Breast Reconstruction
What is a Breast Reconstruction?
Breast reconstruction is a surgical procedure designed to recreate the shape and appearance of the breast after mastectomy or lumpectomy. The goal is to restore a natural-looking breast mound and symmetry, helping you feel comfortable and confident in your body again.
Who is a good candidate?
You may be a good candidate for breast reconstruction if you:
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Have undergone or are planning a mastectomy or lumpectomy for breast cancer or another condition.
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Are in good overall health and able to tolerate surgery.
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Have realistic expectations about outcomes and recovery.
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Wish to restore breast shape and appearance, either immediately after mastectomy or at a later date (delayed reconstruction).
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Your surgeon will help you decide on the best timing and technique based on your health history, cancer treatment plan, and personal preferences.
How is the procedure performed?
Breast reconstruction typically requires more than one operative procedure, with additional surgeries to optimize symmetry or rebuild a nipple areola complex. There are several different methods of breast reconstruction, although the three most commonly employed techniques include expander/implant reconstruction, latissimus flap reconstruction and TRAM flap reconstruction.
What does recovery look like?
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Hospital Stay: Most patients stay in the hospital for 1–5 days, depending on the type of reconstruction.
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Initial Recovery: Expect swelling, bruising, and mild to moderate discomfort for 1–3 weeks. Drains may be placed temporarily to remove excess fluid.
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Activity: Light activities can resume within a few weeks, but strenuous exercise and heavy lifting should be avoided for 4–8 weeks.
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Healing: Full recovery and final results may take several months, especially for flap procedures.
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Follow-Up: Additional procedures may be needed to refine breast shape, reconstruct the nipple and areola, or achieve symmetry.
Frequently asked questions
Is breast reconstruction covered by insurance?
Yes, federal law requires most insurance plans to cover breast reconstruction after mastectomy, including procedures to achieve symmetry.
Will my reconstructed breast look and feel natural?
Reconstructed breasts can closely resemble natural breasts in appearance, but may not have the same sensation. Your surgeon will discuss what to expect based on your chosen technique.
Can reconstruction be done at the same time as mastectomy?
Yes, immediate reconstruction is possible for many patients, but delayed reconstruction is also an option if you need additional cancer treatment or prefer to wait.
Are there risks or complications?
As with any surgery, risks include infection, bleeding, scarring, implant issues, or problems with tissue healing. Your surgeon will review these with you and help minimize risks.