Breast Reconstruction: A Two-Pronged Approach

Mastectomy and Implant Reconstruction

As a breast surgeon, Dr Masannat primary focus is on performing mastectomies. If a patient desires reconstruction with an implant, he personally places the implant. However, when it comes to free flap reconstructions, a different set of skills is required.

Microvascular Surgeon’s expertise

Free tissue transfer for breast reconstruction necessitates the expertise of microvascular surgeons or plastic surgeons specializing in microvascular surgery. These specialists borrow tissue from other parts of the body to construct a new breast. The most common donor site is the abdomen, essentially performing a “tummy tuck” procedure.

Connecting Vessels: A Delicate Process

During the reconstruction, the surgeon meticulously connects the small blood vessels from the abdomen to those in the chest or armpit, ensuring a continuous blood supply to the transplanted tissue. This intricate process involves suturing these tiny vessels together with great precision.

A State-of-the-Art Approach

The transferred tissue, primarily composed of fat and skin from the abdomen, forms the new breast. This free flap technique represents a cutting-edge approach to breast reconstruction, becoming increasingly accessible worldwide. Its success depends heavily on the specialized skills and expertise of microvascular surgeons.