{"id":9153,"date":"2026-09-23T13:40:46","date_gmt":"2026-09-23T11:40:46","guid":{"rendered":"https:\/\/docteurvairinho.fr\/?p=9153"},"modified":"2026-09-23T13:44:03","modified_gmt":"2026-09-23T11:44:03","slug":"reconstruction-mammaire-lipofilling-prothese-lambeau-comparatif","status":"publish","type":"post","link":"https:\/\/docteurvairinho.fr\/en\/reconstruction-mammaire-lipofilling-prothese-lambeau-comparatif\/","title":{"rendered":"Lipofilling, proth\u00e8se, lambeau : comparatif des techniques de reconstruction mammaire \u00e0 Paris"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"9153\" class=\"elementor elementor-9153\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4955f319 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4955f319\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-619ae7c7\" data-id=\"619ae7c7\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-77147e08 elementor-widget elementor-widget-text-editor\" data-id=\"77147e08\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2><span style=\"color: #df917c;\"><b>Qu&rsquo;est-ce que la reconstruction mammaire ?<\/b><\/span><\/h2><p><span style=\"font-weight: 400;\">La reconstruction mammaire est une intervention chirurgicale qui permet de recr\u00e9er un volume et une forme de sein apr\u00e8s une mastectomie, le plus souvent r\u00e9alis\u00e9e dans le cadre d&rsquo;un cancer du sein. Il n&rsquo;existe pas une seule technique, mais plusieurs approches chirurgicales, chacune avec ses indications, ses contraintes et ses suites op\u00e9ratoires propres.<\/span><\/p><p><span style=\"font-weight: 400;\">Trois grandes familles de techniques sont utilis\u00e9es aujourd&rsquo;hui : le <\/span><b>lipofilling<\/b><span style=\"font-weight: 400;\"> (transfert de graisse), la <\/span><b>reconstruction par proth\u00e8se mammaire<\/b><span style=\"font-weight: 400;\">, et la <\/span><b>reconstruction par lambeau<\/b><span style=\"font-weight: 400;\"> \u2014 cette derni\u00e8re se d\u00e9clinant elle-m\u00eame en deux techniques principales, le <\/span><b>DIEP<\/b><span style=\"font-weight: 400;\"> (tissu du ventre) et le <\/span><b>lambeau du grand dorsal<\/b><span style=\"font-weight: 400;\"> (tissu du dos). Le lipofilling est aujourd&rsquo;hui la technique la plus fr\u00e9quemment employ\u00e9e, seule ou en compl\u00e9ment d&rsquo;une autre approche. Le choix d\u00e9finitif d\u00e9pend de crit\u00e8res m\u00e9dicaux pr\u00e9cis \u2014 morphologie, traitements d\u00e9j\u00e0 re\u00e7us, \u00e9tat des tissus, souhaits de la patiente \u2014 et se d\u00e9cide toujours en consultation avec le chirurgien.<\/span><\/p><h2><span style=\"color: #df917c;\"><b>La reconstruction par lipofilling<\/b><\/span><\/h2><p><span style=\"font-weight: 400;\">Le lipofilling (ou transfert graisseux) consiste \u00e0 pr\u00e9lever de la graisse sur une autre zone du corps (ventre, cuisses, hanches) par une technique proche de la liposuccion, puis \u00e0 la r\u00e9injecter au niveau du sein pour en recr\u00e9er le volume et le galbe.<\/span><\/p><p>Ce qu&rsquo;il faut savoir :<\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Technique la plus fr\u00e9quemment utilis\u00e9e aujourd&rsquo;hui en reconstruction mammaire<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Aucune proth\u00e8se ni lambeau : uniquement les tissus propres de la patiente<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Intervention g\u00e9n\u00e9ralement moins invasive, sans grande cicatrice suppl\u00e9mentaire<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">N\u00e9cessite le plus souvent plusieurs s\u00e9ances espac\u00e9es de quelques mois pour obtenir le volume souhait\u00e9, une partie de la graisse inject\u00e9e pouvant se r\u00e9sorber<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Particuli\u00e8rement adapt\u00e9e aux reconstructions partielles, aux petits volumes, ou en compl\u00e9ment d&rsquo;une proth\u00e8se ou d&rsquo;un lambeau pour affiner le r\u00e9sultat<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Peut ne pas suffire seule lorsque le volume \u00e0 reconstruire est important ou lorsque la qualit\u00e9 de peau restante est insuffisante<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Cette technique est de plus en plus propos\u00e9e en premi\u00e8re intention lorsque la quantit\u00e9 de graisse disponible et le volume \u00e0 reconstruire le permettent, en raison de sa moindre invasivit\u00e9.<\/span><\/p><h2><span style=\"color: #df917c;\"><b>La reconstruction par proth\u00e8se mammaire<\/b><\/span><\/h2><p><span style=\"font-weight: 400;\">La reconstruction par proth\u00e8se consiste \u00e0 recr\u00e9er le volume du sein \u00e0 l&rsquo;aide d&rsquo;un implant mammaire, positionn\u00e9 sous le muscle grand pectoral ou dans un plan pr\u00e9-pectoral selon les cas.