Flat closure after mastectomy
Flat Closure after Mastectomy is a surgical procedure that follows a mastectomy, which is the removal of one or both breasts, partially or completely, usually as a treatment for breast cancer. Flat closure is considered a form of reconstructive surgery, aimed at creating a smooth and contoured chest wall after breast removal. Unlike traditional breast reconstruction, which may involve the use of implants or autologous tissue to recreate the breast mound, flat closure focuses on the aesthetic and functional aspects of the chest without creating a new breast form.
Overview[edit | edit source]
Following a mastectomy, individuals may choose flat closure for various reasons, including personal preference, health considerations, or as a result of complications from previous reconstruction attempts. This procedure is significant for those who seek a non-gendered chest appearance or for whom additional reconstructive surgeries pose too great a health risk.
Procedure[edit | edit source]
The flat closure procedure involves the careful shaping of the chest wall to ensure a smooth, flat appearance. Surgeons remove excess skin and tissue and may reposition the remaining skin to cover the area where the breasts were located. The goal is to minimize scarring and achieve a natural-looking chest contour. The procedure requires meticulous planning and execution to address individual variations in anatomy and patient expectations.
Postoperative Care[edit | edit source]
Recovery from a flat closure after mastectomy involves managing pain, monitoring for signs of infection, and caring for surgical drains that may be placed to remove excess fluid from the surgical site. Follow-up appointments are crucial for assessing the healing process and addressing any complications. Emotional support and counseling may also be beneficial, as the physical changes can significantly impact mental health and body image.
Considerations[edit | edit source]
Choosing flat closure after mastectomy is a personal decision that can be influenced by many factors, including lifestyle, aesthetic preferences, and medical advisability. It is important for individuals to discuss their options with a healthcare provider who understands their goals and can provide information on the potential outcomes and risks associated with the procedure.
Advocacy and Support[edit | edit source]
In recent years, advocacy for flat closure has grown, with many seeking to increase awareness and acceptance of this option as a valid and positive outcome of breast cancer treatment. Support groups and organizations dedicated to those who have undergone mastectomy and chosen flat closure offer resources, community, and advocacy for individuals navigating this journey.
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Contributors: Prab R. Tumpati, MD