Breast Reconstruction FAQ
Am I a good candidate for breast reconstruction?
An ideal candidate for breast reconstruction may be described as a person who is seeking this procedure to improve the appearance of a breast deformity, or to replace breast that was removed due to breast cancer. Additionally a patients should be physically and mentally healthy, seeking improvement not perfection, and aware of the risks and complications associated with the procedure.
What are my options with breast reconstruction techniques (breast implants or tissue flaps)?
A patient can select to have their breasts enhanced with saline or silicone breast implants, or with tissue flaps. Flaps are skin taken from one area of the body and used to create breasts.
Following mastectomy, should my reconstruction be immediate or delayed?
This depends on the patient's preference. Either is acceptable.
How much does breast reconstruction cost? Will insurance cover my surgery?
The cost of breast reconstruction surgery varies greatly, due to the many factors associated with the procedure; therefore, a plastic surgeon is best suited to provide a fee quote. Insurance companies are required to cover most or all of the costs for breast reconstruction if a patient is seeking the surgery due to breast cancer. Each state varies, so you will need to find the laws for your specific region.
Will breast reconstruction affect cancer treatments or screenings? What happens if my breast cancer comes back?
Breast reconstruction should not interfere with cancer treatment or screenings. Sometimes though, when a flap is used, the fatty tissue may make mammograms more difficult. If the breast cancer returns, your doctor will approach the best medical care for you.
How long is the recovery period? When can I return to work, exercise, etc.?
Recovery time varies per patient but usually lasts between four and six weeks. Light activities can be resumed at the end of the first week, but more rigorous actions should be avoided for about three weeks.
How different will my reconstructed breast(s) look and feel, if at all, compared to my natural breasts?
Overall, reconstructed breasts are wonderful replacements for patients and provide significant enhancement. However, they cannot replace the original breasts and may not retain the same shape or be as soft.
What are the risks, side effects and complications with breast reconstruction surgery? Is there substantial pain or scarring?
Some of the risks and side effects possible due to breast reconstruction include capsular contracture, breast implant rupture and shifting, infection, and loss of sensation. There is substantial scarring with this procedure, as well as soreness that can last one to two weeks. Pain medications can control any discomfit that is caused by the surgery.
What type of wound care will I need to do at home? Will I need help at home to take care of my drain and wound?
Patients are advised to apply ice to their wounds every 15 minutes for the first day or two. With breast implants, bathing should be avoided for 24 hours. Flap procedures will require sponge baths for approximately one week.
How will age or weight gain affect my reconstructed breast(s)?
Both age and weight gain may cause breasts to sag over time, as the breast tissue are stretched and affected by gravity.