Today, if you have breast cancer, you can often elect to have surgery that spares much of the breast tissue. If you must have, or choose to have, a total mastectomy, you then have the option to undergo breast reconstruction.
Breast reconstruction uses tissue or implants to rebuild a normal breast shape so both breasts look balanced when you are wearing a bra. For some women, breast reconstruction improves their body image and self-esteem following cancer. If you do not chose reconstruction, you can wear a form inside your bra (prosthesis) to create the appearance of normal breasts.
You can undergo breast reconstruction at the same time as your mastectomy, or at a later date. Your eligibility for immediate breast reconstruction depends on the size of the tumor, your overall health, and, of course, your personal preference. Radiation therapy following surgery can change the tissue used for reconstruction, prompting some women to wait until after they complete treatment.
For many women, breast reconstruction helps them psychologically heal from the trauma of cancer. Although there are no clinical trials on breast reconstruction, physicians believe existing data favors immediate reconstruction, in part, because it spares women the experience of waking from surgery with no breast.
There are two ways to reconstruct a breast: using a synthetic implant or using tissue from another part of your body (autologous). Physicians prefer autologous reconstruction when possible because it's more natural and reduces the chance your body will reject an implant. Reconstruction replaces the lost bulk from the breast, and if the cancer or surgery permanently damages the skin, your plastic surgeon will replace it as well. You can add a nipple to your reconstructed breast.
During an autologous reconstruction, your surgeon will remove excess skin and fat from another part of your body-usually the back of the shoulder blade, the abdomen, inner thigh, or buttock area-to create a flap. Using a flap from abdominal tissue is a good option cosmetically and holds up better if you need subsequent radiation therapy.
Breast implants are made of silicone, gel, or tissue. After your physician surgically places the implant, she'll gradually expand it with saline until you reach the desired breast volume. The rate of complications following reconstructive surgery is higher with synthetic implants.
In 2007, only about 20 percent of women opted for breast reconstruction following a mastectomy. Women under 40 were most likely to opt for immediate reconstruction.
Ellis, Carole VanSickle. "Four of 5 Women Do Not Receive Breast Reconstruction After Mastectomy." Medscape Medical News. Web. May 2010.http://www.medscape.com/viewarticle/721209
Wysong, Pippa. "Breast Reconstruction -- An Expert Interview With Robert T. Grant, MD." Medscape Plastic Surgery & Aesthetic Medicine. Web. 28 December 2009. http://www.medscape.com/viewarticle/714087
Lowry, Fran. "Breast Reconstruction Immediately After Mastectomy Linked to Increased Survival." Medscape Medical News. Web. 6 October 2010. http://www.medscape.com/viewarticle/729976
Fentiman, I.S., and Hamed, H. "Breast Reconstruction." International Journal of Clinical Practice 60(4) (2006): 471-474. Medscape Medical News. Web. 24 April 2006. http://www.medscape.com/viewarticle/529598
Lee, Charles MD. "What is Microsurgical Breast Reconstruction?" Medscape Medical News. Web. 21 May 2009. http://boards.medscape.com/forums/?128@507.RX2Ra6W9Cax@.29f377fd!comment=1
American Cancer Society. "Breast Reconstruction After Mastectomy." Web.
American Society of Plastic Surgeons. "Breast Reconstruction." Web.
National Institute of Cancer. "Breast Reconstruction." Web. 15 November 2009.
Sign Up for Free Newsletters
Ask Your Doctor the RIGHT Questions!
the most from your doctor visit.
Emailed right to you!
The Ask Your Doctor email series
may contain sponsored content.
18+, US residents only please.
Explore Original Articles About...
Get the MOST from QualityHealth
- Top Searches
- 1. Arthritis Management: Nature Heals
- 2. 5 Digestive To-Dos
- 3. Men: Should You Shave It or Leave It?
- 4. Today's Top Fitness Trends
- 5. Sugar and Osteoarthritis : The Link
- 6. Can't Afford Your Hospital Bills?
- 7. Stay Energized All Day Long
- 8. Phobias: Who Has Them and Why?
- 9. What If Your EpiPen Fails?
- 10. 5 Costly Medical Billing Mistakes
- 1. Hotter Temperatures Linked To Kidney Stones
- 2. Summer Bug Bites: What to Look For
- 3. Skin Health Advice with Dr. Kenneth Beer
- 4. Summer Safety Tips That Every Parent Needs To Know
- 5. Sugar and Your Immunity System
- 6. Do Weight Loss Supplements Work?
- 7. 5 Super Foods for Spring
- 8. The Hazards of Reusable Bags
- 9. How to Avoid Ingrown Hairs
- 10. Health Tip: Constantly Change Shoes
- 1. 4 Common Treatments for Epilepsy
- 2. What Does a Urogynecologist Do?
- 3. GERD Without Heartburn? It's Possible
- 4. Graston Technique: Can It Work on You?
- 5. Music Therapy Can Help Autism
- 6. 8 Ways to Fight MS-Related Fatigue
- 7. Can You Still Bleed After Menopause?
- 8. Be Your Own Health Care Advocate
- 9. Why Is Syphillis on the Rise?
- 10. Ideal Weight vs. Happy Weight
The material on the QualityHealth Web site is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a physician or other qualified health provider. See additional information.