If a woman needs more than tissue rearrangement after a partial mastectomy (lumpectomy),
Tissue replacement procedures follow a partial mastectomy, also known as lumpectomy. If the breast does not have enough remaining tissue, either because the breast is small or because a larger portion of tissue was removed during the partial mastectomy, then the tissue will need to be supplemented from other sources.
Natural tissue reconstruction is one popular way to replace breast tissue after a partial mastectomy. A small flap of tissue can be taken from a donor site such as the back or thigh. That tissue flap is then added to the remaining breast tissue to rebuild the breast mound.
The source of tissue depends on the location of the defect on your breast and the distribution of usable fat on your body.
Both the TDAP and LD flap use tissue overlying the latissimus dorsi muscle, which covers the lower tip of the shoulder blade on the upper back. TDAP flaps do not incorporate this muscle, while LD flaps do. TDAP flaps may be used as pedicled flaps, meaning the tissue stays attached to its origin site and is tunneled under the skin to the breast defect, or as a free flap, where it is detached and its blood supply is microsurgically reconnected in the breast region, similar to a DIEP flap.
The recovery from a tissue replacement depends on the approach used to rebuild the breast. Natural tissue reconstruction will create a second surgical site (the donor tissue site) that needs to heal, while implants will not. Expect that after any partial mastectomy, you will likely have radiation therapy followed by ongoing surveillance to detect the breast cancer if it returns.
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