Wed, 21 Dec 2011 00:54:36 GMT — WHAT IS A MASTECTOMY? Mastectomy is surgery to remove all breast tissue from a breast as a way to treat or prevent breast cancer. Only high-risk patients have surgery to prevent cancer. There are four main types.
Total mastectomy - removal of breast tissue and nipple
Modified radical mastectomy - removal of the breast, most of the lymph nodes under the arm and often the lining over the chest muscles
Lumpectomy - surgery to remove the tumor and a small amount of normal tissue around it
Radical mastectomy - the removal of the breast, lymph nodes and chest muscles. This is no longer common
The surgery you have depends on the stage of cancer, size of the tumor, size of the breast and whether lymph nodes are involved. Newer mastectomy techniques can preserve breast skin and allow for a more natural breast appearance following the procedure. Surgery to restore shape to your breast " called breast reconstruction " may be done at the same time as your mastectomy or during a second operation at a later date. (mayoclinic, www.nlm.nih.gov) BREAST RECONSTRUCTION: Many women have breast reconstruction after a mastectomy. Some find that reconstructive surgery makes them feel or look more like themselves. Other women find that it helps them deal with the cancer emotionally. Several types of operations can be done to reconstruct your breast. You can have a newly shaped breast with the use of a breast implant, your own tissue flap, or a combination of the two. (A tissue flap is a section of your own skin, fat, and muscle which is moved from your tummy, back or other area of your body to the chest area). You can decide if you want to have your nipple and the dark area around the nipple (areola) reconstructed. Nipple and areola reconstructions are optional and usually the final phase of breast reconstruction. This is a separate surgery that is done to make the reconstructed breast look more like the original breast. It is usually done after the new breast has had time to heal. (www.cancer.org) BRAVA: BRAVA is the first clinically proven approach to breast enlargement that actually grows a woman's natural breast tissue, without surgery, pills or creams. The System applies a gentle three-dimensional pull, which places the breast under tension. This very gentle, sustained tension causes the cells to respond by replicating. With the BRAVA System, the outcome of proper usage is new breast tissue, resulting in larger, fuller breasts. Controlled trials have shown that BRAVA can effectively enlarge the breast without surgery. However, satisfaction with the results has varied among doctors and patients. Dr. Roger K. Khouri is currently recruiting for a clinical trial in Miami, FL. The trial is to is to determine whether use of a negative pressure external soft-tissue expansion system (BRAVA) pre-operatively and post-operatively improves and secures graft survival in autologous fat micro grafting breast augmentation and reconstruction procedures. (www.brava.com, www.clinicaltrials.gov) For More Information, Contact: Bronwyn Kohn(407) firstname.lastname@example.org
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