It is the simplest reconstruction method.
Breast reconstruction by prosthesis after a mammectomy aims to reconstruct the breast volume and contour by the introduction of an internal prosthesis under the pectoralmuscle. This surgery can be carried out when the quality of the skin and muscle allow it.
There can be two instances of breast reconstruction by prosthesis :
- The operation is carried out at the same time as the mastectomy, it is then called immediate reconstruction
- The operation can be carried out some time after the necessary complementary treatments, it is then called secondary reconstruction.
In both cases, the mastectomy scar is first re-used as an avenue for the reconstruction. Even if it can sometimes be improved, it is impossible to make it disappear.
Breast reconstruction by prosthesis involves the positioning, more often under the skin and the pectoral muscle, an internal prosthesis. This internal prosthesisis, in the simplest cases, a permanent prosthesis. It can, in some cases, be atemporary tissue expansion prosthesis with the purpose of increasing the quantity of covering skin (skin, muscle) for the permanent prosthesis, in order to give a more natural aspect to the reconstructed breast.
Breast reconstruction by prosthesis is never compulsory. The use of an external prosthesis can be sufficiently satisfactory for some women. Reconstruction remains a personal choice.