In cases where the patient has undergone radiotherapy, or when her breasts are of moderate volume, we will use her own tissues for breast reconstruction.

RECONSTRUCTION USING LATISSIMUS DORSI MUSCLE FLAP + IMPLANT + LIPOFILLING

When the patient does not present significant ptosis and accepts the idea of having an implant, we will use a skin flap from the back, vascularized by the latissimus dorsi muscle, combined with an expansion implant. This allows us to provide non-irradiated skin that will withstand skin expansion. The procedure lasts three to four hours under general anesthesia with a one-week hospital stay. Once the desired volume is achieved, we proceed to replace the implants with definitive prostheses combined with lipofilling.

RECONSTRUCTION USING SUB-UMBILICAL FAT AND SKIN TISSUES (MICROSURGERY): DIEP

When the patient has undergone radiotherapy, has large-volume breasts, or does not wish to have implants, we use sub-umbilical skin and fat. This tissue flap is harvested with its vascular pedicle, which will be sutured under a microscope to the thoracic vessels. This is a free DIEP flap (Deep Inferior Epigastric Perforator flap). This procedure is considered the gold standard for breast reconstruction. Indeed, it does not weaken the abdominal wall and provides the most natural breast reconstruction in terms of both appearance and feel. A secondary advantage is performing an abdominoplasty during the same operation. It requires five to six hours of surgery under general anesthesia with a one-week hospital stay.