After a mastectomy, some women choose to have cosmetic surgery to re-create their breast. This surgery can be performed during mastectomy itself or later.
The breast is usually reshaped in 2 stages, first using a tissue expander and then placement of a saline implant. Sometimes the implant can be inserted in the first stage.
If you are having reconstruction at the same time as your mastectomy, your surgeon may do a skin sparing mastectomy. This means only the area around your nipple and areola is removed and more skin is left to make reconstruction easier.
If you will have breast reconstruction later, your surgeon will remove enough skin over your breast during the mastectomy to be able to close the skin flaps.
Breast reconstruction with implants is usually done in 2 stages. You will receive general anesthesia (asleep and pain free).
In the first stage:
In the second stage:
You may have another minor procedure later that remakes the nipple and areola area.
You and your doctor will decide together about whether to have breast reconstruction, and when.
Having breast reconstruction does not make it harder to find a tumor if your breast cancer comes back.
Getting breast implants does not take as long as breast reconstruction (which uses your own muscle tissue). You will also have fewer scars. But the size, fullness, and shape of the new breasts are more natural with reconstruction that uses muscle tissue.
Many women choose not to have breast reconstruction or implants. They may use a prosthesis (an artificial breast) in their bra that gives them a natural shape, or they may choose to use nothing at all.
Risks for any surgery are:
The risks for breast reconstruction with implants are:
Always tell your doctor or nurse if you are taking any drugs, supplements, or herbs you bought without a prescription.
During the week before your surgery:
On the day of your surgery:
You may be able to go home the same day as the surgery, or you may need to stay in the hospital for 1 or 2 days.
Results of reconstruction surgery are usually very good. It is nearly impossible to make a rebuilt breast look exactly the same as the remaining natural breast. You may need more operations for the result you want.
Reconstruction will not restore normal sensation to the breast or the new nipple.
Having cosmetic surgery after breast cancer can improve your sense of well-being and your quality of life.
Breast implants surgery