FAQ: Breast Reconstruction

Q: What is breast reconstruction?

A: Breast reconstruction is a surgical procedure using breast implants or a patient's own excess tissue to restore breast shape and volume after mastectomy.

Q: When is reconstruction done?

A: Immediate reconstruction is done at the same time as mastectomy, while you're still asleep in the operating room. Delayed reconstruction can be performed anytime after the mastectomy, weeks, months, or even years later.

Q: How is breast reconstruction done?

A: Breasts can be recreated with implants (usually filled with silicone) or with your own excess tissue transferred from your hips, buttocks, lower abdomen, thigh, or back to the mastectomy site.

Q: How long does it take to recover?

A: The length of recovery differs, depending on the type of reconstruction. Recovery is gradual, with most people back to normal activities in 6 to 8 weeks. Implant reconstruction typically involves a hospital stay of 1 to 2 days and 4 to 6 weeks of recovery. Autologous reconstruction can involve 3 to 6 days in the hospital and 6 to 8 weeks of recovery.

A: Recovery may take longer if you smoke or have diabetes, obesity, circulation problems, or other underlying health conditions. Developing an infection or other post-operative problems may also lengthen recovery.

Q: How do I choose a plastic surgeon for reconstruction?

A: Not all surgeons have the same expertise or training, and not all surgeons perform all reconstruction options. The "Find a Surgeon " tool of the American Society of Plastic Surgeons helps you search by location and reconstructive procedure, and verify a surgeon's board certification. Always ask about a surgeon's experience; not only with breast reconstruction but with the particular procedure you want, ask to see before-and-after patient photos, and if possible, speak with one or two of their previous reconstruction patients.

Q: Is imaging required after breast reconstruction?

A: Routine mammograms aren't usually recommended after reconstruction with breast implants or autologous flaps (neither contain breast tissue). However, mammograms of the reconstructed breast may be recommended for individuals who have nipple-sparing mastectomy (a small amount of breast tissue may remain) or a high risk of recurrence. Periodic MRIs of silicone breast implants are advised to check for ruptures.

Q: Where can you learn more about breast reconstruction?

A: The Complete Guide to Breast Reconstruction is an objective well-regarded resource, with comprehensive information about mastectomy and reconstruction, from diagnosis through recovery.