{"id":36471,"date":"2026-03-11T09:27:21","date_gmt":"2026-03-11T09:27:21","guid":{"rendered":"https:\/\/be-accepted.com\/reconstructia-sanului\/"},"modified":"2026-05-22T08:31:45","modified_gmt":"2026-05-22T08:31:45","slug":"reconstructia-sanului","status":"publish","type":"post","link":"https:\/\/be-accepted.com\/ro\/reconstructia-sanului\/","title":{"rendered":"Reconstruc\u021bia mamar\u0103"},"content":{"rendered":"\t\t
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Investiga\u021bii<\/span><\/p>

cu Dr. Med. univ. Nina Fuchsj\u00e4ger <\/span><\/p>

Specialist \u00een chirurgie plastic\u0103, estetic\u0103 \u0219i reconstructiv\u0103<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Care sunt op\u021biunile pentru reconstruc\u021bia mamar\u0103?<\/strong><\/p>

\u00cen esen\u021b\u0103, se face o distinc\u021bie \u00eentre reconstruc\u021bia mamar\u0103 cu \u021besut autolog \u0219i reconstruc\u021bia mamar\u0103 cu implanturi.<\/span><\/p>

C\u00e2nd vorbim despre reconstruc\u021bia mamar\u0103 cu \u021besut autolog, \u00eenseamn\u0103 c\u0103 transplant\u0103m \u021besut din alte p\u0103r\u021bi s\u0103n\u0103toase ale corpului. Numeroase p\u0103r\u021bi diferite ale corpului sunt adecvate \u00een acest sens: mu\u0219chiul mare dorsal, piele \u0219i mu\u0219chi din zona interioar\u0103 a coapsei sau mu\u0219chi sau doar \u021besut piele-gr\u0103sime de pe abdomen. Chiar \u0219i o parte din mu\u0219chiul gluteal poate fi utilizat\u0103 \u00een astfel de opera\u021bii.<\/span><\/p>

Care parte este cea mai adecvat\u0103 depinde de mai mul\u021bi factori, foarte individuali. De exemplu, c\u00e2t de mare este s\u00e2nul operat comparativ cu cel\u0103lalt s\u00e2n. De asemenea, dac\u0103 exist\u0103 piele \u00een exces pe abdomen sau coapse. De asemenea, trebuie luat \u00een considerare dac\u0103 exist\u0103 cicatrici de la alte opera\u021bii \u0219i dac\u0103 mamelonul trebuie extirpat complet sau dac\u0103 trebuie extirpat doar \u021besutul glandular\/adipos. Dorin\u021bele pacientei cu privire la dimensiunea s\u00e2nului joac\u0103, de asemenea, un rol, deoarece acestea determin\u0103 \u0219i c\u00e2t \u021besut este necesar pentru un rezultat optim.<\/span><\/p>

Totu\u0219i, este, de asemenea, important de \u0219tiut dac\u0103 pacienta are preferin\u021be pentru sporturi cum ar fi tenisul. \u00cen acest caz, utilizarea mu\u0219chiului mare dorsal ar trebui descurajat\u0103 \u0219i ar fi preferat\u0103 o alt\u0103 parte din corp.<\/span><\/p>

\u00a0<\/p>

Cum este efectuat\u0103 reconstruc\u021bia cu \u021besut autolog?\u00a0<\/strong><\/p>

C\u00e2nd se utilizeaz\u0103 \u021besut autolog, se face o distinc\u021bie \u00eentre opera\u021bia cu lambou pediculat \u0219i cea cu lambou \u201eliber\u201d.\u00a0<\/span><\/p>

\u00cen interven\u021bia chirurgical\u0103 plastic\u0103 cu lambou pediculat, \u021besutul este mutat \u00een regiunea nou\u0103 \u2013 s\u00e2nul gol acum \u2013 cu vasele sanguine alimentatoare \u00eenc\u0103 ata\u0219ate \u0219i este amplasat cu aten\u021bie.\u00a0<\/span><\/p>

Acest lucru se face \u00een reconstruc\u021biile cu mu\u0219chi dorsal \u0219i abdominal.\u00a0<\/span><\/p>

\u00cen interven\u021bia chirurgical\u0103 plastic\u0103 cu lambou liber, pielea sau blocul de \u021besut adipos sunt extirpate complet. Vasele sanguine sunt apoi suturate sub microscop la vasele de la nivelul s\u00e2nului.\u00a0<\/span><\/p>

Cred c\u0103 pacienta trebuie s\u0103 aib\u0103 un aport major la decizia privind partea de corp de unde se prelev\u0103 \u021besut autolog. Deseori, pot exista chiar efecte pozitive suplimentare, de exemplu, c\u00e2nd \u201eburtica\u201d este astfel \u00eendep\u0103rtat\u0103. \u00cen schimb, tehnica pe care chirurgul o alege \u2013 cu lambou pediculat sau lambou liber \u2013 nu prezint\u0103 mari diferen\u021be pentru pacient\u0103.\u00a0<\/span><\/p>

