Dr. Dale A. Geoffreys

{Dr. Dale A. Geoffreys}{99 Main Rd}{Green Point}{8005}{Cape Town}{South Africa}{(021) 434-9139}
99 Main Rd 8005 Green Point, Cape Town
Phone: (021) 434-9139

021 434 9139

Mon -Fri : 0800 - 1600

Breast Reconstruction

Breasts are inextricably ingrained in the identity of being a woman. It’s a difficult time of your life. You may have just been diagnosed the breast cancer or you have just come out of a long protracted course of chemotherapy and radiotherapy. Whichever stage you’re at, barring any further complications of the cancer, rest assured, you can have your breast back, or at least your own tissue that resembles a breast. You will be able to fill out a bra again. You will be able to go the beach again. And you may even feel like yourself again.
The reconstruction of breasts is a complicated topic. It’s might be best explained by asking a few questions:
1) How long after the removal of my tumour can I have my reconstruction?
You could either have your reconstruction done at the same time as the tumour excision, or it could be done at a later date once all your chemotherapy and radiation courses have completed. Having your recon done at the same time comes with some conditions which Dr Geoffreys will explain to you in detail at your consultation
2) I have a small tumour and big breasts. What kind of reconstruction is suitable for me?

If your tumour is well localized to one part the breast and its is a certain type of tumour called a ductal type, then you and your general surgeon could discuss just removing the tumour and leaving the rest of your breast behind. Of course this is only possible if it completely sure of removing all the tumour. In these cases, radiation is needed without exception.

If this happens, Dr Geoffreys will use the remaining breast and rearrange the tissue around the defect to reconstruct it using techniques very similar to that of a standard breast reduction. This naturally means you will end up with a smaller breast on the tumour side, and therefore the opposite side would also need to be reduced to achieve symmetry. The procedure is called breast conserving therapy (BCT). This will be explained in more detail at your consultation.

3) I am having a complete removal of my breast (Mastectomy). What type of reconstruction could I have?

If you have a mastectomy, 2 options for reconstruction are potentially available. Implant reconstruction or autologous (your own tissue) reconstruction. These 2 are also often combined. The choice really is almost always dependent upon whether you have radiation or not. You will receive radiation depending on the type of tumor, the size of the tumour, and the number of glands under your arm that as tumor inside them. Your general surgeon will explain this in detail to you.
Generally speaking, if you have radiation then an autologous reconstruction is preferred. The reason is that radiation destroys the blood supply to the skin. Implants are a foreign body and are prone to extrude through the damaged irradiated skin and may become infected.
Dr Geoffreys will explain everything in detail at your consultation. Please make a booking here.

If this happens, Dr Geoffreys will use the remaining breast and rearrange the tissue around the defect to reconstruct it using techniques very similar to that of a standard breast reduction. This naturally means you will end up with a smaller breast on the tumour side, and therefore the opposite side would also need to be reduced to achieve symmetry. The procedure is called breast conserving therapy (BCT). This will be explained in more detail at your consultation.

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99 Main Rd, Green Point, Cape Town, 8005, South Africa