ID Sein

After breast-conserving treatment

The Aesthetic Sequelae of Breast-Conserving Therapy (ASBCT) are less common after using plastic surgery techniques to reshape the breast after removal of the tumour. Removing the tumour and dealing with the cosmetic consequences at the same time, is called oncoplastic surgery.

The sequelae (consequences) include :

  • asymmetry of the breasts: the treated breast is, in general, smaller and less drooping (less 'ptotic') than the other one ;
  • breast deformities related to the lumpectomy.

Treatment consists of :

  • correcting the treated breast using filling (fat transfer), scar reversals, moving the areola, etc;
  • modifying the other breast to improve symmetry (reducing the size, correcting ptosis, changing the shape, etc.).

New technique: Filling

The use of filling (fat transfer, fat grafting) provides very good results. The fat is removed using liposuction on the stomach, hips or thighs of the patient, then injected into the breast. It is often necessary to do two fillings, with at least two months in between.

The filling technique has been practiced for around ten years in several countries. Studies conducted on patients who had recourse to this method show that there was no effect on the development of the disease.

Practical details

  • The procedure takes 30 to 45 minutes.
  • General anaesthesia.
  • The procedure is done on an outpatient basis (the patient leaves the same day).
  • This procedure is virtually painless with regard to the breast; sometimes it is slightly painful in the area where the fat is removed.
  • Dressings are kept on for 3 days.
  • The convalescence period is 1 to 3 days
  • There must be an interval of 2 months between each filling.

A possible complication

The filling treatment sometimes causes the formation of small, palpable cysts or nodules that are easily identified using ultrasound, and are completely benign. However, they do disrupt the clinical examination: the doctor or gynaecologist who identifies them by palpation will prescribe additional tests as any breast lump requires investigation, whether it is following cancer or in a patient with no cancer history. Once the nodule has been found and identified, it is not usually necessary to remove it.

  • Filling of the left breast and right breast

  • Right breast filling

  • Right breast filling

  • Left breast reduction and recovery

  • Filling and recovery of left breast scar

  • Filling and recovery of left breast scar

  • Filling and recovery of left breast scar

  • Left breast filling

  • Left breast filling and recovery of scars

  • Left breast reduction and recovery

  • Right breast reduction and recovery

  • Left latissimus dorsi flap

  • Left latissimus dorsi flap

  • Right latissimus dorsi flap

  • Implanting prostheses on both sides

  • Latissimus dorsi flap

Secretary of Dr I. Sarfati

Phone : 01 45 63 01 02

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