Breast reconstruction with pith tissue

Breast reconstruction is a rapidly developing and changing surgical discipline and has become one of the most important topics of plastic, reconstructive and aesthetic surgery in the last 30 years with new techniques and approaches. Vitruvius, one of the founders of architecture in the XVIII century, determined the features of a building or building with the principles of “Utilitas, Firmitas, Venustas”, that is, strength, usefulness, and beauty. Modern reconstructive or reconstructive surgery also takes into account these principles, but unlike other reconstructions, beauty occupies a more important place in breast reconstruction.

In breast reconstruction, reconstruction with autologous (self-tissue) or prosthetic/tissue expanders can be performed simultaneously with oncological surgery or later. There is more than one approach available in the autologous approach, such as pedicle flaps or free tissue transplantation operations. Many factors such as the patient's desire, breast tissue, tumor type, location, the bilateral occurrence of the tumor, existing concomitant diseases, experience, and preference of the surgeon are taken into account when choosing the appropriate technique. In parallel with the development of oncological surgery over the years and the increase in the level of awareness of patients; reconstruction choices and approaches are changing rapidly, and plastic surgeons have also become more actively involved in this process. Recently, with the rapid increase in breast cancer awareness in society, there has been a rapid increase in the demand for breast reconstruction. In many studies, it has been shown that breast reconstruction after mastectomy increases patients' sense of the quality of life and integrity, contributes significantly to treatment compliance and social, sexual functions.