If you’ve had a mastectomy, breast reconstruction is one of the major issues to consider. There are several options available. The reconstruction process can happen at the time of the surgery to remove the breast, or later on in the case of implants. Some women opt for no reconstruction, but decide later on that they want reconstruction to restore a sense of self, or simply get back to they way they used to look.
It’s an intensely personal choice, and the surgery options do give a very real and natural look of breasts. The first option of using your own tissue is performed at the same time as the mastectomy. This involves taking tissue from your lower abdomen and implanting it into the chest. New connections for blood flow are devised and the end result is quite natural. The lower abdomen will have a scar from hip to hip, it’s much like a tummy tuck only the fat removed has now been formed into a mound to create the new breast. This is a long (eight hour) surgery, and the hospital stay is three to five days. You will leave the hospital with drains and will need at-home care until the drains are removed. If you are having radiation, this surgery is probably not available as the skin has to be in good condition. It would be done after you have healed.
The second option is breast implants. This too can be done at the time of the breast surgery or completed later on. It involves implanting an expander that will be filled over several months with fluid, which will expand the chest tissue. Once the correct size is attained, a final implant of either saline or silicone is implanted.
Learn more about SurvivorNet's rigorous medical review process.
Andrea Pusic is the chief of Plastic and Reconstructive Surgery at Brigham Health. She is an internationally renowned innovator and leader in the area of patient-reported outcomes and surgical experience. Read More
If you’ve had a mastectomy, breast reconstruction is one of the major issues to consider. There are several options available. The reconstruction process can happen at the time of the surgery to remove the breast, or later on in the case of implants. Some women opt for no reconstruction, but decide later on that they want reconstruction to restore a sense of self, or simply get back to they way they used to look.
It’s an intensely personal choice, and the surgery options do give a very real and natural look of breasts. The first option of using your own tissue is performed at the same time as the mastectomy. This involves taking tissue from your lower abdomen and implanting it into the chest. New connections for blood flow are devised and the end result is quite natural. The lower abdomen will have a scar from hip to hip, it’s much like a tummy tuck only the fat removed has now been formed into a mound to create the new breast. This is a long (eight hour) surgery, and the hospital stay is three to five days. You will leave the hospital with drains and will need at-home care until the drains are removed. If you are having radiation, this surgery is probably not available as the skin has to be in good condition. It would be done after you have healed.
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The second option is breast implants. This too can be done at the time of the breast surgery or completed later on. It involves implanting an expander that will be filled over several months with fluid, which will expand the chest tissue. Once the correct size is attained, a final implant of
either saline or silicone is implanted.
Learn more about SurvivorNet's rigorous medical review process.
Andrea Pusic is the chief of Plastic and Reconstructive Surgery at Brigham Health. She is an internationally renowned innovator and leader in the area of patient-reported outcomes and surgical experience. Read More
