Breast reconstruction after mastectomy in one operation


Globally, thousands of women are faced with breast cancer every year, as it is the most common type of cancer that women in the Western world experience.

It is estimated that approximately 1 in 8-9 women will develop breast cancer at some point in their lives.

Key issues that a woman with breast cancer has to deal with are recovery, oncology, and the aesthetic result after surgery.

Mastectomy patients seek immediate recovery, maximum safety, and a perfect aesthetic result that will look as natural and uniform as possible, with minimal scarring.

The solution to this issue is provided by an innovative technique of mastectomy and immediate recovery in which state-of-the-art polyurethane inserts are used.

The technique
Breast Surgeon, Mastologist Ioanna Galanou performed a double mastectomy surgery with immediate reconstruction which was done with scars of a few centimeters, not on the breast area but specifically in the submammary fold, one centimeter below the breast area. In the surgery, the nipple and the upper areola are preserved, because a rapid biopsy is always performed in this area, and in 20 minutes we know the result if it is negative for cancer cells. Only in the case of malignancy is the nipple area removed.

State-of-the-art polyurethane inserts were used over the pectoralis major muscle without the use of mesh. These inserts have the advantage compared to the rest of not breaking, eliminating the risk of creating a capsule and not changing anatomical position.

Advantages of the method
The advantages of this method of mastectomy and immediate recovery at the same time are that it is a bloodless surgery, that there is no postoperative pain, that the patient can be discharged on the same day, that she can continue her daily life and professional obligations and soon return to sports activities. Also, this method does not use synthetic or biological meshes that could create problems in the post-operative stage, such as not being accepted by the body itself or an increased risk of complications such as seroma, hematoma or infection.

Breast cancer can affect a woman’s sexuality, femininity, identity and personality. This method makes the experience less traumatic by stimulating the woman’s psychology without losing her self-esteem.

In which patients is it applied?
This mastectomy technique is applied to all ages in young as well as elderly patients:
– who have breast cancer in different quadrants of the breast (ie breast cancer occurs in different areas of the breast itself).
– In women who have a gene mutation, with the most important genes being BRCA1 and BRCA2. The frequency of specific genes in breast cancer is 5%-7%. These women have an increased risk of developing breast cancer (50%-85%) and ovarian cancer (15%-40%). In this case the technique is used as a prophylactic mastectomy to prevent the high probability of future occurrence of breast cancer.
– In women who have small or medium breast size.

How natural is the result?
Before the surgery, a pre-operative planning is done and we decide together with the patient if she wants her breast volume to increase or remain the same. Patients are very happy with the aesthetic and oncological result. The end result looks like an aesthetic plastic surgery and not a reconstruction because the scar on the breast is non-existent and the patient gets the tumor she always wanted.

At MITERA, the technique of immediate restoration after mastectomy is applied, with an excellent oncological and aesthetic result, by breast surgeon Dr. Ioanna Galanou, who applied it at the Regina Elena IFO European Oncology Center in Rome.

She writes:
Dr. Ioanna Galanou
Breast Surgeon – Mammologist
Scientific Associate MITERA

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