- American Academy of Cosmetic Surgery Hospital, Dubai Healthcare City, Dubai, United Arab Emirates
- +971 4 4237600
Breast Reconstruction Surgery in Dubai UAE By Prof Wayne Smith
Breast reconstruction is a surgery performed to restore the shape of breasts after the tissue is removed during mastectomy (conducted to treat or prevent breast cancer).
Breast reconstruction is performed by three methods:
– Using a tissue expander/implant
– Tissue flap reconstruction: using your own tissue (autologous)
– Combination of both
– Tissue Expanders and Implants
This is a common 2-stage procedure. The first stage is the positioning of a tissue expander in a pocket formed in the breast after mastectomy. The expander is a saline (salt water) or silicon-filled balloon that is gradually inflated over a couple of weeks or months to allow breast muscles and skin to stretch to the desired breast size. This is then replaced by the permanent implant, which can also be filled with either silicone or saline. This preliminary procedure is done to ensure cosmetically desirable outcomes and avoid the risk of it bursting out through the surgical incision or skin itself.
This method is suggested for women with small to medium-sized breasts with mild ptosis (sag), undergoing bilateral mastectomy, and having healthy mastectomy flaps. The outcomes may not be so favourable for women who are obese, have large breasts, smokers or those who have had breast radiotherapy.
Expander/implant and Acellular Dermal Matrix (ADM)
More recently, expander/implant reconstruction is augmented with a surgical mesh called acellular dermal matrix, which cradles the implant and gives the breasts a natural shape, contour and droop. The matrix is a very thin white leather made from human or pig skin that is extensively processed and preserved to ensure the safe insertion among human tissues.
The mesh can be used with or without the expander in a one-stage implant reconstruction, most often in conjunction with nipple-sparing mastectomy. This method may be more useful following preventive mastectomy in younger women.
Autologous Tissue Reconstruction using Own Tissue
Women who are not comfortable with the use of implants have the option of using their own tissue to reconstruct their breasts. Autologous reconstruction uses tissues taken from the patient’s stomach, back, buttocks or thigh (wherever there is excess tissue) to shape the new breast. This method of reconstruction allows the creation of breast sag. There are two types of reconstructions: pedicled and free flaps. Pedicled flaps are supported by their local blood supply, but free flaps would be completely separated from their existing blood vessels and reattached through microvascular reconstruction at new positions. This is a more complex process.
Sometimes the reconstruction would combine an implant with a back muscle and skin, for example, to create the breast.
Nipple and Areola Reconstruction
The nipple and areola can be reconstructed at a later stage. A small elevation is made keeping the other nipple as reference. The normal pigmentation of an areola can be tattooed using a dye, which is carried out as an office procedure.
Symmetry in breast shape and size
A small difference may exist in the size and shape of the two breasts following reconstruction, but may not be noticeable under a bra. However, for the more noticeable ones, women may surgically reduce, enlarge or lift the remaining breast to maintain symmetry.
One of the above procedures can be chosen based on the following criteria:
– Your preference
– Body shape and overall build
– Current breast size and preference of new breast size
– General health, including habits like smoking
– Extent of tissue removed
– Scars from prior surgeries
– Quality of skin that is remaining
– Requirement for radiotherapy
Dr Wayne Smith, a Plastic, Reconstructive and Cosmetic surgeon specialised in various cosmetic and reconstructive procedures including Face and neck surgeries, Breast surgeries, Body contouring and Skin rejuvenation procedures. This website is specially designed for our patients to have all the necessary information.
Find information on appointments, driving directions & contact details
Telelphone – Professor Wayne Smith
Tel: 971 4423-7600
Fax: 971 4425-7871
Breast surgery, general plastic surgery, neck surgery, skin rejuvenation and cosmetic surgery are the services offered by Prof Wayne Smith in Abu Dhabi, Dubai & Al Ain.
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