Breast Reconstruction

Breast reconstruction is performed to restore breast shape and size following a mastectomy procedure. Depending on the extent of the mastectomy, one or both breasts can be reconstructed. Many women seek this restorative procedure to regain a more natural-looking silhouette.

Breast Reconstruction Candidate

The ideal candidate for breast reconstruction can relate to the following:

  • Has undergone cancer treatment with a mastectomy
  • Has realistic expectations of the surgery
  • Does not have additional medical conditions that would impair healing
  • Does not smoke

Breast Reconstruction Procedure

Techniques for breast reconstruction vary depending on the impact of the mastectomy procedure on the breast. When breast cancer treatment surgery does not leave enough tissue to support a breast implant, a flap technique or tissue expansion can be used.

Breast reconstruction can also be achieved through tissue expansion. This is a more lengthy procedure but requires less recovery time than flap techniques. An internal expander is inserted into the area where the new breast will be, and the patient must make repeat visits for four to six months as the expander is slowly filled to stretch the skin and make room for the implant.

The nipple and areola can be reconstructed using grafting or a variety of other specialized techniques. Some women opt to have their areola tattooed on as an alternative.

Recovery from Breast Reconstruction

Bandages or gauze will be applied to the incisions. You will most likely be instructed to wear a sports bra or compression garment to support your new shape and to minimize swelling. A drainage tube may be inserted to remove any excess fluid accumulation. After several weeks, the swelling will decrease and your new breast will have a more natural-looking shape. Dr. Thompson will let you know how long to wait before resuming regular activities, but typically you should avoid bending over, lifting heaving objects, and rigorous exercise for at least two weeks.

Breast Reconstruction Results

The results of breast reconstruction surgery vary among patients. Although the breast may not have the same sensation and feel as a natural breast, it will appear as close to your natural breast as possible. Scars may be apparent from the mastectomy or from reconstruction but will continue to fade over time. Many women experience a better quality of life following reconstruction surgery, as it can help lessen the physical and emotional impact of the mastectomy.

Risks and Side Effects of Breast Reconstruction

As with any surgery, there are some risks associated with breast reconstruction. Dr. Thompson will explain these risks in detail, but possible complications include:

  • Bleeding
  • Infection
  • Poor healing of incisions
  • Loss of sensation
  • Breast firmness from breast implants

Consultation for Breast Reconstruction

During your initial consultation, you and Dr. Thompson will discuss your health history and your expectations for surgery. The doctor may assess the results of your mastectomy to better determine which techniques he should use. Together, you and Dr. Thompson will decide if breast reconstruction is right for you. If you are a post-mastectomy patient considering breast reconstruction, contact the Thompson Center for Plastic Surgery today by calling 732-410-4789.