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If your breast cancer treatment involves partial or total removal of one or both breasts, reconstructive surgery can help restore their look and shape. Breast reconstruction can also help boost your confidence and return a sense of normalcy after treatment.
Several types of reconstruction surgery are available to rebuild breasts and breast structures following mastectomy or lumpectomy. Your Mercy doctor will help you find out what’s right for you. There are two main types of breast reconstruction surgery.
The two main types of breast reconstruction surgery include:
Implants and autologous tissue may be used together in breast reconstruction. In the final stage, a nipple and areola can be recreated if they weren’t preserved during the mastectomy.
Reconstructive surgery may be done at the time of your mastectomy or lumpectomy, which is known as immediate reconstruction. Or, you might need to wait until your other cancer treatments are finished, which is known as delayed reconstruction.
You and your Mercy doctor should discuss all breast reconstruction options. Factors that may affect the type of reconstructive surgery you receive include:
If you need radiation therapy after your mastectomy or have medical conditions that impact healing, you may need to delay breast reconstruction.
The type of breast cancer you have can also be a factor. Inflammatory breast cancer usually requires more extensive skin removal, which can make immediate reconstruction more challenging.
Your hospital stay after breast reconstruction surgery is generally two to five days. You’ll have drainage tubes in place to remove excess fluids from the surgical site, and your Mercy doctor will decide when it’s safe to remove them. You’ll also have stitches (sutures), but they’ll likely be absorbable and won’t need to be removed.
Be sure to give yourself plenty of time to heal. It can take six weeks or more to get back to your normal activities after breast reconstruction surgery.
Breast reconstruction can be a positive next step after breast cancer surgery. It brings balance back to your appearance, making you feel more confident in clothing and swimwear.
After surgery, your breasts will have scars, but they usually fade over time. If you have flap surgery, you’ll also have a scar at the site where the tissue was removed.
Your new breasts will look different from your natural breasts and won’t have the same sensations. And you may need to have your nipple and areola reconstructed using skin grafts or 3D nipple tattooing.
If you had just one breast reconstructed, its size and shape might not match your opposite breast. You may be able to reduce, enlarge or lift your remaining breast to create an even look.
Minor revision surgeries such as fat grafting may also be required later.
Hear from breast cancer survivor Nicole Goodall, who received a double mastectomy, and her Mercy Clinic plastic surgeon, Louis Brunworth, MD. Experience Nicole’s path from breast reconstructive surgery to recovery.
If you’re thinking about breast reconstruction, it’s important to learn about the options and techniques available. Knowing your options can help you decide if breast reconstruction is right for you — in recovery and beyond.
Implants are devices filled with silicone or saline that help restore shape to your breasts after mastectomy. This type of breast reconstruction requires two or more surgeries and several visits after your initial surgery to prepare your body for the implants.
In the first stage of breast reconstruction with implants, a balloon-like tissue expander is placed under your skin or muscle. After you’re fully healed from this procedure, your Mercy surgeon injects saline into the tissue expander every week to stretch the skin or muscle.
In the second stage, the tissue expander is removed and replaced with a permanent breast implant.
Potential risks with implant surgery include:
You and your Mercy doctor should also discuss the following:
In autologous (or flap) reconstruction, a tissue flap containing skin, fat, blood vessels and sometimes muscle is taken from another part of your body and used to rebuild the breast.
If you’re having flap reconstruction on only one of your breasts, your Mercy doctor may recommend genetic screening for breast cancer to find out if you’re at high risk of developing cancer in the opposite breast. If another breast reconstruction is needed later, surgical options are more limited because tissue can only be taken from the abdomen once.
Flaps used for breast reconstruction often come from your abdomen or back, but they can also be taken from your thighs or buttocks. Depending on their source, they’re either pedicle or free flaps.
With a pedicle flap, the flap stays connected to the body and is tunneled under the skin to the breast area. Since the blood supply remains connected, no microsurgery is required.
A free flap is disconnected from the body and blood supply, then moved to the breast area. Microsurgery is required to reconnect the blood supply.
Types of abdominal and back flaps include:
Flaps from the thighs or buttocks are used if you don't have enough abdominal tissue to reconstruct a breast, or you’ve had major abdominal surgery. These types of flaps include:
Potential risks with autologous breast reconstruction include:
At Mercy, we offer comprehensive services to diagnose and treat a full range of conditions, including:
At Mercy, we offer compassionate care for a variety of treatment services, including: