Reconstructive surgery

Overview of reconstructive surgery

The aim of reconstructive surgery is to repair tissues after injury or tumour (such as skin or breast cancer), or to improve functionality in the event of scars, injuries from burns or other problems with the tissue covering our body, such as an acquired defect (deformity) or one that is present from birth (malformation). These treatments restore the body's natural and normal appearance. A method widely used in this field is to correct the defect with patches of tissue by transferring or transplanting healthy skin tissue.

Reconstructive surgery on skin cancer or after accidents

Excision of skin cancer

When the defect resulting from the removal of cancer tissue is large or in particular areas of the face, plastic reconstructive surgery is often recommended.

Melanoma and sentinel lymph node

With this tumour, we often remove the first potentially affected node, as well as reconstructing the tissue.

Surgery with tissue patches

This is mainly tissue which has been moved, rotated or reshaped to cover an affected area that would otherwise not heal well or would leave much more visible defects.

Skin transplant

This procedure involves transplanting tissue which is removed and reapplied to an affected area after accidents or burns, and after skin cancer excisions. It requires a base that can ensure its survival.

Breast reconstruction

If surgical removal of the breast is necessary, the patient has the option of reconstruction. We use various techniques ranging from reconstruction with a single implant, an expander and then implants, through to reconstruction with autologous tissue (taken from the body itself).

Where the whole nipple-areola area has to be removed, there is also the possibility of reconstruction. In certain circumstances, the autologous fat transplantation procedure can be used (transferring the person's own fat), which is commonly known as lipofilling.

When removing the breast tumour without removing the entire breast, a certain degree of deformation or asymmetry can be expected; in this case it is recommended to evaluate the possibility of an "oncoplastic" reshaping in the first procedure, or at a later stage.

When reconstructing the breast, just as in the so-called "oncoplastic" procedure, we look at the conformation of the contralateral breast to decide whether there is a need for symmetrisation. The best procedure for each person or situation is determined on a case-by-case basis.