Breast reconstruction after risk-reducing breast surgery

What it involves

Breast reconstruction is an operation to replace the breast tissue that is removed during mastectomy. This can either be done by creating a breast 'form' with an implant that is placed beneath the skin and muscle that covers the chest, or by using skin and fat, with or without muscle, from another part of the body.

Sometimes a combination of these techniques is used – your breast surgeon will advise on the technique that is most suitable for you. This depends on factors such as your age, general health and body shape and, of course, your own wishes.

The goal of breast reconstruction is to try to create breasts that look and feel as natural as possible, with minimal discomfort. You should be aware that the sensation in the reconstructed breasts, and how they feel, will not be the same as it was originally.

To learn more about reconstructive surgery options and the risks associated with them, you can talk to your surgeon, and ask to see photographs. You can also ask for the chance to talk to someone who has had breast reconstruction after a risk-reducing mastectomy.

Knowing about breast reconstruction and the options involved will help you to make the decision that is right for you.

Deciding about reconstruction

It is very much your choice whether or not to have breast reconstruction and it can be done at the same time as the risk-reducing mastectomy or sometime later if you prefer.

Some women who decide to have risk-reducing surgery do not want to have breast reconstruction. They might prefer to wear breast forms or prostheses (false breasts) that are held in place by a special bra.

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Breast cancer

Breast reconstruction

Advantages and disadvantages

Some possible advantages of breast reconstruction include:

• improvement in body image and self esteem
• no need for prostheses (false breasts) or special bra
• you might choose not to wear a bra
• more clothing options (eg low neckline).

Some possible disadvantages include:

• the surgery takes longer and there may be more than one operation and several visits to the hospital
• more pain/discomfort
• recovery takes longer
• scars elsewhere on the body (depending on the type of reconstruction)
• the risk of infection or other surgical complications is greater.

It may be that you will not feel ready to make a decision about this just yet. But don’t forget that breast reconstruction can always be carried out some time later if you are not sure.