<\/span><\/p><p>Ce qu&rsquo;il faut savoir :<\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Intervention g\u00e9n\u00e9ralement plus courte que les techniques par lambeau<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Peut n\u00e9cessiter une expansion tissulaire pr\u00e9alable (pose d&rsquo;un expandeur gonfl\u00e9 progressivement sur plusieurs semaines) lorsque la peau restante est insuffisante<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ne pr\u00e9l\u00e8ve aucun tissu ailleurs sur le corps<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">N\u00e9cessite un suivi \u00e0 long terme, une proth\u00e8se n&rsquo;\u00e9tant pas un dispositif \u00e0 vie<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Techniquement plus simple, avec un temps op\u00e9ratoire et une hospitalisation g\u00e9n\u00e9ralement plus courts qu&rsquo;un lambeau<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Cette option est souvent envisag\u00e9e lorsque la qualit\u00e9 de peau restante le permet et en l&rsquo;absence de radioth\u00e9rapie d\u00e9j\u00e0 r\u00e9alis\u00e9e sur la zone, la radioth\u00e9rapie pouvant fragiliser les tissus et augmenter le risque de complications autour d&rsquo;un implant.<\/span><\/p><h2><span style=\"color: #df917c;\"><b>La reconstruction par lambeau<\/b><\/span><\/h2><p><span style=\"font-weight: 400;\">Lorsque le lipofilling ou la proth\u00e8se ne sont pas adapt\u00e9s \u00e0 la situation, une reconstruction par lambeau peut \u00eatre envisag\u00e9e : elle consiste \u00e0 utiliser un tissu propre de la patiente, pr\u00e9lev\u00e9 avec sa vascularisation, pour recr\u00e9er le sein. Deux techniques principales existent.<\/span><\/p><h3><span style=\"color: #df917c;\"><b>Le lambeau DIEP<\/b><\/span><\/h3><p><span style=\"font-weight: 400;\">Le DIEP (Deep Inferior Epigastric Perforator flap) est une technique de microchirurgie qui utilise la peau et la graisse du bas-ventre, pr\u00e9lev\u00e9es avec leurs vaisseaux sanguins, pour reconstruire le sein \u2014 sans sacrifier le muscle abdominal.<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reconstruction avec les propres tissus de la patiente<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">N\u00e9cessite une microchirurgie pour reconnecter les vaisseaux sanguins du lambeau<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Intervention plus longue, avec une hospitalisation g\u00e9n\u00e9ralement plus importante qu&rsquo;une reconstruction par proth\u00e8se ou par lipofilling<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Laisse une cicatrice au niveau du bas-ventre, comparable \u00e0 celle d&rsquo;une abdominoplastie<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ne n\u00e9cessite pas de remplacement \u00e0 long terme, contrairement \u00e0 une proth\u00e8se<\/span><\/li><\/ul><h3><span style=\"color: #df917c;\"><b>Le lambeau du grand dorsal<\/b><\/span><\/h3><p><span style=\"font-weight: 400;\">Le lambeau du grand dorsal utilise du muscle, de la graisse et de la peau pr\u00e9lev\u00e9s dans le dos, tunnelis\u00e9s jusqu&rsquo;\u00e0 la r\u00e9gion thoracique pour recr\u00e9er le volume mammaire, g\u00e9n\u00e9ralement en compl\u00e9ment d&rsquo;une proth\u00e8se ou d&rsquo;un lipofilling lorsque le volume pr\u00e9lev\u00e9 seul est insuffisant.<\/span><\/p><ul><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Technique fiable, avec un apport de tissu vascularis\u00e9 propre qui am\u00e9liore la qualit\u00e9 de la couverture cutan\u00e9e<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Souvent associ\u00e9e \u00e0 une proth\u00e8se ou \u00e0 du lipofilling pour obtenir un volume suffisant<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cicatrice au niveau du dos, g\u00e9n\u00e9ralement dissimul\u00e9e sous les v\u00eatements<\/span><\/li><li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Peut entra\u00eener une sensation de tension ou une l\u00e9g\u00e8re perte de force au niveau de l&rsquo;\u00e9paule concern\u00e9e, variable selon les patientes<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Cette option est notamment envisag\u00e9e lorsque la peau thoracique est de mauvaise qualit\u00e9 (apr\u00e8s radioth\u00e9rapie par exemple) mais que le tissu abdominal n&rsquo;est pas disponible ou suffisant pour un DIEP.