Breast reconstruction restores the shape, symmetry, and appearance of the breast(s) after mastectomy or lumpectomy due to cancer or benign tumors. This guide covers surgical options, recovery, and long-term care to help patients prepare physically and emotionally.
Types of Breast Reconstruction
1. Implant-Based Reconstruction
Saline or Silicone Implants – Placed under the chest muscle.
Two-Stage Reconstruction – Uses a tissue expander first, then a permanent implant.
2. Autologous (Flap) Reconstruction
DIEP Flap – Uses abdominal fat/skin (no muscle sacrifice).
TRAM Flap – Uses abdominal muscle + fat.
Latissimus Dorsi Flap – Uses bathe ck muscle + skin.
PAP or SGAP Flap – Uses fat from thighs/buttocks.
3. Nipple & Areola Reconstruction
Medical tattooing or surgical reconstruction for a natural look.
4. Oncoplastic Surgery (Lumpectomy Patients)
Reshapes the remaining breast tissue for symmetry.
Immediate (same surgery) or delayed (months/years later).
No, but inform your radiologist (special imaging may be needed).
Partial numbness is common, but some feeling may return over time.
10-20 years (may require replacement).
Yes, but radiation may limit options (flaps often preferred over implants).
Longer recovery, but more natural results and no future replacements.
After 6-8 weeks (surgeon’s approval required).
Yes (in the U.S., the Women’s Health and Cancer Rights Act mandates coverage).
Unlikely if the nipple was removed, but discuss options pre-surgery.
✅ Follow all post-op instructions carefully.
✅ Eat protein-rich foods to aid tissue repair.
✅ Stay hydrated to reduce swelling.
✅ Avoid smoking & alcohol for faster recovery.
✅ Be patient—full healing takes months.