{"id":90,"date":"2017-10-18T03:02:02","date_gmt":"2017-10-18T05:02:02","guid":{"rendered":"http:\/\/www2.cirurgiaplastica.org.br\/?p=90"},"modified":"2017-10-27T01:23:41","modified_gmt":"2017-10-27T03:23:41","slug":"a-reconstrucao-da-mama","status":"publish","type":"post","link":"https:\/\/www.cirurgiaplastica.org.br\/en\/a-reconstrucao-da-mama\/","title":{"rendered":"A reconstru\u00e7\u00e3o da mama"},"content":{"rendered":"<p>Breast reconstruction is achieved through various plastic surgery techniques that attempt to restore the breast to its shape, appearance and size after mastectomy.<br \/>\nAs etapas do procedimento s\u00e3o:<\/p>\n<p><strong>Step 1 \u2013 Anesthesia<\/strong><br \/>\nMedications are administered for your comfort during the surgical procedure. Options include intravenous sedation and general anesthesia. Your doctor will recommend the best option for you.<\/p>\n<p><strong>Etapa 2 \u2013 T\u00e9cnicas de retalhos com m\u00fasculo, gordura\u00a0e pele pr\u00f3prios da paciente para criar ou cobrir o local da mama<\/strong><\/p>\n<p>Sometimes a mastectomy or radiation treatment can leave insufficient tissue in the chest wall to cover and support the breast implant. The use of breast implants for reconstruction almost always requires one or more flap or tissue expansion techniques.<\/p>\n<p>The TRAM flap uses muscle, fat and skin from the patient's abdomen as donors to reconstruct the breast. The flap can remain with the original blood supply and be tunneled to be positioned in the rib cage or completely separated to form the new breast.<\/p>\n<p>Alternatively, the surgeon may choose DIEP, or SGAP flap techniques, which do not use muscle but rather tissue from the posterior chest or buttock.<\/p>\n<p>The latissimus dorsi flap uses muscle, fat and skin tunneled at the mastectomy site, remaining with its original blood supply.<\/p>\n<p>Occasionally, the flap can reconstruct the breast, but often it provides the muscle and tissue needed to cover and support the breast implant.<\/p>\n<p><strong>Step 3 \u2013 Expansion of healthy skin to cover a breast implant<br \/>\n<\/strong><br \/>\nReconstruction with tissue expansion allows faster recovery than procedures using flaps, however, it is a longer reconstruction process. This procedure requires many visits to the office, for 4 to 6 months, after placing the expander, to inflate it through an internal valve and expand the skin. A second surgical procedure will be necessary to replace the expander, which is not designed to serve as a permanent implant.<\/p>\n<p><strong>\u00a0Stage 4 \u2013 Breast implant placement surgery<br \/>\n<\/strong><br \/>\nO implante mam\u00e1rio pode ser um complemento ou uma alternativa para t\u00e9cnicas de retalhos. Implantes de silicone est\u00e3o dispon\u00edveis para a reconstru\u00e7\u00e3o.\u00a0O cirurgi\u00e3o ir\u00e1 lhe ajudar a decidir qual alternativa \u00e9 melhor para voc\u00ea. Reconstru\u00e7\u00e3o com implantes geralmente requerem expans\u00e3o de tecido.<\/p>\n<p><strong>Stage 5 \u2013 Grafts and other specialized techniques to create the nipple and areola<br \/>\n<\/strong><br \/>\nA reconstru\u00e7\u00e3o da mama \u00e9 finalizada atrav\u00e9s de uma variedade de t\u00e9cnicas para reconstruir o mamilo e a ar\u00e9ola.<\/p>","protected":false},"excerpt":{"rendered":"<p>A reconstru\u00e7\u00e3o da mama \u00e9 conseguida atrav\u00e9s de v\u00e1rias t\u00e9cnicas de cirurgia pl\u00e1stica que tentam restaurar a mama considerando-se a forma, a apar\u00eancia e o tamanho ap\u00f3s a mastectomia. As&#8230;<\/p>","protected":false},"author":1,"featured_media":627,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[],"class_list":{"0":"post-90","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-noticias"},"_links":{"self":[{"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/posts\/90","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/comments?post=90"}],"version-history":[{"count":3,"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/posts\/90\/revisions"}],"predecessor-version":[{"id":604,"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/posts\/90\/revisions\/604"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/media\/627"}],"wp:attachment":[{"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/media?parent=90"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/categories?post=90"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cirurgiaplastica.org.br\/en\/wp-json\/wp\/v2\/tags?post=90"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}