Breast Reconstruction in Nepal

Breast reconstruction generally happens in stages, starting with the most complex first, which may either occur at the same time as the mastectomy or later, based on the individual’s specific health conditions or treatment plan. 

Two main techniques are employed in breast reconstruction. One is the use of an implant, saline, or silicone to recreate the breast shape. Two, autologous or flap reconstruction where tissue from the patient’s body like the abdomen or thigh is relocated to recreate the breast shape. The method selected is dependent on individual factors like the patient’s health, personal choice, cancer type, and stage.

After the primary surgery and post an adequate healing period, the surgeon performs a second procedure to recreate the nipple and areola. Later, to give it a natural look, the nipple-areola complex is tattooed. Remember that although it is a common procedure, complications might arise involving reaction to anaesthesia, bleeding, infection, poor healing or the need for further interventions.

Post-breast reconstruction surgery, patients typically stay in the hospital for two to five days. However, if the reconstruction was done immediately after the mastectomy, the stay could extend from three to six days. 

Overall, a patient should expect to remain in Nepal for approximately two weeks post-surgery. This allows enough time for necessary follow-ups and to address any complications, if they arise. As with any major surgical procedure, do not hasten the healing process.

The recovery timeframe for breast reconstruction procedures in Nepal varies from patient to patient. Generally, for implant-based procedures, patients may take about four to six weeks to recuperate before they return to normal routines. For more complex autologous techniques, particularly those using abdominal tissue, patients might require six to eight weeks for recovery.

Recovering patients need to temper their activities during this period. Avoid lifting heavy objects and defer strenuous exercise until your physician gives a clear signal. Medical assistance should be promptly sought if any discomforting symptoms like chronic pain, redness or swelling surface.

Medical success cannot just be measured in terms of complication-free postoperative progress or longevity of implants used in breast reconstruction. Patient satisfaction with their surgery, their psychological well-being following the operation, their perception of body image, and their quality of life post-surgery are equally important factors to consider. Studies indicate that between 85% to 90% of women who have undergone breast reconstruction are satisfied with the long-term results.

In Nepal, dedicated hospitals and healthcare facilities strive to offer high-quality treatment, ensuring the best possible surgical outcomes using progressive technology and experienced professionals. Still, everyone's response to surgery varies, and outcomes depend on factors such as overall health, age, body type, and compliance with surgical advice.

Indeed, there are alternatives to breast reconstruction in Nepal. The journey of every woman is unique and how she chooses to deal with the loss of a breast, or both, is a highly personal decision. Alternatives include:

• Breast Prostheses or Forms: They are silicone forms that imitate the appearance and feel of natural breast tissue. They come in diverse sizes, shapes and colours to closely match the woman's skin tone.
• Flat Closure: In this method, the surgeons sew up the chest wound smoothly, without constructing a breast mound. This option appeals to women who choose not to have more surgeries or body implants.
• Opting not to undergo reconstruction at all, also termed as "going flat: This method exhibits the woman's choice to live comfortably with her new body shape without artificial substitutes or further surgeries. It is a fully personal decision deserving respect and support.

Each of these options has pros and cons, and the choice depends on the woman’s personal preference, health status, lifestyle, and perception of her body. Regardless of the choice, it’s important to regularly monitor breast health and engage in practices that promote overall wellness.

The following points should be considered post-operation:

• Follow the instructions given by your doctor and take your medicines as and when prescribed.
• Consult a nutritionist for a diet plan. A healthy diet helps you recover faster.
• Do not wear a padded or underwire bra until allowed by your doctor.
• Use surgical bras in the early few days after the surgery.
• Avoid excessive unnecessary movement of your breasts.
• Do not lift heavy objects and children - it could stretch on your stitches.
• Change your bandage whenever it gets dirty. Germs can cause infection.
• Do not take a bath when the bandages are still intact. A wet bandage can also be the cause of infection.
• Abstain from sexual activity for at least 6 weeks.
• Take rest - give yourself time to recover.