Understand before deciding
Breast reconstruction: where to begin?
Breast reconstruction aims to rebuild breast shape after removal or other tissue loss. Options and timing are discussed with the treating team.
- Reconstruction may take place during mastectomy or later.
- Implants and your own tissue are possibilities, depending on the case.
- The reconstructed breast will not be identical to the original in appearance or sensation.
Suitability depends on an individual assessment.
Talk to us on WhatsAppUnderstand the differences
Immediate or delayed reconstruction?
Use this comparison to organise your questions. It does not determine which surgery is appropriate for you.
Suitability, risks and alternatives depend on an individual assessment.
- NCI — Breast reconstruction after mastectomy — institutional guidance.
- ASPS — Breast reconstruction — institutional guidance.
The answers below retain their specific references. Institutional guidance and scientific studies serve different purposes; neither predicts an individual's outcome.
The path depends on your circumstances
Options include implants or your own tissue. Timing and technique require individual assessment, aligned with the oncology team when applicable.
The value of a consultation
What we will discuss and assess
- Your history, completed or planned treatments and priorities.
- Technical options and when to consider reconstruction.
- Possible stages, scars, risks and follow-up.
A consultation is a space to ask questions and explore options. Booking does not commit you to surgery.
A decision at your own pace
Reconstruction does not guarantee perfect symmetry or restored sensation. It may involve several stages. You can clarify alternatives and limits before deciding, at your own pace and according to your preferences.
Suitability, recovery and outcomes depend on each case. Risks and alternatives will be discussed at your medical assessment.
An informed decision
Prepare your questions for the consultation
The decision considers cancer treatment, possible radiotherapy, tissue conditions, health and personal preferences. Each person's wishes and timing should be respected.
- What treatment has been completed or is planned?
- Is radiotherapy indicated, or have you had it before?
- What questions do you have about techniques, stages, sensation and recovery?
Bring these questions to your consultation. You do not need to have chosen a technique beforehand.
Make space to discuss your options.
Arrange a consultation and bring any available tests and treatment records.
Talk to us on WhatsAppContact the team on WhatsApp for appointment availability and booking information.
Frequently asked
questions
Must reconstruction be performed during mastectomy?
Reconstruction may start during mastectomy, called immediate reconstruction, or take place later, called delayed reconstruction. According to the National Cancer Institute, delayed reconstruction may occur months or even years later.
Timing should be decided with breast surgery, oncology and plastic surgery teams, considering planned treatment, clinical conditions and your preference. Reconstruction is optional: some people prefer not to rebuild breast volume.
References
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National Cancer Institute (NCI). Breast Reconstruction After Mastectomy. Institutional guidance. View reference.
What are the breast reconstruction options?
Main options use implants, your own tissue or a combination. Tissue flaps may come from the abdomen or back, for example.
Implant reconstruction may take place in one stage or use an expander followed by an implant. The NCI describes 2 to 6 months as a usual interval for tissue preparation after expander placement, but cancer treatment may alter this timeline. The choice depends on anatomy, available skin and the treatment plan.
References
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National Cancer Institute (NCI). Breast Reconstruction After Mastectomy. Institutional guidance. View reference.
Does radiotherapy affect the choice of reconstruction?
Yes. Radiotherapy may influence suitability and planning for implant reconstruction. The American Cancer Society advises discussing alternatives, such as reconstruction using your own tissue, when post-mastectomy radiotherapy is part of treatment.
This does not mean every patient will have the same recommendation. Technique and sequence should be determined jointly by the cancer treatment and reconstruction teams.
References
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American Cancer Society. Breast Reconstruction Using Implants. Institutional guidance. View reference.
Will the reconstructed breast look like the original?
Reconstruction aims to restore shape and improve breast proportions, but does not recreate the original exactly. Appearance, feel and sensation may differ.
Symmetry adjustments and additional stages may be discussed according to the technique. Understanding these limits before surgery supports realistic expectations. The decision should also respect those who choose not to rebuild breast volume.
References
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Mayo Clinic. Breast reconstruction. Institutional guidance. View reference.