What are the risks and disadvantages of breast reconstruction?
The pain varies depending on the intervention, and also personal tolerance. Due to distension of the pectoralis major muscle in the breast implant, it is quite important the first days. Analgesics to remedy generally well (paracetamol, anti-inflammatory, never aspirin).
Postoperative edema and bruising are normal. Latter usually disappear within 3 weeks.
A flap necrosis, more or less extensive, may occur when an inadequate intake of blood (ischemia), the risk is greater if the flap is large or if the patient is a smoker.
The risk of pulmonary embolism, phlebitis and is limited by wearing stockings, sunrise early or anticoagulant therapy.
Complications of the prosthesis are cracking or rupture of the implant, or the formation of a capsular: fibrous scar reaction around the prosthesis which can deform the breast or be painful to change the prosthesis or the permanently remove.
The pedicled rectus muscle of the abdomen brings some advantages: in large volume without prosthesis, more natural and stable, silhouette enhanced by abdominoplasty, but also disadvantages: the heaviness of the operation (4 to 7 hours of general anesthesia), hospitalization (10-15 days) with thromboembolic risks, haemorrhagic necrosis and higher, the larger scars.
What are the time, cost and reimbursement for breast reconstruction?
After cancer, intervention is supported 100% by Social Security: with the exception of breast symmetrization will be handled on a case by case basis.
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