What is Hybrid breast reconstruction?

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That technique gives slender patients large, natural-looking breasts without requiring several donor sites for stacked flaps or fat grafting operations to conceal implants. Some women believe it to be the “best of all worlds.” In hybrid breast reconstruction, an implant is used in addition to flap repair to give the breasts more projection, much like in breast augmentation.


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In a hybrid reconstruction, a breast implant made of silicone or saline (salt water) is positioned over the muscle and then covered with a layer of your own body fat obtained from a donor area like the belly, thigh, or buttock.
In particular, if you’re skinny or don’t have much body fat, combining natural tissue with an implant enables the construction of a more extensive breast than possible using only your own tissue from a single donor location. The breast feels warmer and more natural than a breast made by implant repair because the implant is coated with raw, live fat. In hybrid breast reconstruction, a collagen “sling” called the acellular dermal matrix (ADM) is frequently utilized to keep the implant in place.
Typically, hybrid reconstruction begins concurrently with mastectomy. The whole process, which entails inserting an implant and removing a flap of tissue from a donor place on your body (such as the belly, thigh, buttock, etc.), may frequently be finished during the mastectomy.

Fit woman measuring her breast
However, specific individuals could require delayed (two-stage) repair. A tissue expander is implanted beneath the breast skin during the mastectomy, similar to implant-only reconstruction. The tissue expander resembles a balloon with a port or plugs inside. Saline is put into the port over several months to progressively increase the tissue expander. This stretches the skin and muscle around the permanent implant until there is adequate room for it. The permanent implant can then be placed in the tissue expander during outpatient surgery. Hybrid breast reconstruction is also an option many years after a mastectomy.

Radiation Therapy
Your skin is altered by radiation, becoming less elastic and reducing the amount of fat in the tissue. Additionally, it raises your risk of developing capsular contracture, a condition in which the scar tissue around the implant tightens. The implant’s form may become distorted over time as the capsule tightens. Talk to your surgeon about your alternatives if you believe you’d want a hybrid reconstruction and radiation is a component of your therapy. On the other hand, hybrid reconstruction may be a viable option if you’ve previously undergone radiation therapy or if the skin around your breasts has been damaged in some other way. In contrast to the native breast skin alone, the flap obtained from the donor site—typically the abdomen—will have fatty tissue and skin that may be used to restore the damaged skin in the breast region. It will also offer superior coverage for an implant.

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