Reconstruc\u021biile cu \u021besut autolog dureaz\u0103 de obicei c\u00e2teva ore \u0219i necesit\u0103 o spitalizare de c\u00e2teva zile. \u00cen plus, pacientele nu trebuie s\u0103 fac\u0103 eforturi fizice primele c\u00e2teva s\u0103pt\u0103m\u00e2ni dup\u0103 opera\u021bie.<\/span><\/p>

\u00a0<\/p>

Alternativ, femeilor li se pot introduce IMPLANTURI. \u0218i \u00een acest caz exist\u0103 probabil o varietate larg\u0103 de op\u021biuni, nu-i a\u0219a?\u00a0<\/strong><\/p>

Exact. Implanturile sunt o alternativ\u0103 bun\u0103 pentru pacientele foarte suple, care au foarte pu\u021bin \u021besut \u00een exces sau nu au deloc. De asemenea, pentru femeile care nu mai doresc alte cicatrici pe corp.\u00a0<\/span><\/p>

Totu\u0219i, atunci acestea trebuie s\u0103 se obi\u0219nuiasc\u0103 cu idea de a avea un obiect str\u0103in \u00een corpul lor.\u00a0<\/span><\/p>

Implanturile\/protezele sunt furnizate \u00eentr-o varietate larg\u0103 de dimensiuni \u0219i forme. \u00cen func\u021bie de forma s\u00e2nului natural, op\u021biunile variaz\u0103 de la implanturi \u00een form\u0103 de lacrim\u0103, la implanturi rotunde.\u00a0<\/span><\/p>

Pozi\u021bionarea implantului trebuie planificat\u0103 \u00een mod individual \u0219i depinde \u00eentotdeauna de c\u00e2t de mult r\u0103m\u00e2ne din s\u00e2n, c\u00e2t de mare este \u00eenveli\u0219ul cutanat \u0219i cum arat\u0103 s\u00e2nul s\u0103n\u0103tos.<\/span><\/p>

O alt\u0103 op\u021biune este dilatatorul.\u00a0<\/span><\/p>

\u00a0<\/p>

Ce reprezint\u0103 un EXPANDER?\u00a0<\/strong><\/p>

Expanderul este utilizat atunci c\u00e2nd \u00eenveli\u0219ul cutanat trebuie \u00eentins pentru a cuprinde ulterior un implant sau un \u021besut autolog. G\u00e2ndi\u021bi-v\u0103 la acesta ca la un balon care este introdus printr-o opera\u021bie scurt\u0103 \u0219i apoi este u\u0219or \u201eumflat\u201d (cu solu\u021bie salin\u0103) pe parcursul mai multor s\u0103pt\u0103m\u00e2ni. Ca urmare, \u00eenveli\u0219ul cutanat se \u00eentinde u\u0219or \u0219i devine mai elastic.\u202f \u201eUmflarea\u201d este efectuat\u0103 printr-un mic orificiu de acces (port) de pe suprafa\u021ba pielii, prin care chirurgul poate injecta solu\u021bie salin\u0103 la fiecare 2 s\u0103pt\u0103m\u00e2ni \u00een regim ambulatoriu.<\/span><\/p>

\u00a0<\/p>

Ce se \u00eent\u00e2mpl\u0103 dac\u0103 este \u00eendep\u0103rtat mamelonul atunci c\u00e2nd este extirpat\u0103 tumora?<\/strong><\/p>

Pentru acest lucru, slav\u0103 Domnului, exist\u0103 c\u00e2teva artificii \u00een chirurgia plastic\u0103. Scopul nostru este \u00eentotdeauna s\u0103 cre\u0103m o form\u0103 c\u00e2t se poate de similar\u0103 cu cea a s\u00e2nului s\u0103n\u0103tos. Un mamelon poate fi creat cu u\u0219urin\u021b\u0103 printr-o interven\u021bie chirurgical\u0103 plastic\u0103 cu lambou cutanat. Aceast\u0103 este o opera\u021bie mic\u0103 care poate fi efectuat\u0103 \u00een regim ambulatoriu. Pielea este pliat\u0103 \u0219i unit\u0103 astfel \u00eenc\u00e2t s\u0103 fie creat un mamelon. Sau, dac\u0103 s\u00e2nul s\u0103n\u0103tos are un mamelon mare, este posibil ca o parte din acesta s\u0103 fie \u201edonat\u0103\u201d, respectiv transplantat\u0103, la s\u00e2nul reconstruit.<\/span><\/p>

