What is Breast reconstruction?

 

Breast reconstruction surgery is a treatment for women who have lost their breast due to cancer or some other condition. It is important to know that a reconstructed breast will not have the same sensation and feel as the breast it replaces. There will be visible incision lines present on the breast, whether from reconstruction or mastectomy.  Certain surgical techniques will leave incision lines at the donor site, commonly located in less exposed areas of the body such as the back, abdomen or buttocks.

 

What are my breast reconstruction surgery options?

Breast Implants
Following a mastectomy, the surgeon places an inflatable or balloon-type tissue expander behind the pectoral (chest) muscle. The incisions are sewn closed, and the patient is released within a short time. A tiny tube and valve mechanism is part of the expander.

Over the next several weeks or months, the doctor will periodically inject saline solution to gradually fill the expander. This gentle stretching of the skin creates the space in which a permanent saline implant will be placed during a subsequent operation. Some patients find the "gentle stretching" involves a small degree of temporary discomfort.

Tissue Flaps
In this surgical technique, the breast is reconstructed using a flap of tissue harvested from your abdomen or back and relocated to the breast area. The tissue flap, also called myocutaneous flap, consists of skin, fat and muscle.
 

How long is the recovery?

 

Following your surgery for flap techniques and/or the insertion of an implant, gauze or bandages will be applied to your incisions.  An elastic bandage or support bra will minimize swelling and support the reconstructed breast. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid.  A pain pump may also be used to reduce the need for narcotics.
 

What can I expect from breast reconstruction surgery?

 

Breast reconstruction surgery can help lessen the physical and emotional impact of mastectomy. Over time, some breast sensation may return, and scar lines will improve, although they’ll never disappear completely.

 

When should I have a breast reconstruction?

 

Immediate:
Breast reconstruction at the time of your mastectomy is not only possible, but may be preferable in certain patients. Immediate reconstruction not only spares you the emotional burden of seeing yourself without a breast, but also spares you the requirement of a second major hospitalization and operation. Ask your surgeon whether this is a possibility for you. When possible, immediate breast reconstruction is preferred.

Delayed:
You or your surgeon may feel that you need a few weeks or months following your mastectomy before you're ready to face further decisions. There is no time limit, so take the time that you need. Perhaps years have passed, and now you're encouraged by the newer techniques.