Breast Reconstruction in Concord California
Breast Reconstruction in Concord section, includes general infrmation about Breast Reconstruction Procedure, Breast Reconstruction Concord Local News, Breast Reconstruction Concord Surgeon Locator and other Breast Reconstruction related material.
Breast Reconstruction Procedure
This procedure is designed for women who underwent breast amputation after breast cancer or other conditions. Newer techniques allow the surgeon to create a breast which is very similar to the natural one. The reconstruction can be done during the amputation procedure, or a few months or even a year afterwards.
There are a number of implants: the most widely used are silicon implants which have silicon surface and filling. They come in different sizes and shapes.
Becker implants are made of a thick silicon surface (35%-50%) and a solution filling. The advantage of this implant is the ability to adjust its shape to the woman's body. It can also serve as a skin stretcher. There are also implants with a thin silicon surface and a solution filling, which are less used.
The operation can be divided into 2 main categories: (a) a stretcher is inserted, then replaced with an implant; (b) the reconstruction is made from another body tissue.
The most common reconstruction is performed with a stretcher and an implant. After amputation a balloon (stretcher) is inserted under the skin and chest muscles. It has a special valve which can be filled from outside. The implant is being filled gradually with a special solution, until the skin has sufficiently stretched for inserting the implant. It takes another 3-6 months until the breast has acquired its final shape, then the nipple can be reconstructed as well.
Becker implants: sometimes during amputation the skin can be preserved. That would eliminate the need for a stretcher, and a permanent implant (Becker) can be inserted right away.
The breast can also be reconstructed with body tissue from areas with extra skin and fat, like the tummy, buttocks and back. The tissue being removed is called "a flap". Common sites to acquire the flap are the lower tummy and the lotissimus dorsi muscle from the back.
This procedure can be complicated due to implant infection, a contraction of a surface of an implant, silicon leaks and anesthetic complications.
You'll need to stay in hospital 2-7 days after the surgery, while you may feel pain and weakness for a week or two. Complete recovery may take up to 6 weeks, depending on the surgery. You may have an unusual sensation in the breast that would usually disappear over time. In most cases there could be a slight asymmetry between the breasts, however, most women report a significant improvement in their social life and self esteem.
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- A ‘blog’ produced by the National Prescribing Centre (NPC) and posted on its website (NPCi) discusses QRISK – a new cardiovascular disease risk scoring system that was developed specifically for use in the UK. A validation study for this system was published recently in the journal ‘Heart’; the study abstract and the calculator itself can be accessed via the links above.
The blog discusses the calculator and the validation study, and discusses its place in comparison with the Framingham method in predicting cardiovascular risk in the general population. The author of the blog concludes (taken directly from the website):
“Health professionals should be aware of the ongoing debate, and also that Framingham-based tools may over-predict CV risk in some sections of the UK population, but not others, such as those in high risk groups (e.g. socio-economically deprived, people of South Asian descent, those with a family history of CV events, etc). Even with these caveats, as the draft NICE full guideline on lipid modification says - estimates of CVD risk derived from equations are not an exact science but are better than clinical judgment alone for the estimation of CVD risk. Of course, health professionals need to take into account patient circumstances and wishes. It would be foolish to have an iron rule that (whatever tool is used) someone with a 19.9% predicted risk can never receive prophylaxis, but someone with a 20.1% risk must always receive prophylaxis. The most important thing is to correctly use a validated tool – be it Framingham, ASSIGN or QRISK as a basis for discussion with patients and not to treat on the basis of individual risk factors.”
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according to federal scientists from the National Institutes of
Health (NIH) and the U.S. Environmental Protection Agency (EPA),
who today announced a new toxicity testing agreement.