Areola cu nuan\u021ba sa mai \u00eentunecat\u0103 de piele poate fi tatuat\u0103 sau reconstruit\u0103 cu o gref\u0103 de piele dintr-o parte a corpului cu o nuan\u021b\u0103 \u00eentunecat\u0103 similar\u0103, de exemplu din zona intim\u0103.<\/span><\/p>

\u00a0<\/p>

C\u00e2nd este efectuat\u0103 reconstruc\u021bia mamar\u0103?\u00a0<\/strong><\/p>

Aceasta este \u00eentotdeauna o decizie luat\u0103 \u00eempreun\u0103 de c\u0103tre pacient\u0103 \u0219i echipa de tratament. Depinde de mul\u021bi factori. Fiecare femeie este diferit\u0103, g\u00e2nde\u0219te \u0219i simte diferit, are priorit\u0103\u021bi diferite \u2013 prin urmare, fiecare femeie beneficiaz\u0103 de o terapie personalizat\u0103.<\/span><\/p>

Reconstruc\u021bia poate fi efectuat\u0103 \u00een acela\u0219i timp (= \u00een timpul aceleia\u0219i opera\u021bii) cu extirparea tumorii; atunci poart\u0103 denumirea de \u201ereconstruc\u021bie imediat\u0103\u201d. Dac\u0103 reconstruc\u021bia este efectuat\u0103 la o dat\u0103 ulterioar\u0103, este denumit\u0103 \u201ereconstruc\u021bie mamar\u0103 tardiv\u0103\u201d.\u00a0<\/span><\/p>

De asemenea, exist\u0103 paciente care decid s\u0103 nu fac\u0103 nicio reconstruc\u021bie \u0219i altele care doresc doar o opera\u021bie de remodelare pentru ca s\u00e2nul s\u0103 se potriveasc\u0103 cu s\u00e2nul cel\u0103lalt\/s\u0103n\u0103tos \u0219i sunt foarte mul\u021bumite cu aceast\u0103 op\u021biune. Produc\u0103torii furnizeaz\u0103 proteze extrem de realiste, cu form\u0103 similar\u0103 cu cea a s\u00e2nului.<\/span><\/p>

Toate aceste alternative sunt posibile \u0219i ar trebui discutate individual pentru a alege solu\u021bia personalizat\u0103 perfect\u0103.<\/span><\/p>

\u00a0<\/p>

Sensibilitatea mamelonului este afectat\u0103 dup\u0103 reconstruc\u021bie?<\/strong><\/p>

\u0218tim c\u0103 fiecare opera\u021bie cauzeaz\u0103 o \u00eentrerupere a c\u0103ilor neurale \u0219i acest lucru duce la senza\u021bii foarte diferite dup\u0103 opera\u021bie. \u00cen plus, sunt de obicei necesare radia\u021bii, lucru care duce la o \u00eent\u0103rire \u0219i mai mare a \u021besutului. To\u021bi ace\u0219ti factori \u0219i, \u00een plus, starea preoperatorie fac dificil\u0103 preconizarea sensibilit\u0103\u021bii mamelonului dup\u0103 interven\u021bia chirurgical\u0103.\u00a0<\/span><\/p>

\u00a0<\/p>

C\u00e2t de mult dureaz\u0103 reconstruc\u021biile mamare descrise mai sus?\u00a0<\/strong><\/p>

\u00cen principiu, o reconstruc\u021bie cu \u021besut autolog dureaz\u0103 toat\u0103 via\u021ba \u0219i nu necesit\u0103 nicio procedur\u0103 chirurgical\u0103 suplimentar\u0103 pe termen lung.\u00a0<\/span><\/p>

\u00cen cazul implanturilor, este important ca pacienta s\u0103 \u021bin\u0103 cont de faptul c\u0103 produc\u0103torii de implanturi promit \u00een prezent o durat\u0103 de utilizare de aproximativ 10-15 ani.\u00a0<\/span><\/p>

Prin urmare, mai devreme sau mai t\u00e2rziu, poate fi necesar\u0103 schimbarea implantului. De asemenea, exist\u0103 \u00eentotdeauna \u0219i riscul de fibroz\u0103 capsular\u0103 (consulta\u021bi caseta informativ\u0103).\u00a0<\/span><\/p>

Totu\u0219i, o persoan\u0103 poate decide s\u0103 efectueze o reconstruc\u021bie cu \u021besut autolog \u00eentr-o faz\u0103 ulterioar\u0103.\u00a0<\/span><\/p>

\u00cen general, un chirurg plastician este un \u00eengrijitor \u0219i un partener pentru o pacient\u0103 timp de mul\u021bi ani \u0219i este important ca pacienta s\u0103 \u0219tie c\u0103 prime\u0219te cea mai bun\u0103 \u00eengrijire \u0219i c\u0103 noi, chirurgii plasticieni, suntem mereu disponibili pentru a aborda toate motivele de \u00eengrijorare ale pacientelor noastre, chiar \u0219i dup\u0103 interven\u021bia chirurgical\u0103 finalizat\u0103 \u0219i reu\u0219it\u0103.<\/span><\/p>

