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Breast ReconstructionFollowing mastectomy, many women choose to have a breast reconstruction. Reconstructive breast surgery involves rebuilding the woman's breast using an implant or tissue from another part of the body. Sometimes reconstruction is performed at the same time as the mastectomy operation and sometimes it involves additional surgery at a later time. Over the last decade, techniques for breast reconstruction have greatly improved and there is now a better understanding of the risks and benefits of the procedure. If breast reconstruction is a consideration, it is recommended the woman talks to her surgeon before the mastectomy. It may also be useful to talk to other women who have had breast reconstruction to give a realistic expectation about the results. There are many methods for breast reconstruction. The two most common are:Tissue Expander - Breast implants This is the most common technique used worldwide. The surgeon inserts a tissue expander beneath the pectoralis major muscle of the chest wall. In a process that can take weeks or months, saline solution is injected to progressively expand the overlaying tissue. Once the expander has reached an acceptable size, it may be removed and replaced with a more permanent implant. Reconstruction of the areola and nipple are usually performed in a separate operation after the skin has stretched to its final size. Flap reconstruction The second most common procedure uses tissue from other parts of the patient's body, such as the back, buttocks, thigh or abdomen.
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