Many women enjoy activities such as yoga, rock-climbing and racquet sports. When faced with a new cancer diagnosis, one common concern is whether they would be able to resume doing the things they loved to do once cancer treatment is over. That can deter patients from breast reconstruction as traditional techniques relied on taking muscles such as the latissimus dorsi (LD flap) and rectus abdominis muscle (TRAM flap).
How does Flap Surgery Work?
Flap surgery involves transferring healthy, alive tissue (a “flap”) from one location of the body to the other. In breast reconstruction, excess tissue, for example from the abdomen or back, is used to reconstruct the missing breast after mastectomy.
These flaps are supplied by blood vessels which pass through muscles on their way to supply the overlying skin and fat. Methods proposed in the past took the whole muscle together to maintain blood supply. Such techniques have been progressively evolved into muscle-sparing flaps, such as the DIEP flap. The blood vessels can now be separated from the surrounding muscle using perforator dissection under magnifying glasses.
The latissimus dorsi muscle is a broad flat muscle over the back. It has functions of bringing the arm backwards and inwards towards the body. There are other muscles that have similar overlapping function; hence patients do not feel any impact on their daily activities.
In the Thoracodorsal Artery Perforator (TAP) Flap procedure, an ellipse of skin and fat is also taken from the back for breast reconstruction. However, the underlying muscle is left behind and maintains its functionality. It is indicated in certain patients such as the highly active woman who is keen to continue upper limb sports. Certain occupations such as being an air-stewardess also requires significant shoulder strength – in instances such as lifting luggage into an overhead compartment.
To increase the volume of tissue, excess fat can be transferred from thighs or abdomen and used to “plump up” the TAP flap. Depending on the breast size, this one-stage procedure may be sufficient. If not, a repeat minimally invasive fat graft session can be repeated at the patient’s convenience.
Besides complete breast reconstruction, the TAP flap can also be used as part of an implant-based reconstruction, for partial breast reconstruction after lumpectomy and to reconstruct other chest wall defects. More illustrated details on this versatile technique are available at https://www.microsurgeon.org/tapflap.
It is thus apparent that there is no one-size-fits-all approach to breast reconstruction. As our clinic offers the full range of procedures, we can tailor the management based on technical reasons and each patient’s individual circumstances.
Why Choose Dr. Wong Manzhi for Your Surgical Needs?
Dr. Wong Manzhi is an experienced plastic, reconstructive and aesthetic surgeon in Singapore, specialising in compassionate and skilled breast restoration surgery. With a focus on helping women rebuild confidence and balance, she offers comprehensive techniques in breast reconstruction, including implant-based and autologous (own tissue) procedures.
Whether you are recovering from a mastectomy or addressing asymmetry and other concerns, Dr. Wong’s personalised approach ensures that your physical and emotional needs are met. You can trust her expertise to guide you through every step of your breast reconstruction journey, providing optimal care and natural-looking results tailored to your unique goals.
Taking the First Step Towards Transformation, Renewal and Confidence
Breast restoration is more than a physical transformation. It is a deeply personal and empowering process. Whether you’re rebuilding after a mastectomy, seeking balance through augmentation or reduction or addressing changes from motherhood, Dr. Wong is here to support you. Her compassionate approach ensures that every woman feels understood, valued and confident in her journey toward renewal.
For women considering breast restoration or enhancement, Dr. Wong Manzhi offers years of expertise and compassionate care. Book your plastic surgery consultation today and take the first step towards a renewed sense of self and confidence.
How to Get in Touch
Are you ready to restore your appearance, confidence and embrace a more balanced version of yourself? Dr. Wong is here to help. To schedule a consultation or learn more about your options, you can call or whatsapp us.
Book your appointment today and begin your journey toward renewed self-esteem and wellness.
