Breast Reconstruction

You may be a suitable candidate if you.
• Have undergone mastectomy due to breast cancer
• Lost breast tissue due to trauma or injury
• Have congenital or developmental absence of breast tissue

There are three main approaches:
1. Implant-Based Reconstruction
2. Autologous Tissue Reconstruction (using the patient’s own tissue)
3. Combination of Implant and Autologous Tissue

Breast reconstruction is typically performed under general anesthesia. Depending on the patient's condition and preference, the breast can be reconstructed using
• Silicone or saline implants
• The patient’s own tissue (e.g., skin, fat, or muscle from other parts of the body)
• Donor tissues (rare, but possible in certain cases)

• Implant-only procedures usually take 1–2 hours
• Tissue-based reconstructions may take 4–5 hours
• If performed simultaneously with a mastectomy, the duration may be longer

The most commonly used implants are made of silicone shells filled with saline (saltwater) or silicone gels. Currently, silicone gel implants are widely preferred because of their natural appearance and feel.

Your own tissue can be used when
• You have undergone radiotherapy, which may affect implant success
• There is insufficient skin or soft tissue after mastectomy
• You prefer a more natural, long-lasting result
• Previous implant-based reconstruction was unsuccessful
The common donor sites include the abdomen, back, or thighs. Reconstructive flaps such as DIEP, TRAM, or latissimus dorsi may be used.

There are two main timing options.
• Immediate Reconstruction: Performed at the same time as the mastectomy
• Delayed Reconstruction: Performed after completing chemotherapy or radiotherapy, especially if radiation is expected to affect healing

Yes, but timing matters.
• Chemotherapy can be administered before or after reconstruction
• Radiotherapy, however, may affect the new breast, so reconstruction is often postponed until after radiation therapy is complete

• Restores a natural-looking breast shape
• Improves body image and self-esteem
• Reduces the psychological impact of mastectomy

As with any type of surgery, there are some risks.

Early Risks:
• Pain, bleeding, infection, delayed wound healing
Late Risks:
• Implant rupture or displacement
• Breast asymmetry
• Dissatisfaction with cosmetic outcome

Breast reconstruction is a highly individualized and meaningful procedure that can significantly improve quality of life after mastectomy or trauma. The best approach depends on

• Your health status
• Previous treatments (such as radiation)
• Your aesthetic expectations
• Clinical judgment during consultation

We will determine the most appropriate method for you during your consultation, and support you throughout every stage of the process.