When can a breast reconstruction start?

That depends on the oncological plan. An immediate reconstruction takes place during the same procedure as the mastectomy, while a delayed reconstruction typically occurs several months to a year after the completion of treatment.

What is the difference between a DIEP flap and reconstruction with an implant?

In a DIEP flap, the breast is built up using the patient’s own skin and fat from the lower abdomen, connected via microsurgery. In an implant reconstruction, silicone material is used, often after preparation with a tissue expander.

Is abdominal muscle removed during a DIEP flap?

No. The nourishing blood vessels are dissected through the rectus abdominis muscle, but the muscle itself is preserved. As a result, the strength of the abdominal wall is better maintained than with older techniques.

Does radiation therapy influence the choice?

Yes. Radiated tissue is less supple and heals more slowly, which means implants in a radiated environment have a higher chance of complications. Therefore, reconstruction with own tissue is more frequently chosen.

Does sensation return to the reconstructed breast?

Sensation is generally permanently reduced. Some return of superficial sensation may occur, but this varies greatly from person to person.

Is breast reconstruction reimbursed in Belgium?

Breast reconstruction after breast cancer is covered by compulsory health insurance. The specific reimbursement depends on the technique and the applicable conditions; for certain services, approval from the advising physician is required.