<\/span><\/p><h2><span style=\"color: #df917c;\"><b>Tableau comparatif des techniques de reconstruction<\/b><\/span><\/h2><table><tbody><tr><td><p><b>Crit\u00e8re<\/b><\/p><\/td><td><p><b>Lipofilling<\/b><\/p><\/td><td><p><b>Proth\u00e8se<\/b><\/p><\/td><td><p><b>Lambeau (DIEP \/ grand dorsal)<\/b><\/p><\/td><\/tr><tr><td><p><span style=\"font-weight: 400;\">Origine du volume<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Graisse propre transf\u00e9r\u00e9e<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Implant<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Tissu abdominal (DIEP) ou dorsal (grand dorsal), propre \u00e0 la patiente<\/span><\/p><\/td><\/tr><tr><td><p><span style=\"font-weight: 400;\">Fr\u00e9quence d&rsquo;utilisation<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Technique la plus fr\u00e9quente<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Fr\u00e9quente<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">R\u00e9serv\u00e9e aux situations plus complexes<\/span><\/p><\/td><\/tr><tr><td><p><span style=\"font-weight: 400;\">Nombre de s\u00e9ances<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Souvent plusieurs s\u00e9ances<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Une intervention principale (\u00b1 expansion)<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Une intervention principale, plus lourde<\/span><\/p><\/td><\/tr><tr><td><p><span style=\"font-weight: 400;\">Cicatrice suppl\u00e9mentaire<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Minime (zone de pr\u00e9l\u00e8vement)<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Aucune<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Bas-ventre (DIEP) ou dos (grand dorsal)<\/span><\/p><\/td><\/tr><tr><td><p><span style=\"font-weight: 400;\">Suivi \u00e0 long terme<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Pas de dispositif \u00e0 surveiller<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Surveillance de l&rsquo;implant<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Pas de remplacement n\u00e9cessaire<\/span><\/p><\/td><\/tr><tr><td><p><span style=\"font-weight: 400;\">Indication apr\u00e8s radioth\u00e9rapie<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Possible selon les cas<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Moins favorable<\/span><\/p><\/td><td><p><span style=\"font-weight: 400;\">Souvent recommand\u00e9e (DIEP)<\/span><\/p><\/td><\/tr><\/tbody><\/table><p><i><span style=\"font-weight: 400;\">Ce tableau est une synth\u00e8se g\u00e9n\u00e9rale : le choix d\u00e9finitif repose toujours sur un examen individuel et une discussion avec le chirurgien.<\/span><\/i><\/p><h2><span style=\"color: #df917c;\"><b>Quelle technique choisir selon votre situation ?<\/b><\/span><\/h2><p><span style=\"font-weight: 400;\">Il n&rsquo;existe pas de technique universellement \u00ab\u00a0meilleure\u00a0\u00bb : le choix d\u00e9pend de plusieurs \u00e9l\u00e9ments \u00e9valu\u00e9s en consultation, notamment le volume \u00e0 reconstruire, la quantit\u00e9 de graisse ou de tissu disponible, l&rsquo;historique de traitement (chimioth\u00e9rapie, radioth\u00e9rapie), et les souhaits personnels concernant le nombre d&rsquo;interventions, les cicatrices et le temps de r\u00e9cup\u00e9ration.<\/span><\/p><p><span style=\"font-weight: 400;\">Le Dr Alexandre Vairinho \u00e9value chaque situation individuellement, en lien avec l&rsquo;\u00e9quipe oncologique, pour proposer la ou les techniques les plus adapt\u00e9es \u2014 y compris des combinaisons (lipofilling en compl\u00e9ment d&rsquo;une proth\u00e8se ou d&rsquo;un lambeau, par exemple). Plusieurs options peuvent \u00eatre pr\u00e9sent\u00e9es lors de la consultation, avec leurs avantages et leurs limites respectifs.<\/span><\/p><h2><span style=\"color: #df917c;\"><b>Suites op\u00e9ratoires et r\u00e9cup\u00e9ration<\/b><\/span><\/h2><p><span style=\"font-weight: 400;\">Les suites op\u00e9ratoires varient selon la technique retenue : le lipofilling et la reconstruction par proth\u00e8se impliquent g\u00e9n\u00e9ralement une r\u00e9cup\u00e9ration plus rapide qu&rsquo;une reconstruction par lambeau, qui n\u00e9cessite une convalescence plus longue du fait du pr\u00e9l\u00e8vement tissulaire et, pour le DIEP, de la microchirurgie r\u00e9alis\u00e9e.<\/span><\/p><p><span style=\"font-weight: 400;\">Dans tous les cas, un suivi post-op\u00e9ratoire r\u00e9gulier est mis en place, et les r\u00e9sultats d\u00e9finitifs ne peuvent \u00eatre appr\u00e9ci\u00e9s qu&rsquo;apr\u00e8s plusieurs mois, voire apr\u00e8s plusieurs s\u00e9ances pour le lipofilling. Comme pour toute intervention chirurgicale, des risques et complications sont possibles (infection, probl\u00e8me de cicatrisation, r\u00e9sorption partielle de la graisse transf\u00e9r\u00e9e, \u00e9chec partiel du lambeau) et sont d\u00e9taill\u00e9s en consultation.