Breast reconstruction after risk-reducing breast surgery

Most women choose to have breast surgery and reconstruction done at the same time. This leaves fewer scars and can result in a better appearance (cosmetic outcome). Also, fewer operations are needed.

However, there may be more complications associated with carrying out both procedures at the same time.

Before having your surgery, it’s important to discuss with your breast surgeon the advantages and disadvantages of immediate or delayed reconstruction so you can decide what’s best for you.

What it involves Back to top

Breast reconstruction is an operation to make a new breast shape after a mastectomy. The new breast shape can be made with a breast implant|, by using tissue taken from another part of your body|, or by a combination of both techniques.

Your breast surgeon will advise you on the types of reconstruction that are most suitable for you. Women often have a choice of more than one type of reconstruction. The types of reconstruction that are suitable for you will depend on your:

• general health and body build
• age
• personal preferences.

The aim of breast reconstruction is to try to create breast shapes that look and feel as natural as possible. Results from breast reconstruction will vary depending on your age, your general health and your skin.

If you smoke there is a greater risk of problems with all types of reconstruction, as smoking can affect how well the wounds heal.

To learn more about reconstructive breast surgery options and the risks associated with them, you can talk to your surgeon. You can also ask to see photographs| of women who’ve had breast reconstruction. It may also be helpful to talk to women who have had reconstruction after a risk-reducing mastectomy.

We also have an online community of people who share their cancer experiences with each other. Visit macmillan.org.uk/community|

Knowing about the different breast reconstruction options will help you make the decision that’s right for you. 

Thinking about reconstruction Back to top

It’s important to have realistic expectations about the possible result of breast reconstruction. You’ll need to think about the benefits and consider the limitations before making a decision about whether to have it done.

Some women who have risk-reducing breast surgery choose not to have reconstruction. They might prefer to wear breast forms (prostheses/false breasts) and a special bra.

If you decide not to have breast reconstruction and want to know more about breast forms, bras and clothes for after surgery, Breast Cancer Care| produces some helpful information.