Breast Reconstruction or other treatments in Finland
- Below there are two examples from Clinic Helena’s Website. You can read more from www.clinichelena.com
Reconstructive surgery after breast cancer
- A breast can be reconstructed after the patient has fully recovered from cancer treatment. This usually takes 1-2 years. For patients with high-risk cancer, it is recommended to allow three years for recovery.
- There are various methods of breast reconstruction. The choice of the method depends on the patient’s state of health, general condition and age as well as on her own wishes and on the extent of any previous surgical procedures in her abdominal area.
- Breast reconstruction using the patient’s own tissue (autografts) gives the best result. Implants, tissue expanders and fat transfer are also highly-developed techniques and offer a feasible option for slim patients who have little tissue of their own to be used for transplantation.
Microneurovascular Free Muscle-Sparing TRAM-reconstruction of the breast
- The MS-FLAP (Transverse Rectus Abdominis Myocutaneous flap) is the best transplant for breast reconstruction after mastectomy. It is soft and can acquire the necessary shape. It is possible to reconstruct a round and, if necessary, large breast from it.
- Since 2001, Helena Puonti has been developing a method that allows the restoration of a high degree of sensation to the breasts after FREE MS-TRAM-reconstruction. Doctor Puonti finished her study with a dissertation in 2017 and the research included 100 patients.
- Her research has shown that even one nerve of the MS-TRAM flap sutured to a healthy nerve of the breast area can bring normal skin sensation to a new breast. With 2 nerve coaptations of the flap the sensation recovery improved even further. On average the sensitivity recovery in the whole group was 60% of a normal breast sensation. Unfortunately, radiotherapy and surgical scarring may also influence on the recovery of the nerves in the mastectomy area.
- The shape of the newly reconstructed breast is important for the patient’s quality of life. Even more important is the fact that the breast that also feels.
- Microneurovascular MS-TRAM reconstruction patients before and after the operation.
- After the nerves are connected, sensation is restored to the TRAM breast to a much greater extent and, according to research, is on average equivalent to half of the normal breast sensation. However, there are cases of complete recovery in which the breast gains normal sensation.
- Helena Puonti’s research is state-of-the-art globally and forms the basis for the PhD thesis she finished in 2017.
- The sensation in the reconstructed breast returns gradually. The first signs of sensation appear within about seven months after the nerves are sutured, and then skin sensation – sensitivity to cold, heat and pain – gradually starts returning.
- What is important is that joining the nerves does not cause pain to the patient. On the contrary, after the use of the reconstructive microneurovascular technique there is less pain in the TRAM breast compared to traditional methods of surgery without suturing the nerve endings.
If you are interested in having an operation in Finland, send us an email
- We will make an appointment to meet you first and share the information and the process.