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Breast Reconstruction

Is Reconstruction for you?

Know the benefits… and consider the risks

There are other options for breast reconstruction that do not involve breast implants. Be sure to ask your surgeon for a detailed explanation of each alternative to help you decide which reconstruction option is most suitable for you and your lifestyle.

Breast reconstruction depends on your own individual case including factors like your medical condition, general health, lifestyle, emotional state as well as breast size and shape. You should consult your surgeon to discuss your personal goals for breast reconstruction. Consult your family, friends, breast implant support groups, and breast cancer support groups – people who have been through it – to help you make the right decision.

What are the alternatives to breast reconstruction?

Should you decide that breast reconstruction surgery isn’t for you, there are still options. You may or may not decide to wear an external breast form (prosthesis) inside your bra. Breast forms are available in a variety of shapes, sizes and materials, such as foam, cotton and silicone. Custom prostheses are also available to match the size and shape of your breast.

What are other personal considerations?

There are medical, financial and emotional considerations in choosing between immediate and delayed reconstruction. These should not be taken lightly. You should discuss thoroughly with your general surgeon, reconstructive surgeon and oncologist, the options available in your individual case.

What about breast reconstruction with implants?

Your health and medical condition are important factors you and your surgeon will consider while deciding if you make an appropriate candidate for breast reconstruction. Your doctor also may recommend breast implantation of the opposite, uninvolved breast in order to make them more alike, or he or she may suggest breast reduction (reduction mammoplasty) or a breast lift (mastopexy) to improve the symmetry of your breasts.

The facts about the reconstruction procedure

Information and communication is essential when it comes to what may affect your particular implant procedure, your recovery and your results. Be sure to discuss each of these factors with your physician:

  • The stage of development of the cancer when it was discovered
  • The follow-up treatment that you will require
  • Your overall health
  • Your chest structure and overall body shape
  • Your healing capabilities (which can be affected by smoking, alcohol and various medications)
  • Prior breast surgeries
  • Bleeding tendencies
  • Infections
  • Possible shifting of the implant
  • Scarring from the incision
  • Predisposition to develop a hardened capsule around the implant

A few facts

  • Reconstruction surgery is usually performed on an inpatient basis in an operating room when it begins at the same time as your mastectomy.
  • Some of the stages, such as nipple reconstruction, or placement of the implant after soft tissue expansion, can be done as an outpatient procedure.
  • General anesthesia is most often used.

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