\u00a0<\/p>

De ce opteaz\u0103 femeile pentru un implant \u0219i, ca atare, \u00eempotriva \u021besutului autolog?\u00a0<\/strong><\/p>

Acest lucru variaz\u0103 mult \u0219i depinde foarte mult de aspectul celuilalt s\u00e2n sau de aspectul general (= imaginea corporal\u0103). Multe femei sunt mai familiarizate cu implantul, deoarece \u0219tiu de acesta din chirurgia estetic\u0103. Reconstruc\u021bia cu un implant este, de asemenea, o procedur\u0103 chirurgical\u0103 mult mai scurt\u0103.<\/span><\/p>

Cu \u021besut autolog, poate fi creat foarte frumos un volum mare, care ulterior ia o form\u0103 natural\u0103. \u00cen special \u00een cazul pacientelor care au piele \u00een exces \u0219i s\u00e2ni mari, pot fi ob\u021binute rezultate optime.\u00a0<\/span><\/p>

\u00a0<\/p>

C\u00e2t de mult dureaz\u0103 de obicei procesul de vindecare?\u00a0<\/strong><\/p>

\u00cen func\u021bie de metoda chirurgical\u0103, trebuie s\u0103 v\u0103 a\u0219tepta\u021bi la o spitalizare de 3 p\u00e2n\u0103 la 5 zile \u0219i o perioad\u0103 de recuperare de 6 s\u0103pt\u0103m\u00e2ni.\u00a0<\/span><\/p>

\u00cen timpul acestor 6 s\u0103pt\u0103m\u00e2ni, recomand\u0103m repaus fizic \u0219i purtarea unor sutiene speciale \u00een timpul zilei \u0219i noaptea. Dup\u0103 aceea, pot fi reluate activit\u0103\u021bile fizice de orice fel; astfel, nu exist\u0103 restric\u021bii permanente determinate de reconstruc\u021bia mamar\u0103.<\/span><\/p>

\u00a0<\/span><\/p>

\u00cen final, pute\u021bi comenta despre cicatrici?<\/strong><\/p>

Una dintre preocup\u0103rile noastre principale este amplasarea cicatricilor \u00een a\u0219a fel \u00eenc\u00e2t s\u0103 fie c\u00e2t se poate de inobservabile \u0219i s\u0103 nu deranjeze \u00een via\u021ba de zi cu zi. Pl\u0103gile chirurgicale proaspete trec prin mai multe faze \u0219i vindecarea complet\u0103 dureaz\u0103. Dureaz\u0103 p\u00e2n\u0103 la un an p\u00e2n\u0103 c\u00e2nd o cicatrice ajunge la elasticitatea \u0219i culoarea sa finale.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Interviu cu Dr. Nina Fuchsj\u00e4ger Practic, se face o distinc\u021bie \u00eentre reconstruc\u021bia mamar\u0103 cu \u021besut autolog \u0219i reconstruc\u021bia mamar\u0103 cu implanturi. C\u00e2nd vorbim despre reconstruc\u021bia mamar\u0103 cu \u021besut autolog, \u00eenseamn\u0103 c\u0103 transplant\u0103m \u021besut din diverse p\u0103r\u021bi s\u0103n\u0103toase ale corpului. O varietate larg\u0103 de regiuni ale corpului sunt potrivite pentru asta: mu\u0219chii mari ai spatelui, pielea \u0219i mu\u0219chii din zona interioar\u0103 a coapsei sau mu\u0219chiul sau pur \u0219i simplu \u021besutul gr\u0103sime al pielii din abdomen <\/p>\n","protected":false},"author":14,"featured_media":36473,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[417],"tags":[],"class_list":["post-36471","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-be-medicina-conventionala"],"acf":[],"yoast_head":"\nReconstruc\u021bia mamar\u0103 - Be accepted<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/be-accepted.com\/ro\/reconstructia-sanului\/\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reconstruc\u021bia mamar\u0103 - Be accepted\" \/>\n<meta property=\"og:description\" content=\"Interviu cu Dr. Nina Fuchsj\u00e4ger Practic, se face o distinc\u021bie \u00eentre reconstruc\u021bia mamar\u0103 cu \u021besut autolog \u0219i reconstruc\u021bia mamar\u0103 cu implanturi. C\u00e2nd vorbim despre reconstruc\u021bia mamar\u0103 cu \u021besut autolog, \u00eenseamn\u0103 c\u0103 transplant\u0103m \u021besut din diverse p\u0103r\u021bi s\u0103n\u0103toase ale corpului. 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