Breast Reconstruction Surgery is a surgical procedure to rebuild the shape of the breast after a mastectomy, which is the surgical removal of all or part of the breast. The procedure can be performed at the same time as the mastectomy (immediate reconstruction) or a later date (delayed reconstruction). There are several different techniques for breast reconstruction, and the most appropriate one for you will depend on your circumstances and goals. Some common options include breast implants, tissue from another part of your body to reconstruct the breast or a combination of both. It's important to discuss your options with a plastic surgeon or breast specialist to determine the best course of treatment for you.
Types of breast reconstruction procedures
There are several types of Breast Reconstruction procedures that can be performed following a mastectomy (removal of the breast) or other breast surgery. These procedures can help restore the breast’s appearance and improve body symmetry. Some common types of Breast Reconstruction include:
Implant-based Reconstruction
In this procedure, an implant is used to create a new breast mound. The implant can be placed behind the chest muscle (submuscular) or in front of the chest muscle (subglandular).
Flap Reconstruction
In this procedure, tissue is taken from another part of the body, such as the abdomen, buttocks, or thigh, and used to create a new breast mound. Flap reconstruction can be performed using various techniques, such as the TRAM flap, DIEP flap, and SGAP flap.
Latissimus Dorsi Flap Reconstruction
In this procedure, a large muscle from the back (latissimus dorsi) is used to create a new breast mound. The muscle is tunneled under the skin and reshaped to form the new breast.
Prosthetic Reconstruction
In this procedure, a temporary or permanent prosthetic breast is used to restore the shape and appearance of the breast. Prosthetic breasts are made of silicone or other materials and can be worn inside a bra or attached to the chest wall.
Nipple-Sparing Mastectomy with Immediate Reconstruction
In this procedure, the breast is removed, and the reconstruction is performed simultaneously, using an implant or flap technique. The nipple and areola are left in place and can be reconstructed later if desired.
It is important to discuss the various options with a plastic surgeon to determine the best approach for you based on your circumstances and goals.
Precaution Before Breast Reconstruction Surgery
There are a few additional precautions that you should take before undergoing Breast Reconstruction Surgery after cancer treatment. These include:
- Wait for cancer treatment to be completed: It is essential to wait until all cancer treatment, such as chemotherapy and radiation, is completed before undergoing Breast Reconstruction surgery. Also, this can help reduce the risk of complications.
- Please discuss with your oncologist: It is essential to discuss the Breast Reconstruction Surgery with your oncologist before proceeding. Your oncologist can advise you on whether the surgery is appropriate for you based on the stage and type of cancer you had.
Precautions Before Breast Reconstruction After Cancer
- Consider reconstructing both breasts: If you had a mastectomy, you might want to consider reconstructing both breasts, even if only one breast was affected by cancer. Also, this can help improve your overall symmetry and body image.
- Consider the timing of the surgery: You may want to consider the timing of the surgery concerning your cancer treatment. For example, if you received radiation therapy, it may be best to wait at least six months after the treatment is completed before undergoing Breast Reconstruction surgery.
- Get a physical examination: It is crucial to get a physical examination from your primary care doctor before the surgery to ensure that you are in good health.
- Discuss any medical conditions: If you have any medical conditions, such as diabetes or high blood pressure, you must discuss them with your surgeon before the surgery.
- Arrange transportation: You will need someone to drive you home after the surgery, so it is essential to arrange transport in advance.
- Follow pre-surgery instructions: Your surgeon will give you specific instructions to follow before the surgery, such as not eating or drinking after midnight on the day of the surgery. It is essential to follow these instructions carefully.
Frequently Asked Questions
Is Breast Reconstruction after cancer safe?
In general, Breast Reconstruction after cancer is considered to be safe. However, as with any surgery, there are risks and potential complications, such as infection, bleeding, and changes in breast sensation. It is important to discuss the potential risks and benefits of Breast Reconstruction with your surgeon before the surgery.
How long does Breast Reconstruction take?
The length of Breast Reconstruction Surgery can vary depending on the specific procedure being performed. In general, the surgery can take several hours to complete.
How long is the recovery period after Breast Reconstruction?
The recovery period after Breast Reconstruction can vary depending on the specific procedure being performed and the patient's individual circumstances. In general, you can expect to take several weeks off work to allow time for recovery. You may also need to avoid strenuous activities for several weeks after the surgery.
Will I have scars after Breast Reconstruction?
All surgery leaves scars, and Breast Reconstruction is no exception. The scars may be noticeable initially, but they will fade with time. The size and location of the scars will depend on the specific procedure being performed.
Can I breastfeed after Breast Reconstruction?
It is generally not possible to breastfeed after Breast Reconstruction, as the surgery involves the removal of breast tissue. However, some women may be able to express milk using a breast pump after reconstruction. It is important to discuss your breastfeeding goals with your surgeon before the surgery so that you can make an informed decision.
Can Breast Reconstruction be performed at the same time as the mastectomy?
Yes, Breast Reconstruction can be performed at the same time as the mastectomy in a procedure known as "immediate reconstruction." This can help to reduce the number of surgeries needed and may help to preserve the natural shape of the breast. However, immediate reconstruction may not be appropriate for all patients, and it is important to discuss the option with your surgeon.
Will my insurance cover Breast Reconstruction?
Many insurance plans cover Breast Reconstruction, including reconstructive surgery after a mastectomy. It is important to check with your insurance provider to determine your coverage.
Can Breast Reconstruction be performed after chemotherapy and radiation?
Yes, Breast Reconstruction can be performed after chemotherapy and radiation. However, it is generally recommended to wait until these treatments are completed before undergoing reconstruction to help reduce the risk of complications.
Is Breast Reconstruction painful?
You may experience pain or discomfort following Breast Reconstruction surgery. Your surgeon will prescribe pain medication to help manage this. Most patients are able to return to their normal activities within a few weeks, although complete recovery may take several months.
Can Breast Reconstruction be performed on both breasts?
Yes, Breast Reconstruction can be performed on both breasts, even if only one breast was affected by cancer. This can help to improve symmetry and overall body image. It is important to discuss your goals and options with a plastic surgeon to determine the best approach for you.
What are the different types of Breast Reconstruction?
There are several different types of Breast Reconstruction procedures that can be used to restore the shape and appearance of the breast after mastectomy or other breast surgery. These include implant-based reconstruction, flap reconstruction, latissimus dorsi flap reconstruction, prosthetic reconstruction, and nipple-sparing mastectomy with immediate reconstruction.
Will my reconstructed breast look and feel the same as my natural breast?
It is not possible to recreate a breast exactly as it was before surgery. The reconstructed breast may look and feel different from the natural breast. However, many women are satisfied with the appearance of their reconstructed breasts and find that it helps to improve their overall body image.
How long does it take to recover from Breast Reconstruction?
The recovery period after Breast Reconstruction can vary depending on the specific procedure being performed and the patient's individual circumstances. In general, you can expect to take several weeks off work to allow time for recovery. You may also need to avoid strenuous activities for several weeks after the surgery.
Is Breast Reconstruction covered by insurance?
Many insurance plans cover Breast Reconstruction, including reconstructive surgery after a mastectomy. It is important to check with your insurance provider to determine your coverage.
