Undergoing breast reconstruction can help restore confidence and a sense of wholeness after a mastectomy or lumpectomy.
However, before surgery, it’s important to understand what the process involves and whether it’s the right choice for you.
Here, we’ll explore what a reconstruction entails, the different types of procedures available, and factors to consider when making your decision.
What is breast reconstruction?
Breast reconstruction is designed to recreate the breast mound after the removal of breast tissue, often due to cancer. The goal is to restore the breast’s shape, size, and appearance, helping patients feel more comfortable and confident in their bodies.
One study showed that compared to mastectomy only, breast reconstruction was associated with greater ‘Satisfaction with breasts’ as well as ‘Psychosocial well-being.’
There are two main methods of breast reconstruction including implant-based and autologous or flap reconstruction.
With implant-based reconstruction, saline or silicone implants are inserted to form the new breast. Autologous or ‘flap’ reconstruction on the other hand, uses tissue transplanted from another part of your body, such as the abdomen, back, or thighs, to rebuild the breast.
Both options can be performed immediately during the mastectomy (immediate reconstruction) or later (delayed reconstruction).
Are there any risks and complications?
Like any surgical procedure, breast reconstruction comes with its own set of risks and potential complications that you’ll need to consider.
Some of the possible risks and complications include:
Infection: As with any surgery, there is a risk of infection at the incision site. Proper wound care and following your surgeon’s post-operative instructions can help minimise this risk.
Bleeding or haematoma: Excessive bleeding may occur during or after surgery, and in some cases, a collection of blood (haematoma) can form, requiring additional treatment.
Scarring: While surgeons make every effort to minimise scarring, some visible scars are inevitable. The appearance of scars can improve over time but may not disappear entirely.
Pain and discomfort: Some patients may experience ongoing pain or discomfort in the reconstructed breast.
Flap failure: In procedures where tissue is transplanted from another area (like the back or abdomen), there’s a risk that the transferred tissue may not establish a sufficient blood supply, leading to partial or complete loss of the flap.
Asymmetry: Achieving perfect symmetry between both breasts can be challenging, and additional procedures may be needed to refine the results.
Changes in sensation: It’s common to experience numbness or changes in sensation in the breast area. While some sensation may return over time, in rare cases it may be permanent.
Consult with a reconstruction expert
When deciding whether a breast reconstruction is right for you, always consult with a qualified, experienced surgeon who can help determine whether you’re a suitable candidate for the procedure.
To determine if breast reconstruction is right for you, book a consultation with Mr Nigel Horlock today. Mr Horlock studied microsurgical breast reconstruction at the University of Ghent in Belgium, and further developed his skills at the Royal Marsden, London.
His expertise in advanced reconstruction techniques ensures that you receive the highest standard of care throughout your journey.