After a mastectomy, some women choose to have cosmetic surgery to recreate their breast. This surgery can be performed during mastectomy itself or later.
The breast is usually reshaped in two stages. First a tissue expander is used. Then a saline implant is placed. 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 to have it.
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. 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.
Women who have had a lumpectomy rarely need to have breast reconstruction.
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:
Your doctor or nurse will tell you when to arrive at the hospital.
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 this surgery are usually very good. It is nearly impossible to make a reconstructed breast look exactly the same as the remaining natural breast. You may need more "touch up" procedures to get 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
Burns JL, Blackwell SJ. Plastic surgery. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 73.
Wilhelmi BJ, Phillips LG. Breast reconstruction. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 35.
Updated by: Shabir Bhimji, MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2013, A.D.A.M., Inc. Duplication for commercial use must be authorized in writing by ADAM Health Solutions.