In the last three years a further improvement in this technique has been pioneered by Mr Linforth.
TOTAL-COVER IMPLANT Reconstruction of the breast involves using the ADM Artia to cover the full implant
The beauty of this techique is that it leaves the chest wall muscle untouched and so recover is faster, less painful.
Mr Linforth has perfomed this technique on over 50 patients with excellent outcomes which were presented at the International Oncoplastic Reconstructive Breast Symposium (ORBS) in Nottingham in September 2017.
As with all surgery there are some risks which are specific to the surgery and also specific to the individual.
Most commonly with all surgery of the breast and in reconstructions are :-
Scarring:- All wounds heal with a scar. We will discuss with you the site of each scar depending on the type of surgery you need.
Occasional problems (3-5%)
Infection:- Usually minor and treated with antibiotics, but if it involves an implant, can lead to removal of the implant.
Brusing and bleeding: Usually heals by itself, but if the bleeding is causing a significant swelling, may need a small operation to stop the bleeding and remove any clot.
Seroma : This is a yellow coloured fluid that builds up after surgery on the breast. It is usually painless and absorbs itself.
However after mastectomy a larger volume can accumulate and need draining. This is fairly easy to do in the out patient clinic with a needle and syringe under local anaesthetic if needed.
Skin Necrosis: After surgery, the blood supply to the skin is traumatised when removing lumps/breast tissue/cancer.
Somtimes the overlying skin can die due to a lack of blood supply and dies (necrosis). The necrotic tissue may simply fall off after some time ( like a scab), or occasionally needs to be surgical removed (debrided).
When using implants in breast reconstruction or for cosmetic surgery there are some additional risks specific to the implants:
Capsular contracture where a hard fibrosis pocket contracts around the implant making it feel hard or painful.
Implant rupture needing replacement of the implant.
Palpable rippling or folding of the implant especially in slim ladies or weight loss .
A very rare complication of implants is the weak association with Anaplastic Large cell Lymphoma (ALCL)
This occurs in less than 1 in 100,000 women with implants.
Mr Linforth is an Internationally regarded expert in Implant based reconstruction using Accellular dermal Matrix (ADM) and has pioneered this technique with Acellity formally Lifecell who manufacture Strattice.
He has performed this procedure on over 300 patients and presented his work at International Breast Reconstruction meetings in Rome, Berlin, Manchester,Madrid, Arhus ( Denmark) and Amsterdam.
Breast reconstruction is available on the NHS or privately with insurance by Mr Linforth at The Yorkshire Breast Clinic and Bradford Hospitals NHS trust. The different types of reconstruction are described in this booklet.
This short animated video below demonstrates how, after a skin sparing mastectomy, with removal of the nipple, a reconstruction is performed by lifting up the chest wall ( Pectoralis Major ) muscle, and implant can be placed and cover with support by Strattice (ADM) in the lower pole .
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Yorkshire Breast Clinic.com
Mr Rick Linforth Consultant Surgeon
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