The breasts: made of skin, fatty tissue, glandular tissue and fascia; highest locality of cancer in women; most often curable, since discovered early. Preventive examination of cancer is indispensable.

“In terms of body expression, the breasts are for the woman just as the penis is for the man.” The breasts are of great importance for the preservation of the psychological integrity of the woman.

The biggest cause of breast mutilation is cancer, where the mastologist (cancerologist) is forced to either totally or partially amputate the breast to extirpate the disease (there are other causes such as burns, abscess, etc., which also mutilate the breasts, but are much less statistically significant).

In cases of cancer, formerly the routine used to be total amputation and there was no immediate breast reconstruction. This led to a terrible period in the life of the woman, who, in addition to the great uncertainties because of her illness, carried the loss of one of its most important organs, the symbol of her gender and femininity.

Today, the treatment of breast cancer is multidisciplinary, involving the clinical oncologist, radiotherapist, pathologist, physiotherapist, psychologist, etc., and the indispensable binomial, mastologist and plastic surgeon.

In the operation of breast cancer, either to rebuild the breast immediately or even for support, the plastic surgeon working alongside the mastologist, is essential to plan and prepare the field for late reconstruction.

Percentage of incidence of breast tumors distributed by quadrants.

MAMMARY RECONSTRUCTIONS

Classification:

  • Total reconstructions;
  • Partial reconstructions.

Total breast reconstructions: apply to cases in which the mastologist or cancerologist remove the entire breast for the treatment of the disease. Here, we have the following basic techniques:

  • TRAM (transverse myo-cutaneous abdominal flap);
  • Retail of the large dorsal muscle;
  • Expanders;
  • Other flaps.

Partial breast reconstructions: for cases in which the mastologist remove part of the breast (quadrantectomies).

The basic techniques are:

  • Plug-Flap;
  • Other flaps.

Breast reconstruction technique presented by Dr. Daher in 1980, of silicone placement under the muscle and total skin graft over it. It is indicated in cases where quick and less invasive treatments are desired.