<\/span><\/p><h2><span style=\"color: #df917c;\"><b>Consultation avec le Dr Alexandre Vairinho<\/b><\/span><\/h2><p><span style=\"font-weight: 400;\">Une consultation pr\u00e9alable est indispensable avant toute reconstruction mammaire. Elle permet d&rsquo;examiner la situation m\u00e9dicale de la patiente, de pr\u00e9senter les techniques envisageables et leurs implications respectives, et de r\u00e9pondre \u00e0 toutes les questions. Un d\u00e9lai de r\u00e9flexion r\u00e9glementaire est ensuite respect\u00e9 avant toute intervention.<\/span><\/p><p><span style=\"font-weight: 400;\">Le Dr Alexandre Vairinho re\u00e7oit en consultation \u00e0 Paris 7e, \u00e0 la Clinique des Martinets \u00e0 Rueil-Malmaison, et \u00e0 Saint-Maur-des-Foss\u00e9s.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3855e2ac elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3855e2ac\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2bc9908a\" data-id=\"2bc9908a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-65af71f5 elementor-widget elementor-widget-heading\" data-id=\"65af71f5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FAQ<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c7b6b69 elementor-widget elementor-widget-heading\" data-id=\"5c7b6b69\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Vos questions sur le lip\u0153d\u00e8me<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-75d02468 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"75d02468\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7449b2e4\" data-id=\"7449b2e4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-230ad7c7 elementor-widget elementor-widget-accordion\" data-id=\"230ad7c7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-5871\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-5871\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"far fa-arrow-alt-circle-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"far fa-arrow-alt-circle-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Le lipofilling peut-il suffire \u00e0 lui seul pour reconstruire un sein entier ? <\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-5871\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-5871\"><p><span style=\"font-weight: 400;\">Cela d\u00e9pend du volume \u00e0 reconstruire et de la quantit\u00e9 de graisse disponible chez la patiente. Pour de petits volumes ou des reconstructions partielles, le lipofilling seul peut suffire ; pour des volumes plus importants, il est souvent associ\u00e9 \u00e0 une proth\u00e8se ou \u00e0 un lambeau.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5784fb49\" data-id=\"5784fb49\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-76b321e elementor-widget elementor-widget-accordion\" data-id=\"76b321e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-1241\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1241\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"far fa-arrow-alt-circle-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"far fa-arrow-alt-circle-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Peut-on changer de technique en cours de parcours de reconstruction ? <\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-1241\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1241\"><p><span style=\"font-weight: 400;\">Oui, certaines patientes commencent par un lipofilling ou une proth\u00e8se puis optent secondairement pour un lambeau, ou inversement, selon l&rsquo;\u00e9volution de leur situation et de leurs souhaits. Cela se discute \u00e0 chaque \u00e9tape avec le chirurgien.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\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<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-78574898 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"78574898\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-663ad3ab\" data-id=\"663ad3ab\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4a3f5818 elementor-widget elementor-widget-accordion\" data-id=\"4a3f5818\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-1241\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1241\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"far fa-arrow-alt-circle-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"far fa-arrow-alt-circle-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Une reconstruction par lambeau laisse-t-elle deux zones de cicatrices ? <\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-1241\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1241\"><p><span style=\"font-weight: 400;\">Oui, un lambeau implique n\u00e9cessairement une cicatrice sur la zone de pr\u00e9l\u00e8vement (ventre pour le DIEP, dos pour le grand dorsal) en plus de celle du site de reconstruction.