Q. What is breast reconstruction, and can it be done after a mastectomy?
Doctor Answer is medically reviewed by SecondMedic medical review team.
Breast reconstruction is a surgical procedure or series of procedures designed to recreate the appearance of a breast following a mastectomy or breast-conserving surgery. It is an option for individuals who have had one or both breasts removed due to breast cancer or other medical reasons and wish to restore the breast's shape, size, and symmetry.
Breast reconstruction can be performed in several ways, depending on the patient's preferences, medical condition, and the timing of the reconstruction:
1. Immediate Reconstruction: This is performed at the same time as the mastectomy. The breast reconstruction process begins immediately after the removal of the breast tissue. It may involve the use of implants, tissue expanders, or autologous tissue (flaps of the patient's own tissue from another part of the body) to create the new breast mound.
2. Delayed Reconstruction: In delayed reconstruction, the reconstruction is performed weeks, months, or even years after the mastectomy. This approach might be chosen if the patient needs additional treatments (such as radiation therapy) before reconstruction, or if they prefer to wait for personal reasons.
3. Autologous Tissue Reconstruction: This method uses the patient's own tissue (often from the abdomen, back, or buttocks) to reconstruct the breast. Common techniques include the TRAM (transverse rectus abdominis myocutaneous) flap and DIEP (deep inferior epigastric perforator) flap procedures.
4. Implant-Based Reconstruction: In implant-based reconstruction, saline or silicone implants are used to recreate the breast mound. Tissue expanders may be used initially to stretch the skin and tissue before the permanent implant is placed.
5. Nipple and Areola Reconstruction: Nipple and areola reconstruction is often performed as a separate procedure after the initial breast mound reconstruction. This step involves creating a natural-appearing nipple and areola.
Breast reconstruction aims to help individuals regain their self-esteem, body image, and overall quality of life after a mastectomy. It is important to note that not all individuals choose to undergo breast reconstruction, and it is entirely a personal decision. Some people are content with the results of a mastectomy and do not desire reconstruction, while others may opt for prosthetic breasts or other solutions.
Before making a decision about breast reconstruction, it is essential to consult with a plastic surgeon who specializes in breast reconstruction. They can provide information about the available options, the timing of the procedure, potential risks and complications, and help individuals make choices that best align with their preferences and health needs.