Breast Reconstruction Options: What's Right for You?

Several options are possible in reconstructing a breast removed in a mastectomy or restoring a breast after lumpectomy.

Breast reconstruction with implants

The use of implants is one of the most common methods for breast reconstruction.

Immediate breast reconstruction

This procedure is appropriate for women who have completed all cancer treatments. Working closely with your breast surgeon, your breast reconstruction is performed in the same surgical appointment as the mastectomy. Your breast cancer surgeon may perform an advanced procedure called "nipple-sparing" mastectomy that preserves the nipple structure, along with the skin and tissue around the breast, allowing for an implant to be placed to restore the tissue removed in surgery.

Delayed reconstruction

Some women may not be candidates for breast reconstruction immediately after the mastectomy and will undergo a "delayed" reconstruction. This may be necessary for women who need to undergo a further course of treatment with chemo or radiation, or both. The process typically involves placing a tissue expander beneath the skin to create a pocket into which an implant will be placed once cancer treatment is completed and general health is restored.

Autologous Tissue Reconstruction

Your breast can be restored with your own natural tissue, harvested from another body area, called a "flap" technique. The tissues are harvested, transferred, and shaped, with the blood vessels reattached with microsurgery. As the breast is constructed out of harvested tissue, with the softness of natural breast tissue, you will need to plan for a longer recovery time.

The first step in planning your breast reconstruction is to meet with Dr. Balinger to discuss your options.

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