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-58d2a848\" data-id=\"58d2a848\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2a02167a elementor-widget elementor-widget-accordion\" data-id=\"2a02167a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-7041\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-7041\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"far fa-arrow-alt-circle-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"far fa-arrow-alt-circle-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Faut-il attendre la fin des traitements oncologiques pour envisager une reconstruction ? <\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-7041\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-7041\"><p><span style=\"font-weight: 400;\">Cela d\u00e9pend du type de reconstruction (imm\u00e9diate ou diff\u00e9r\u00e9e) et du protocole oncologique. Ce point est d\u00e9cid\u00e9 en concertation avec l&rsquo;\u00e9quipe oncologique et le chirurgien reconstructeur.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\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<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-08fc02a elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"08fc02a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-5794587\" data-id=\"5794587\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-968d1e5 elementor-widget elementor-widget-accordion\" data-id=\"968d1e5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-1571\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1571\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"far fa-arrow-alt-circle-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"far fa-arrow-alt-circle-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Is breast reconstruction covered? <\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-1571\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1571\"><p><span style=\"font-weight: 400;\">La prise en charge d\u00e9pend du contexte m\u00e9dical, de la technique retenue et de la nomenclature des actes en vigueur. Ce point doit \u00eatre v\u00e9rifi\u00e9 au cas par cas avec le secr\u00e9tariat et votre organisme de s\u00e9curit\u00e9 sociale\/mutuelle.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3a9ee80\" data-id=\"3a9ee80\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-731e7f6 elementor-widget elementor-widget-accordion\" data-id=\"731e7f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<h4 id=\"elementor-tab-title-1201\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1201\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-right\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"far fa-arrow-alt-circle-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"far fa-arrow-alt-circle-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Combien de s\u00e9ances de lipofilling sont g\u00e9n\u00e9ralement n\u00e9cessaires ? <\/a>\n\t\t\t\t\t<\/h4>\n\t\t\t\t\t<div id=\"elementor-tab-content-1201\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1201\"><p><span style=\"font-weight: 400;\">Le nombre de s\u00e9ances varie selon le volume \u00e0 reconstruire et la r\u00e9ponse individuelle de chaque patiente ; il est \u00e9valu\u00e9 et adapt\u00e9 au fil du suivi en consultation.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\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\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-72bf212 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"72bf212\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-be057ab\" data-id=\"be057ab\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-da624dd elementor-widget elementor-widget-heading\" data-id=\"da624dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p class=\"elementor-heading-title elementor-size-default\">Cet article a une vocation strictement informative et ne saurait se substituer \u00e0 une consultation m\u00e9dicale. Toute intervention de chirurgie esth\u00e9tique n\u00e9cessite une consultation pr\u00e9alable avec un chirurgien plasticien qualifi\u00e9, ainsi qu'un d\u00e9lai de r\u00e9flexion r\u00e9glementaire. Les r\u00e9sultats varient selon chaque patient et aucun r\u00e9sultat ne peut \u00eatre garanti.<\/p>\t\t\t\t<\/div>\n\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>","protected":false},"excerpt":{"rendered":"<p>La reconstruction mammaire est une intervention chirurgicale qui permet de recr\u00e9er un volume et une forme de sein apr\u00e8s une mastectomie, le plus souvent r\u00e9alis\u00e9e dans le cadre d&rsquo;un cancer du 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