Breast Reconstruction

Breast cancer not only threatens a woman’s life and health but also steals her femininity, leaving her with the stigma of having had destructive and mutilating surgery. Breast reconstruction forms part of a woman’s journey to wholeness, after being diagnosed and treated for a potentially life threatening disease.

Breast Reconstruction Surgery

Breast reconstruction is a physically and emotionally rewarding procedure for women who have lost one or both breasts due to genetic susceptibility or breast cancer. When faced with a mastectomy, it’s normal to feel anxious, sad and uncertain about giving up a part of your body. Your breasts may be closely tied to your sense of femininity, your sexuality, your confidence, your self-image and, if you have breastfed children, your experience of motherhood.

The extent of breast reconstructive surgery is determined by the extent of the cancer surgery viz.:  .partial mastectomy/ lumpectomy ( partial removal of a breast)

  • subcutaneous mastectomy( removing breast tissue but leaving the breast envelope and the nipple/areola behind.)
  • complete mastectomy( removal of the entire breast together with the nipple/ areolae) Sometimes immediate reconstruction at the time of the mastectomy can be performed.

In other cases, it is best to delay reconstruction until all cancer treatment has been completed.

Breast Reconstruction Options

Immediate reconstruction:

  • Prosthesis, with or without tissue expansion
  • Lattisimus Dorsi back flap with breast implant
  • Abdominal TRAM flap
  • Abdominal DIEP free flap

Delayed breast reconstruction:

  • Prosthesis, with or without tissue expansion
  • Lattisimus Dorsi back flap with breast implant
  • Abdominal TRAM flap
  • Abdominal DIEP flap

Improve Your Appearance

Speak with a specialist or schedule a consultation today.

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Your IVF Fertility Journey

Scheduling a fertility consultation with one of our fertility expert gynecologists:

  • Dr Richard Joubert 013 7457605
  • Dr Pieter Steyn 013 7552106
  • Dr Wilhelm Combrink 013 7457988
  • Dr Jean Nel 013 7458054

*Your fertility journey timescale might differ from the one described here.

  • 1

    The fertility specialist will do all necessary tests and evaluations on you as a couple in order to make a fertility treatment diagnosis.

  • 2

    To start the treatment program you will call the fertility specialists rooms on the first day of your next menstruation.

  • 3

    You will see the fertility specialist on day 2 or day 3 of your cycle for a sonar examination to determine the state of the ovaries and uterus before you start taking the medication. The specialist will explain how the stimulation drugs are used henceforth on your own or with the help of your partner.

  • 4

    Your next appointment will be on day 8 or 9 of your cycle. The Doctor will again do a sonar to see how your ovaries have responded to the stimulation and he will start monitoring them in terms of count as well as diameter. You will also be sent for blood tests to correlate the hormonal value increase with the number of developing follicles on the ovaries.

  • 5

    Once the biggest follicle measures more than 20mm in diameter, the doctor will determine the day of aspirating the mature eggs and a trigger drug will be administered to mature the eggs.

  • 6

    In the meantime, you will be referred to Surgiclinic Fertility to open your file and hospital admission. Your eggs will be harvested 36 hours after taking the trigger drug. This is usually scheduled for 9pm at night so we can do the harvest around 8am 36 hours later. You need to be fasting from the previous night and report to Surgiclinic Private Hospital at 7am sharp to be ready for the aspiration procedure scheduled for 8am

  • 7

    The anesthetist will give you conscious sedation to not feel any pain or discomfort while the oocytes are harvested. This process is the same as when the doctor monitored your follicles in the rooms with the only difference that the aspiration needle is now attached to the sonar probe.

  • 8

    In the meantime, your partner needs to be available on the day of aspiration to give a very much needed sperm sample. He is usually expected to have 3 to 5 days of sexual abstinence to give a good sample by means of masturbation. There is a special private facility close to the IVF lab where he will find all that is needed to do his very important part in this procedure.

  • 9

    Once all the follicles are aspirated the doctor will put a small armband around your wrist with the exact number of eggs retrieved written on it. You will be served some tea and toast once you wake up.

  • 10

    You should be ready to go home at around 10am. Try to rest at home and do not plan any other activities as you might not feel up to it. There might be some lower abdominal discomfort as well as bleeding.

  • 11

    The embryologist will continue the preparation of both eggs and sperm sample to be able to do the fertilisation on the very same day the aspiration has taken place.

  • 12

    Each morning the embryologist will evaluate the development of the eggs starting with fertilisation to embryo development. You will receive a Whatsapp picture every day to explain what they look like at that time.

  • 13

    The fertility specialist will decide when the embryo transfer will be, either day 3 or day 5 of development.

  • 14

    You and your partner will be expected to report to Surgiclinic Fertility an hour prior to embryo transfer.

  • 15

    Your partner will sit next to you while the embryos are transferred by sonar guidance. The Doctor will give you a note to do a pregnancy test, usually 14 days after the oocyte harvest took place. This is a blood test and all values above 25 are considered positive and repeated within 48 hours to ensure an ongoing value.

  • 16

    When your test is positive, we will contact you for an appointment for the first scans at 7 weeks into your pregnancy. Celebrate and rest a lot.