Breast reconstruction

Today, breast cancer is the most common form of cancer in women, and is the second most common cause of death after lung cancer. 29% of all cancers in women are breast cancer.

Today’s breast cancer therapy includes surgical treatment and radiotherapy, and if necessary, chemotherapy, which is decided by the oncologist, as well as whether the entire breast needs to be removed, or just a part of it. Surgery is considered the primary treatment for breast cancer.

After removing the breast, a defect remains. This defect is both an aesthetic and an emotional defect for a woman. Wearing different types of breast implants is not an adequate substitute for a woman.

All over the world, the trend is that after breast removal, breast reconstruction is performed with the same or a subsequent operation. Breast reconstruction can be performed in several ways, depending on the patient’s constitution, lifestyle, and the patient’s wishes.

Breast reconstruction with implants and expander implants

This form of breast reconstruction is done with the help of silicone implants that are placed under the pectoral muscle. Depending on the indication, operative treatment can be performed using several types of implants (ordinary implants, expander implants, Becker implants). It represents the simplest form, which is its advantage. Disadvantages are the possibility of aesthetic breast asymmetry, thin implant cover, complications in the form of capsule formation.

Breast reconstruction using a muscle flap (latissimus dorsi flap)

This form of reconstruction is done with a bound muscle flap (m. latissimus dorsi) in combination with or without a permanent silicone implant. The advantages of this operation are the shorter duration of the operation compared to free microvascular flaps, an adequate cover for the implant and simpler symmetrization of the breasts. Disadvantages are the possibility of creating a capsule around the implant, possible weakness of the arm due to lack of muscle function.

Breast reconstruction with a free muscle flap diep

DIEP (Deep Inferior Epigastric Perforator Flap) is a method by which the breast is reconstructed with a free flap of stomach tissue, and the muscle is preserved almost entirely. This form of breast reconstruction represents the most demanding method of reconstruction, which is done with the help of microsurgical techniques. The breast is formed from the tissue of the abdominal wall, which is used as a free muscle flap, and in addition, you get a free tummy tuck (abdominoplasty type).

The advantages of this method are that one’s own tissue is used for breast reconstruction, and it is not necessary to use implants, a natural aesthetic result after surgery. The disadvantages of the method are the difficulty of performing the operation, as well as its length, possible tissue deterioration, as well as a narrow selection of patients, considering underweight or overweight (BMI).

Preoperative preparation

Checking the general state of health and basic laboratory analyzes is mandatory for all patients. It would be desirable to stop smoking and taking medicines and preparations that affect blood coagulation. During the preoperative preparation, photo documentation is made, which is supplemented with photos during and after the operation, as well as during dressing.


  • Anesthesia: All breast reconstruction surgeries are performed under general endotracheal anesthesia.
  • Duration: Depending on the chosen method of reconstruction, the operation lasts from 90 to 300 minutes.

Postoperative course

All general surgical complications are possible, such as bleeding, hematoma formation, swelling, bruising, infection, as well as tissue ischemia and necrosis if it is a reconstruction with free flaps. Our friendly staff will explain all the steps to you.


Complications may include bleeding, hematoma formation, swelling, bruises, infection, and minor irregularities. We will give you realistic information about what the reconstruction can and cannot achieve so that you can make an informed decision.

Reconstruction with implants is associated with a greater number of complications (infections, extrusions, capsular contractions) in patients who underwent radiotherapy. Most patients who undergo breast reconstruction using inserts will also have to undergo a procedure to modify the other breast so that the breasts are the same shape and size.

Find out more information about prices of this surgery

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