Breast Surgery

Breast Reconstruction

breast reconstruction korea
Bring back femininity to regain your confidence

What is Breast Reconstruction?

Breast reconstruction that heals your body and mind

Breast reconstruction is a surgery that rebuilds the breast when one or both breasts are lost from breast excision surgery due to breast cancer. After breast reconstruction, you will be highly satisfied with your new beautiful breasts.

Breast reconstruction was generally performed exclusively at university hospitals until quite recently. Only a few private hospitals provided simple procedures using breast implants.

In particular, breast reconstruction using autologous tissue requires a wealth of experience and expertise, so most patients had to undergo surgery at a university hospital even though there are many inconveniences, such as the travel distance.

M.D. Seul Chul-hwan, of JW Plastic Surgery, built his career as a professor at Yonsei University College of Medicine and a breast surgeon specialist at Severance Hospital.

He provides a high standard of reconstruction surgery based on his expertise and know-how

  • Surgery Duration2 - 5 hours
  • Hospitalization1 - 2 days
  • # of Postoperative visitsDepends on the symptoms
  • AnesthesiaGeneral anesthesia
  • Removal of Stitches7 - 10 days after the operation
  • Recovery PeriodReturn to normal life 3 – 4 days after the operation
We recommend breast reconstruction to the following people:
  • Those who lost one or both breasts after breast excision surgery due to breast cancer.
  • Those who have asymmetrical breasts due to partial mastectomy.
  • Those whose breast is damaged due to an accident or inflammation.
  • Those who don’t have breasts due to a congenital deformity.

TYPES OF BREAST RECONSTRUCTION

There are two types of surgery to rebuild the breast mound: autologous tissue and implant. A few months after making the breast mound, nipple is made and then tattooed to match the color with the nipple on the other side.

#1 | Breast reconstruction using autologous tissues

Tissues (skin, fat, and muscles) are collected from the lower abdomen, back, or hips, and transferred to the breasts. Autologous tissue creates natural breasts and has no foreign body sensation.

In the case of breast reconstruction using a tissue expander and implants, two surgeries are needed to obtain the breast mound. However, only one operation is enough for breast reconstruction using autologous tissues.
Breast reconstruction using transverse rectus abdominis myocutaneous flap (TRAM Flap), is one of the most common breast reconstruction. Tissues are collected from the abdomen and transferred to the breasts. Patients can see the effect of body contouring as well as breast reconstruction.
In the case of breast reconstruction using latissimus dorsi myocutaneous flap, tissues are collected from the upper back. If the collected tissues are not enough, breast implants may be inserted together.
When using autologous tissue method, two rows of scars are left across the breast. However, JW Plastic Surgery uses a new method to hide one of the two rows of scars under the breast for an ideal aesthetic result.

1.1 | Breast reconstruction using transverse rectus abdominis myocutaneous flap (TRAM Flap)

This is the most common breast reconstruction technique using autologous tissues. It reconstructs the breast while removing the sagging lower abdomen by transferring abdominal skin and fat to the breasts.

1.2 | Breast reconstruction using the latissimus dorsi myocutaneous flap

The Skin, fat, and muscles of the back are transferred to the breasts for breast reconstruction. If the thickness of available tissues is too thin, breast implants may be inserted as well.

#2 | Breast reconstruction using fat grafting

Breast reconstruction using fat grafting is generally performed on those who had a partial mastectomy. But recently, it is also performed on those who had a total mastectomy as well.

Although surgery has a simple advantage, it may not be enough for one operation so that you may need 2-3 procedures for satisfactory results.

#3 | Breast reconstruction using breast implants

This operation method is recommended to:
1
Those who are skinny and have small breasts
2
Those who don’t have enough tissues on the abdomen and back
3
Those who don’t want to use autologous tissues
Types of Breast Reconstruction using Breast Implants
Single-stage reconstruction using breast implantsMulti-stage reconstruction using breast implants

When skin is preserved with only breast tissue has been removed, the single-stage reconstruction method using implants can be performed.

This method is applied when all skin, areola, nipple, and breast tissues are removed.

In order to extend the skin, a tissue expander is inserted, and a saline solution is periodically injected. After the skin is inflated, it is replaced with an implant, and the nipples and areolas are reconstructed later.

 

Step 1
Step 2
Step 3
Step 4

Construction of breast mound using tissue expander

If a lot of breast skin is removed, the tissue expander is placed under the breast muscles, and then a saline solution is injected periodically to extend the breast skin. (It takes about two months)

Replace the tissue expander with a breast implant

2-3 months after the last saline injection, if the tissues are sufficiently extended, the tissue expander is replaced with an appropriately sized implant to shape the breast.

At this time, the other breast may also need the correction such as breast lift surgery, etc., to balance the size, shape, and inframammary fold of both breasts as much as possible.

Nipple reconstruction

Three months after the breast mound is reconstructed, the nipple is made. In the past, some of the dark skin was harvested from the other nipple or the groin for transplantation. Recently, a simple procedure is used to generate the skin on the affected area to create a nipple.

Areola reconstruction and tattooing

Reconstructed the areola and completed the nipple by tattooing the reconstructed nipple and its surroundings with a similar color to the other side.

Recovery from breast reconstruction using breast implants:

1
You can return to normal life two or three days after breast reconstruction using breast implants and one week after breast reconstruction using autologous tissues.
2
You must refrain from heavy exercise such as tennis, swimming, and aerobics, for at least four weeks after an operation.
3
The scars fade about six months after the surgery. In addition, we provide scar treatment to minimize scarring.

FAQ ABOUT BREAST RECONSTRUCTION

Q:Is breast reconstruction safe?

We guarantee an accurate examination, safe anesthesia, precise procedure, and thorough postoperative management. We consider your safety as our #1 priority.

Q:I’m worried about the results.

With accurate and thorough surgical planning for each patient, surgery is performed with the best methods according to each individual’s characteristics.

M.D. Seul Chul-hwan, of JW Plastic Surgery, has performed surgery with a high standard of breast reconstruction surgery based on years of experience and expertise and has achieved stable surgical results.

Q:Is breast reconstruction really necessary?

Recently, the cure rate for breast cancer surgery is quite high; many patients who had breast cancer surgery recover completely and enjoy a healthy life. Of course, patients do not need to undergo breast reconstruction after mastectomy.

However, the loss of losing the breast, the symbol of women, can cause many patients to become depressed as they associate it with a loss of perceived femininity.

Nowadays, breast reconstruction is regarded as a necessary surgery to lead and enjoy a normal life. In addition, breast reconstruction has become available for health insurance coverage since 2015.

Q:Can I havebreast cancer screening after breast reconstruction?

You do not have to worry about breast cancer screening after surgery.

With advanced technology and equipment, breast cancer can be detected even when an implant is used. As the implant is located under the muscle, there is no impact on breast cancer screening.

With more than 20 years of experience, a surgeon specialized in Breast Surgery.

JW surgeon for the Breast has been performing surgery with know-how from various clinical experiences, as well as dedication to achieving the best result by medical research.