After mastectomy, can I rebuild my breast? In this regard, surgeons have been exploring for nearly a hundred years. 1893 An opera actress in Germany had a mastectomy because of a benign breast tumor. She asked the doctor to recreate a breast for her. It happened that the actress had a lipoma on her thigh, so the doctors took it down and transplanted it to the affected part of her chest wall. 19 17, another doctor reconstructed breasts for three patients who underwent subcutaneous mastectomy. Although the operation was successful, the transplanted fat was liquefied and absorbed. Later, doctors used transplanted dermis, muscles, etc. The latissimus dorsi muscle flap has the best effect in breast reconstruction. The latissimus dorsi is a fan-shaped muscle of the back, and its function is to make the shoulder joint adduction, pronation and extension. Because there are 12 muscles matching latissimus dorsi, it will not affect the function of shoulder joint. If breast reconstruction is needed after radical mastectomy, the plastic surgeon creates a gap in the original incision; If she is a precancerous lesion of breast cancer, she should have her breast removed completely first. Then, the latissimus dorsi island dermal myocutaneous flap containing nerves, blood vessels and muscle pedicles was designed and cut to shape the breast, and then transplanted into the subcutaneous space of the chest to complete the reconstruction operation. Breast reconstruction can also be used for congenital breast loss and breast hypoplasia. The advantage of this operation is that (1) breast reconstruction can be completed in one operation. (2) Because this kind of skin flap is a composite skin flap of muscle and skin, it can provide enough tissue, so it is very suitable for breast reconstruction, and it can ensure blood supply and is relatively safe. (3) The upper and front edges of latissimus dorsi are free parts, which are easy to dissect, and will not affect the shoulder-arm movement function, and there is no obvious shoulder-arm dysfunction after operation. (4) Generally, the donor site can be directly sutured, and its scar covers the chest and back, which will not affect the appearance. If you want to do nipples and areola, it usually takes one or two months after the operation. The plastic surgeon will use the skin behind her ear, the cartilage of her ear, or the skin on the inner thigh and the mucosa of the labia minora to rebuild one for her. After breast reconstruction, if the healthy breast looks too big, it can also be reduced and plastic surgery. Breast reconstruction surgery will not cause complications of breast cancer, and the effect is good. It is worth noting that breast cancer should be eradicated; After radical mastectomy, if there is no recurrence or metastasis, it is best to wait for 3 to 5 years before breast reconstruction. The scar after mastectomy should be as small as possible; Scar direction does not affect the operation; It is best not to do radiotherapy; If you are doing a simple mastectomy, try to keep the nipple and areola; Moreover, the operator should be technically excellent and so on. In recent years, hospitals such as Beijing and Shanghai have done this kind of breast reconstruction with latissimus dorsi muscle flap. Although there are not many cases, the effect is satisfactory to patients. Although it can't meet the requirements of all women with breast augmentation at present, its brilliant prospect brings hope to people.