Breast Reconstruction

Breast reconstruction is a surgical procedure to replace tissue lost during mastectomy or lumpectomy, restoring the breast shape. The aim is to match as closely as possible the remaining natural breast by creating a breast form with an implant which is placed beneath the skin and muscle that covers your chest, or by using muscle and soft tissue from another part of your body. A combination of these techniques is used in some women.

How the surgery is performed
The surgeon will discuss the procedure with you at your consultation and advise you on the technique best suited for you. The technique chosen will depend on the following: the amount of tissue removed from your breast, the quality of the tissue at the planned operation site, whether or not you have had radiotherapy to your breast, your general health and body build, and your choice and preference.

Nipple reconstruction
Nipple reconstruction is also an option, usually performed as a separate operation once your newly reconstructed breast has settled into its final shape. There are various techniques for this procedure as well. The nipple can be reconstructed from grafted skin tissue, taken from other suitable areas of your body. Two areas which can be used for this are the nipple and areola from the remaining natural breast and the top of the inner thigh, where the skin is darker in color. Another option is tattooing. This technique may be used on the peak of the new breast to produce an areola, but it does not produce the nipple shape beneath clothes.

Possible recommendations
The surgeon may recommend that you have surgery on your natural breast to achieve a better match with your reconstructed breast. This may involve reducing the size of your remaining breast or lifting it to reduce its natural droop. In some cases, the surgeon may recommend repositioning the nipple as well.

What to expect after surgery
You may need to wear a support garment for several weeks after reconstructive surgery or possibly no bra at all, depending on the technique performed. The surgeon will discuss this with you as well as instructions on post-operative care and activity.

Resuming work and other activities
Restrictions are individualized based on type of reconstruction chosen as well as your current lifestyle. The surgeon will discuss your personal restrictions with you.