Tissue from elsewhere, such as the fatty pads in the armpits, is used to ‘fill in’ the missing parts — this is known as LICAP flap breast reconstruction. Please type the consultant name you wish to contact, COMPLETE OUR PATIENT HISTORY QUESTIONNAIRE. ‘The body can form hardened tissue around the implant [capsular contracture], which makes the breast uncomfortable and distorts its shape,’ says Ms Waters. Known for extending chemotherapy treatment to six district hospitals in northwest England, making it one of the most comprehensive networks of chemotherapy clinics in the UK. If it’s a small tumour, less than 2 cm in size, chemotherapy may not be needed unless it is an especially aggressive cancer or if it has spread to the lymph nodes.’. CONS: The breasts can feel colder or less mobile. Plastic and reconstructive surgeons are qualified to carry out the most complex microsurgical breast reconstructions, but not to remove the cancer, for example with a lumpectomy or mastectomy (although some now do extensive further training for this, too). CONS: There’s less fat on the back to create the breast, which can affect the shape. Access to expert cancer care practitioners across the UK. It takes 10 to 15 minutes to answer the questions. ‘He is also a very good communicator and is one of the few plastic surgeons who understands that the person sitting in front of him has a serious illness and that tackling this is all about team effort and is not only a matter of breast enhancement. Also, that side of the body might not be as strong as before. If the chemotherapy is to be given after the surgery, the timing depends on the procedure. It’s a little known secret, but, under the NHS Constitution, patients in England have the right to choose where to receive their NHS treatment — which means you can ask to have your treatment in any hospital or clinic in the country if it has the necessary expertise. He also gets beautiful results with therapeutic mammoplasty [where the cancerous lump is removed and the remaining tissue is reshaped into a smaller breast].’. ‘This should be discussed very early after diagnosis. WHAT THEY SAY ABOUT HIM: ‘He gives a lot of thought to what reconstruction will work best for each patient and has great technique — he tries hard to avoid implants and will try to conserve the breast if at all possible,’ according to one. We can help. 894646. ‘And also the chemotherapy is the priority — we have drugs such as Herceptin which work effectively in treating this cancer because they specifically target the HER2 molecule. PROS: The healing process is quicker, though surgeons are limited by how much tissue is available, says Mr Thrush. This is a patient history questionnaire which will create a document for UK Oncology to give your medical history to a potential consultant for review. While the aim of breast reconstruction is for perfect symmetry with the other ‘natural’ breast, this isn’t always possible. While some women won’t want it, there are concerns that the rate of immediate reconstruction is lower than it should be. ‘He is an experienced cancer surgeon who publishes widely [a sign of someone at the forefront in his field], pays great attention to detail and achieves excellent results with low complication rates, particularly with implants.’. ‘The biggest problem is that, because it’s such complex surgery, it doesn’t always work — one in 40 fails,’ adds Mr Thrush. It’s a straightforward procedure that most reconstructive surgeons can do — it’s usually performed by the original surgeon. Dr. Ash Subramanian. It is not suitable for everyone, for instance patients with diabetes or those who smoke, as restrictions in blood flow mean the fat may not take as well. ‘It can take some time, even up to a year, to recover. He is also an innovator who has pushed the boundaries, streamlining the service at his hospital for flap reconstructions so that it is almost a production line — this means more patients benefit from the service than would otherwise be the case.’. The operation takes three to four hours, patients stay in a hospital for a few days and recovery time is usually six weeks, quicker than with the DIEP. ‘Will give a very sensible opinion on how best to manage difficult cases and her patients can feel reassured that the best decisions for their treatment are being made.’. Please, Listen to Times Radio for the latest well-informed debate, expert analysis and breaking news. ‘That doesn’t mean there will be no surgery — because there could be tiny satellite cancer cells remaining — but it does mean we can save those patients from a disfiguring operation or mastectomy.’. You (and your doctor) can access the electronic national referral service called the NHS e-Referral Service — this allows you to select your hospital or clinic as well as the date and time of your first appointment. ‘It’s important to remember that if you do a simultaneous immediate reconstruction as part of a mastectomy operation there’s a chance chemotherapy will be delayed because you are making a recovery from quite a big operation,’ says Mr Barr. It involves harvesting fat from the woman’s stomach or thighs, which is then used to reshape any irregularities in the reconstructed breast. We need it for twisting movements, such as opening a door. Dr. Raja M A is one of the top Oncologists in Chennai and has an experience of 36 years in this field. Due to its complexity, only some hospitals offer the procedure. ‘In a small breast, removing even a 1cm lump can leave a big defect,’ says Simon Smith, a breast surgeon at Broomfield Hospital in Chelmsford. PRIVATE: Springfield Hospital, The Chelmsford, both in Chelmsford. By continuing to use this site you consent to use of cookies in accordance with our GDPR policy. PRIVATE: Nuffield Health Brentwood Hospital in Essex, Spire Wellesley Hospital in Southend-on-Sea, BMI Southend Hospital, Springfield Hospital in Chelmsford.

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