What is breast reconstruction?
Breast reconstruction is a highly individualized surgical procedure performed to restore the shape, appearance, size and symmetry of one or both breasts following mastectomy or lumpectomy.
Breast reconstruction is about more than physical changes. Many women find that reconstruction helps them move forward after their breast cancer treatment and regain a sense of confidence that helps them heal and feel comfortable in their body again.
All women undergoing breast cancer surgery are given the choice to explore their reconstruction options.
Breast reconstruction is integrated into your personalized cancer treatment
Riverside’s Surgical Specialists’ plastic surgeon is specialized in breast reconstruction and is an important part of your cancer care team. It is beneficial to meet with a plastic surgeon from the very beginning of your surgical planning conversations. Your plastic surgeon collaborates with other members of your cancer care team, to discuss reconstruction options, so you can choose a plan that works best for you.
Consulting with a plastic surgeon has many benefits, which include:
- Careful planning before any surgery takes place
- Coordination with your breast surgeon on surgical approaches
- Integration of reconstruction timing with your cancer treatment plan, for example if your breast cancer treatment includes radiation, this will affect the timing of your reconstruction
- Development of a personalized strategy that considers your unique needs and treatment journey
Your journey is unique, and your breast reconstruction choices should reflect your personal goals and values. Our plastic surgeon listens and helps you explore your options so you can make a decision that feels right for you.
What to expect when coming to meet a plastic surgeon to discuss breast reconstruction choices
Breast reconstruction is a highly personal choice. Your plastic surgeon understands the importance of providing information to help you decide what is best for your situation and will support you in making these treatment decisions. Understanding your reconstruction options is key to making an informed decision.
Each reconstruction type option has unique benefits, and what works best for one woman may not be the ideal choice for another. Your plastic surgeon will help guide you through these choices based on goals and the consultation will include:
- Understanding the pros and cons of each option
- Helping you visualize potential outcomes
- Making informed decisions about your reconstruction
- Building confidence in your chosen path
Preparing for your consultation with the plastic surgeon
Consider bringing a loved one or support person with you to your appointment.
Questions you may wish to ask during your consultation:
- What reconstruction options are available for my specific situation?
- How will reconstruction fit into the timing of my overall cancer treatment plan?
- What should I expect during recovery?
- What are the potential risks and complications?
Nipple sparing and skin sparing mastectomy
- Nipple sparing mastectomy attempts to preserve the nipple areola complex in addition to the breast skin.
- Skin sparing mastectomy removes the nipple and areola complex but spares the remaining breast skin to be utilized during your reconstruction.
Implant-based reconstruction is done using silicone or saline to create the shape of the breast.
With autologous reconstruction, the plastic surgeon can take tissue from your abdomen or your back.
Implant-Based Reconstruction
- Uses silicone or saline implants
- Generally, involves shorter recovery time
- Implants come in various shapes and sizes to match your body and vision
Autologous (Natural Tissue) Reconstruction
- Uses your own body tissue to rebuild the breast
- Tissue can be taken from your abdomen or back
When should breast reconstruction be done?
The timing of your reconstruction depends on many factors, including your cancer treatment plan and personal preferences.
Immediate Reconstruction
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The plastic surgeon and the breast surgeon would work together in the operating room
and reconstruction is performed during the same surgery as your mastectomy or lumpectomy - Expanders are often placed at time of initial surgery, with reconstruction surgery to follow in months to come
When expanders are placed, you may require “fills” to reach your desired breast size
Delayed Reconstruction
- Performed weeks, months, or years after cancer surgery
- May be recommended if you need chemotherapy or radiation therapy
- Gives you time to focus on cancer treatment first
- Allows more time to explore options and make decisions
Lumpectomy reconstruction
If you're having a lumpectomy, reconstruction options include:
- Reshaping the breast using your natural tissue
- Addressing any noticeable size or shape differences
- Potentially avoiding separate reconstruction surgery
Can I have a breast reduction during my breast cancer surgery?
For women with larger breasts, combining reconstruction with reduction can:
- Relieve back, neck, and shoulder pain
- Improve symmetry
- Create better overall balance
- Reduction may be considered as part of your breast cancer surgery
If you're facing breast cancer surgery and thinking about reconstruction, know that you have choices.
Meet Riverside Plastic and Reconstructive Surgery Specialists’ plastic surgeon Keith Pitzer, M.D.