Breast reconstruction following mastectomy

What is breast reconstruction?

Breast reconstruction is a type of surgery that rebuilds the shape and appearance of your breast after a mastectomy (surgery to remove one or both breasts, usually to treat or prevent breast cancer). The aim is to restore your breast’s shape and help improve your confidence and emotional well-being.

Reconstruction can be done either at the same time as your mastectomy (immediate reconstruction) or months or years later (delayed reconstruction), depending on your treatment plan and personal preferences.

What are the types of breast reconstruction?

There are two main types of breast reconstruction, and the best option for you will depend on your health, the type of mastectomy you’ve had, and your personal preferences.

Implant-based reconstruction:
- This involves placing a silicone or saline implant to recreate the shape of your breast.
- Sometimes, a tissue expander is used to stretch the skin and chest muscle before the implant is placed.
- This option typically has a shorter surgery and recovery time.
- It’s a good choice if you don’t have enough tissue for a flap procedure or if you prefer a less invasive option.
Autologous (flap) reconstruction:
- This method uses tissue from another part of your body, like your abdomen, back, or thighs, to rebuild your breast.
- Techniques include:
  - DIEP flap (using tissue from your abdomen).
  - TRAM flap (also using abdominal tissue but with muscle involvement).
  - LD flap (using tissue from your back).
- Flap reconstruction provides a more natural look and feel but involves a longer surgery and recovery.
- It’s ideal if you want a more natural reconstruction and have enough tissue available.

Your surgeon will discuss both options with you to help decide what’s best for your situation.

Immediate vs delayed reconstruction

Immediate reconstruction: This happens at the same time as your mastectomy, so you wake up with your breast shape already restored. It can reduce the emotional impact of losing a breast and may mean fewer surgeries overall.
reconstruction: This is done months or years after your mastectomy. It’s often recommended if you need additional cancer treatments like chemotherapy or radiotherapy before reconstruction.

Why might you choose breast reconstruction?

Breast reconstruction is a very personal decision. You might decide to have the procedure for reasons like:

Restoring body image: Rebuilding your breast shape can help you feel more like yourself after a mastectomy.
Symmetry: If only one breast is removed, reconstruction can help create a balanced appearance.
Clothing fit: Some women find it easier to wear bras, swimsuits, or fitted clothing after reconstruction.
Emotional well-being: For many women, reconstruction can bring a sense of normalcy and improve confidence.

Your surgeon will support you in making the choice that feels right for you.

What happens during the breast reconstruction procedure?

Breast reconstruction is done under general anaesthesia and usually takes between 2 to 6 hours. The exact steps depend on the type of reconstruction you choose:

Implant-based reconstruction:
- A tissue expander may be placed under your chest muscle to stretch the skin.
- Once the skin is ready, a silicone or saline implant is inserted to create the new breast shape.
Flap reconstruction:
- Tissue is taken from another part of your body, like your abdomen or back, and used to rebuild your breast.
- Blood vessels are reconnected to ensure the tissue survives in its new location.

Your surgeon will explain the details of your chosen procedure and what twill explain the specific steps for your chosen method and discuss any potential risks.

What is recovery like?

Recovery times vary depending on the type of reconstruction:

Implant-based reconstruction: Most women can go home within 1 to 2 days and return to light activities in 2 to 4 weeks. Full recovery usually takes about 6 weeks.
Flap reconstruction: Recovery may take longer, with most women resuming normal activities in 6 to 8 weeks. Full recovery can take several months, especially if tissue was taken from your abdomen or another area.

Your surgeon will provide detailed aftercare instructions and guide you through the recovery process

What are the risks of breast reconstruction?

Like any surgery, breast reconstruction has some risks, including:

Infection: There’s a small risk of infection at the incision sites.
Implant complications: Implants may rupture or develop capsular contracture (tightening of scar tissue around the implant).
Tissue flap failure: Rarely, the transferred tissue may not survive due to poor blood flow.
Scarring: Some scarring is expected, but it often fades over time.

Your surgeon will discuss these risks with you and explain how to minimise them.

How to make the decision

Breast reconstruction is a personal choice, and there’s no “right” or “wrong” decision—it’s about what feels best for you. Whether you’re thinking about immediate or delayed reconstruction, implants or flap techniques, your doctor will work with you to create a plan that suits your needs and goals.

If you’re considering breast reconstruction, talk to your surgeon about your options and any questions you have. With the right care and support, you can make the decision that’s right for you and your well-being.

Why choose Birmingham Breast Clinic?

At Birmingham Breast Clinic, we are here to support you every step of the way if you’re considering breast reconstruction. Our team provides expert and compassionate care to help you feel confident and comfortable throughout your journey. When you choose us, you can expect:

Personalised care: Your treatment plan will be tailored specifically to your needs, goals, and preferences.
Highly skilled surgeons: Our experienced team specialises in breast reconstruction, using the latest techniques to ensure the best outcomes.
Comprehensive support: From your initial consultation to your recovery, we’ll be with you every step of the way, offering guidance, reassurance, and care.

We are here to help you restore your confidence and achieve the results you’re looking for in a supportive and welcoming environment.

Contact us

If you are considering breast reconstruction following a mastectomy, contact Birmingham Breast Clinic today to schedule a consultation. Our experienced team is here to provide the support and care you need.