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

LATISSIMUS DORSI MUSCLE FLAP RECONSTRUCTION + PROSTHESIS + LIPOFILLING

When the patient does not have significant ptosis and agrees to the idea of having an implant, we will use a back skin paddle, vascularized by the latissimus dorsi muscle, combined with an expander prosthesis. Thus we provide a non-irradiated skin paddle 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 reached, we proceed to replace the implants with definitive prostheses together with lipofilling.

DIEP FLAP RECONSTRUCTION USING SUBUMBILICAL SKIN AND FAT TISSUE (MICROSURGERY)

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