‘Possible’ to ‘repair’ the scars of breast cancer

Prof. Dr. Naci Karacaoğlan made statements about breast reconstruction (Reconstruction) within the scope of April 1-7 National Cancer Week.


Prof. Dr. Karacaoğlan stated that cancer-related breast loss can cause psychological damage on women, “The breast is a symbol of femininity. It is also an important organ in which the feeling of motherhood and breastfeeding is experienced. Therefore, the breast is an integral part of the female body. Breast loss causes a sense of deficiency, asymmetry and a decrease in feminine behaviors. Breast cancer is one of the most common cancers in women. It is treated by removing all or part of the breast. The purpose of repair is to regain the lost breast. The treatment of breast cancer is applied with a multidisciplinary approach. “It is carried out with the common approach of branches such as psychologists.”


Stating that the most important factor determining the type and time of breast repair is the stage of the cancer and the surgical method to be performed by the general surgeon, Prof. Dr. Karacaoğlan continued as follows:

“Plastic surgery chooses the repair method according to the condition of the remaining breast skin and tissue after breast cancer surgery. Suitable candidates for breast repair are those whose cancer stage is not late and who want to regain their lost or lost breast. Breast repair can be done in two time periods. The second one can be done in time, and the second one can be done after cancer treatment. Regardless of the period of time, if there is enough skin, breast prostheses alone are sufficient for repair. If there is not enough breast tissue left, tissue can be transferred from another part of the person, such as the abdomen, back, etc. We can use both options in combination. ”


Prof. Dr. Karacaoğlan pointed out that if there is enough skin and subcutaneous tissue left after cancer surgery, they only perform repair with breast prostheses. “During cancer surgery, the nipple is preserved in some cases. If there is no chance of protection, the brown ring of the breast, which we call nipple and areola, is made in a period after the repair. After cancer surgery is completed, we reshape and repair the breast by placing a breast prosthesis in the appropriate shape and size, simultaneously taking into account the shape, size and structure of the patient’s other breast. The breast prostheses selected for repair are the current prostheses that have been used for breast augmentation since 1960 and have been technologically developed until today. These are known to have no significant side effects. It is possible to use prostheses for life. If sagging and deformations occur over the years, which can also be seen in normal breasts, it is possible to correct these problems without removing the prosthesis, ”he said.


Prof. Dr. Karacaoğlan continued his evaluations as follows:

“If there is not enough skin and subcutaneous tissue left after cancer surgery, then we can repair the person using the tissues we call flap. One of these is the technique where we move the back area, muscle and skin to the diminished breast side and place prosthesis under it to create additional volume. While compensating, the lost breast volume and size are also provided with the prosthesis.If there is an asymmetry with the opposite breast with the nipple and areola at a later time, the opposite breast can also be treated to provide symmetry. Breast can be made from the person’s own tissue. These tissues are transported to the breast area by using microsurgical techniques in the form of pedicled or free tissue. These transported tissues are reshaped in a second session and the final shape of the breast is given. ”


Stating that a good planning should be done before breast repair operations, Prof. Dr. Karacaoğlan said, “The repair technique to be applied should be decided by considering the cancer surgery technique to be performed, the stage of the cancer, whether chemotherapy and radiotherapy will be applied in the treatment, and the age and expectation of the patient. Regardless of which technique is decided, surgery should be started by making absolute planning and drawings before surgery. Patients who are kept in the hospital for a day or two after the surgery are followed up closely after discharge. During the follow-up process, timing and planning for the second session aesthetic repairs are made and the final shape of the breast is given. At this stage, the reconstruction process is completed by achieving breast symmetry and making the tip and aerola of the repaired breast ”.