Your Guide to Breast Reconstruction after Mastectomy for Breast Cancer
Women who have undergone surgery as a part of their breast cancer treatment may consider breast reconstruction surgery to rebuild and restore the shape of their breast.
Breast reconstruction involves rebuilding the shape and look of the breast through various methods.
Timing and Decision Making
Breast reconstruction can be performed either at the time of mastectomy, which is known as immediate reconstruction, or it can be performed after completion of breast cancer treatment. This is known as delayed breast reconstruction.
The time period for delayed reconstruction may range from months to years, depending on recovery and adjuvant therapy needs.
Eligibility Criteria for Breast Reconstruction
Although most breast cancer survivors are potential candidates for breast reconstruction, eligibility depends on various factors:
- Stage of breast cancer
- General health condition
- Body Mass Index (BMI)
- Need for radiation therapy (can affect healing and outcomes)
- Patient preference
Types of Breast Reconstruction
Breast Reconstruction Using Implants
This method uses saline or silicone implants to recreate the breast mound. Often done in two stages:
- Placement of a tissue expander after mastectomy
- Gradual inflation over weeks, followed by replacement with a permanent implant
Breast Reconstruction Using Flaps
Uses the patient’s own tissue (autologous reconstruction) from areas like the abdomen (DIEP flap), back (latissimus dorsi flap), or thighs.
Advantages include natural feel and durability. However, it involves longer surgery and recovery time.
Reconstruction of Nipple and Areola
Performed in a separate minor procedure after the breast mound heals. Can involve local tissue flaps and medical tattooing for pigmentation.
Scarring and Recovery
Breast reconstruction can leave scars which gradually fade away over time. However, latest innovations over the past decade have minimized scarring and significantly improved appearance.
Questions to Ask Your Doctor Before Deciding on Breast Reconstruction
- Am I a good candidate for reconstruction?
- Which technique is best suited for my body type and health?
- Will I need radiation? How will it affect reconstruction?
- What are the risks and complications?
- How many surgeries will be required?
- What will my breasts look and feel like afterward?
- Is reconstruction covered by insurance?
It is important to consult your team of surgeons and oncologists before making a decision. Every patient’s condition is different, and your doctors will help you choose the best option based on your situation.