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BREAST RECONSTRUCTION
Post Mastectomy Reconstruction

For most mastectomy patients, the loss of a breast is a severe emotional loss as well. Breast reconstruction strives to replace not just the breast, but everything else as well. The drawings featured depict the traditional reconstruction procedure.

Breast reconstruction is one of the most rewarding procedures available today. New surgical techniques and devices have given surgeons the ability to create breasts that match natural breasts in form and appearance better than that possible in the past. Often this procedure is performed in conjunction with the mastectomy (breast removal) obviating the need for a separate operation. One of the advantages of immediate breast reconstruction is that the patient does not experience seeing themselves without a breast.



Most patients requiring a mastectomy are good candidates for breast reconstruction. The reconstruction may be performed utilizing the patient's own tissue to reconstruct a breast. Another option for breast reconstruction incorporates a technique known as tissue expansion which utilizes a balloon-like device to stretch the tissues with subsequent insertion of an implant to recreate a breast. The technique that would be best suited for the patient is determined at the time of consultation. Patients who may require the removal of both breasts can undergo reconstruction of both sides at the same time.



Some women choose not to undergo the reconstruction at the same time as the mastectomy. In this situation the reconstruction may be performed on a delayed basis. Many patients are understandably preoccupied with the mental and physical trauma of coping with cancer. Others may want to avoid any elective surgery. Women with other health conditions such as obesity, high blood pressure, diabetes, or smoking may be advised to postpone surgery. Smokers should be advised that nicotine and carbon monoxide delay wound healing, which may result in wound breakdown, more noticeable scars and extended recovery time.

Breast reconstruction is performed in the hospital under general anesthesia. The procedure may last from 1 - 5 hours depending on the technique utilized. In most cases a hospital stay is required following surgery.

Physical activity is limited and return to work is usually within a few weeks depending on the procedure.