What is Breast Reconstruction?

Breast reconstruction is a surgery performed to restore the shape of the breasts after the tissue is removed during mastectomy (conducted to treat or prevent breast cancer).

Breast reconstruction is performed by three methods:

Using a tissue expander/implant
Tissue flap reconstruction: using your tissue (autologous)
Combination of both

Nipple and Areola Reconstruction

The nipple and areola can be reconstructed at a later stage. A small elevation is made keeping the other nipple as reference. The normal pigmentation of an areola can be tattooed using a dye, which is carried out as an office procedure.

Symmetry in breast shape and size

A small difference may exist in the size and shape of the two breasts following reconstruction, but may not be noticeable under a bra. However, for the more noticeable ones, women may surgically reduce, enlarge or lift the remaining breast to maintain symmetry.

Conclusion

One of the above procedures can be chosen based on the following criteria:

Your preference
Body shape and overall build
Current breast size and preference of new breast size
General health, including habits like smoking
The extent of tissue removed
Scars from prior surgeries
Quality of skin that is remaining
Requirement for radiotherapy

Whatever method you choose, you should confirm that your surgeon is knowledgeable and experienced in all reconstructive techniques. As your reconstructive surgeon will be a vital point of contact for onward referrals to other specialists like the plastic surgeon, this initial decision will make all the difference in your treatment and recovery process.