Breast reconstruction is a surgical procedure designed to restore the shape, appearance, and symmetry of the breasts following a mastectomy (breast removal due to cancer or other conditions) or trauma. The goal of breast reconstruction is to help individuals regain confidence and a natural-looking breast contour.
Implant-Based Reconstruction
Utilizes saline or silicone implants to restore breast shape.
Often performed in stages, starting with a tissue expander to stretch the skin before implant placement.
Autologous (Flap) Reconstruction
Uses the patient’s own tissue from areas such as the abdomen, back, or thighs to reconstruct the breast.
Common techniques include:
DIEP Flap (Deep Inferior Epigastric Perforator Flap): Uses fat and skin from the lower abdomen without removing muscle.
TRAM Flap (Transverse Rectus Abdominis Muscle Flap): Uses abdominal muscle and tissue to form the breast.
Latissimus Dorsi Flap: Uses tissue from the upper back to reconstruct the breast.
Hybrid (Combination) Reconstruction
A combination of implants and autologous tissue to achieve the most natural shape and feel.
Individuals who have undergone mastectomy or lumpectomy.
Those in good overall health with no major medical conditions that may affect healing.
Patients with realistic expectations about the outcomes.
Individuals who have completed cancer treatment and received medical clearance.
Consultation: A board-certified plastic surgeon discusses goals, options, and expected results.
Surgical Planning: Choosing between implant-based or flap reconstruction based on patient preference and medical suitability.
Surgical Procedure:
May be performed immediately after mastectomy (immediate reconstruction) or months to years later (delayed reconstruction).
May require multiple stages depending on the technique used.
Recovery and Healing:
Initial swelling and bruising subside within a few weeks.
Full healing and final results may take several months.
Follow-up visits ensure proper healing and adjustments if needed.
Scarring: Incisions will leave scars, though they typically fade over time.
Infection and Healing Issues: Proper wound care reduces these risks.
Changes in Sensation: Some individuals experience numbness or reduced breast sensitivity.
Implant Risks: If implants are used, they may require future replacement.
Additional Surgeries: Some patients may need revisions for optimal symmetry and contour.
Restores breast shape and symmetry after mastectomy.
Enhances self-confidence and body image.
Provides a permanent solution for those seeking breast restoration.
Offers multiple technique options tailored to the patient’s needs and preferences.
Breast reconstruction is a deeply personal choice that offers individuals the opportunity to regain confidence and restore their physical appearance after mastectomy. Consulting with a board-certified plastic surgeon is essential to explore the best options and achieve satisfying, natural-looking results.
