Breast reconstruction after risk-reducing breast surgery

What it involves Back to top

Breast reconstruction can either be done by using an implant, which is put under the skin and muscle that covers the chest, or by using skin, fat (and sometimes muscle) from another part of the body to create a breast shape.

A combination of these techniques is used for some women. Your breast surgeon will advise you on the type of reconstruction| that’s most suitable for you. This will depend on:

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

The aim of breast reconstruction is to try to create breasts that look and feel as natural as possible, with minimal discomfort. Results from breast reconstruction will vary depending on your age, your general health and the state of your skin. If you smoke there is a much 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 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 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 and disadvantages 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 prostheses (artificial breasts) and a special bra.

Breast reconstruction can be done at the same time as the risk-reducing mastectomy or some time later if you prefer.

Benefits of breast reconstruction Back to top

• In clothes (including underwear and swimwear) your appearance will be similar to before the surgery.
• You won’t have to wear artificial breasts (prostheses) or a special bra.
• You’ll have a cleavage and be able to wear clothes with a low neckline.
• It can help to restore your self-confidence and feelings of femininity, attractiveness and sexuality.

Breast reconstruction doesn’t increase the chance of a cancer developing. Mammograms| and x-rays of the breast area can still be taken and if a cancer does occur in the breast area, it can still be detected.

Limitations and disadvantages Back to top

• The reconstructed breasts won’t feel or look exactly the same as before the surgery. They also won’t be as sensitive.
• The surgery takes longer and there may be more than one operation and several visits to the hospital.
• Breast reconstruction is likely to be more painful than risk-reducing breast surgery on its own.
• Recovery takes longer.
• You may have 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 won’t feel ready to make a decision about breast reconstruction just yet. But don’t forget that it can always be carried out some time later if you are not sure.