(extremely rare) Lymphoma: if the implants have had bad press in recent years, however, we must remain reasonable. "They are a very good indication in some cases, such as Angelina Jolie who has chosen to do a double preventive mastectomy," says Dr. Fabien Reyal, a surgeon at the Institut Curie. But other methods, without aids, develop. The point with this specialist in breast surgery.
Lipofilling"We performed liposuction. The fat thus recovered is filtered or centrifuged and re-injected into the breasts to fully remodel (or to improve the appearance of a reconstruction). But this method requires that the patient has a good quality skin, and enough fat. Part of it is reabsorbed by the body, regular "touch-ups" will be needed to stabilize the volume. "The DIEP"Skin, fat, and vessels that supply them are taken from the pubic triangle. The breast is reshaped with this cutaneous fat flap. A few months later, the surgeon reconstructs the nipple and areola with a skin graft (taken off of the labia). Cosmetic results are remarkable. But for the method to be feasible, the abdomen should be soft, well vascularized and included enough fat. "The technique of the latissimus dorsi flap"If Diep is not possible, we can do a reconstruction using a muscle flap. In most cases, modifying the trajectory of the latissimus dorsi, skin and the fat that cover it, to bring it on the breast and reconstruct the breast. It is also possible, but this time the fee thoroughly, using a muscle of the inner thigh. The intervention is certainly much more invasive than a DIEP, but the results are satisfactory in the long term. "
