinical experience. For more information or to schedule an appointment, please get in touch.

Contact: iletisim@osmankelahmetoglu.com – 0 (533) 351 76 37

About the Author

+90 (533) 351 76 37

iletisim@osmankelahmetoglu.com

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