02 February 2009Presse

Breast Reconstruction – Options for Rebuilding

Following breast cancer treatment, reconstruction represents an important step back into life for many patients. Thanks to modern techniques, the shape of the breast can be restored – individually tailored to the patient's body and course of therapy.

Planning is Teamwork

Oncologists, radiation therapists, and plastic surgeons work closely together. We analyse skin quality, remaining tissue, and the healthy contralateral side. This results in a bespoke concept that restores symmetry and sensuality.

Reconstruction with Implants

A tissue expander is often used initially to gradually stretch the skin. It is then replaced with a permanent implant. The advantage is that the procedure is comparatively brief and scarring remains limited. Regular check-ups and good care of the breast skin are important.

Reconstruction with Autologous Tissue

With autologous tissue transfers, we use skin and fatty tissue from the lower abdomen (DIEP flap), back (latissimus dorsi), or buttocks. This method provides a very natural feel and adapts to changes in weight. However, it requires a longer operation and leaves scars at the donor site.

Finishing Touches & Nipple Reconstruction

After reconstruction, smaller procedures often follow: adjustment of the healthy breast, lipofilling to correct minor contour irregularities, or nipple reconstruction – for example with local flaps and medical tattooing. This creates a harmonious overall result.

Aftercare & Quality of Life

Compression garments, lymphatic drainage, and a targeted exercise programme support healing. Regular follow-up appointments provide reassurance. Many patients report increased self-confidence and a renewed sense of body awareness.

FAQ

When does breast reconstruction begin?

Depending on the tumour therapy, reconstruction can take place immediately (primary) or after the completion of treatment (secondary). We decide this together with oncologists.

Which methods are available?

Implants, expanders, autologous tissue (e.g. DIEP, latissimus dorsi, or SIEA flaps), or combinations thereof. The choice depends on the tissue situation and the patient's wishes.

How is the nipple reconstructed?

After successful reconstruction, the nipple can be recreated using local flap techniques or tattoo pigmentation – often in a brief procedure.

Do health insurers cover the costs?

Yes. Reconstructive procedures following breast cancer are part of medical care and are covered by both statutory and private health insurers.

Über den Autor

Dr. med. Karl Schuhmann

Dr. med. Karl Schuhmann

Facharzt für Plastische und Ästhetische Chirurgie & Handchirurg

Mit mehr als 30.000 Eingriffen und mehrjähriger Tätigkeit als Chefarzt führt Dr. Schuhmann seit 2016 als Gründer von artethic® seine Praxen in Düsseldorf und Berlin.

Das könnte Sie auch interessieren