Breast Reconstruction After Mastectomy: Your Options Explained
For many people, breast reconstruction is an important part of recovery after mastectomy. It is a personal decision, and there is no single right choice. Understanding the available options can help you discuss what may suit you with a specialist plastic surgeon in Melbourne.
What is breast reconstruction?
Breast reconstruction is surgery that rebuilds the shape of a breast after part or all of it has been removed, most commonly following a mastectomy for breast cancer. The aim is to restore breast contour, and the approach is tailored to each person’s anatomy, treatment history, and goals.
Timing: immediate or delayed
Reconstruction may be performed at the same time as a mastectomy, described as immediate reconstruction, or at a later date, described as delayed reconstruction. The most appropriate timing depends on factors such as your cancer treatment plan, whether radiotherapy is involved, and your personal preferences. These factors are discussed with your treating team.
Types of breast reconstruction
There are two broad categories of reconstruction, and sometimes they are used in combination:
- Implant-based reconstruction, which uses a tissue expander and or an implant to recreate breast volume
- Autologous or flap reconstruction, which uses your own tissue, often from another part of the body, to rebuild the breast
Each approach has its own benefits, limitations, and recovery considerations, which your surgeon will explain so you can weigh the options.
Reconstruction and radiotherapy
Understanding the risks
As with all surgery, breast reconstruction carries risks. These can include bleeding, infection, wound healing problems, changes in sensation, scarring, and, with implant-based reconstruction, implant-related complications. Flap reconstruction has additional considerations related to the donor site. Your surgeon will discuss the risks relevant to your chosen approach.
Recovery and support
Recovery depends on the type of reconstruction and whether it is combined with other treatment. Reconstruction is often a staged process that takes place over time, and ongoing follow-up care is part of the journey. Emotional support is also an important part of recovery, and your care team can help connect you with appropriate resources.
Dr Mansoor Mirkazemi is a specialist plastic surgeon with a particular focus on breast reconstruction. A consultation allows time to discuss your situation, the suitable options, and the realistic outcomes.
Frequently asked questions
Breast reconstruction following mastectomy may attract Medicare items in eligible cases. Your individual circumstances and any out-of-pocket costs are discussed during consultation.
Delayed reconstruction can be considered some time after a mastectomy. Suitability is assessed individually, taking your treatment history into account.
Sensation after reconstruction varies and may differ from before surgery. This is one of the considerations your surgeon will explain.
Disclaimer: This article is general information only and does not constitute medical advice. All surgical and non-surgical procedures carry risks, and individual results vary. A consultation with a specialist plastic surgeon is required to assess your suitability for any procedure. For cosmetic surgery, a referral from your GP or another registered medical practitioner is required, and a cooling-off period applies before surgery. Please refer to our Risks and Complications information before proceeding.
