Breast reconstruction is a surgical procedure designed to restore the shape, size, and appearance of the breast after removal due to cancer, congenital conditions, or trauma. It can involve implants, your own tissue, or a combination of both, depending on your needs and preferences. The process may be done at the same time as a mastectomy (immediate reconstruction) or in stages afterward (delayed reconstruction). The goal is to create symmetry and restore confidence while honoring each patient’s unique journey. Results are highly individualized and can significantly improve emotional well-being.
Breast reconstruction is performed in the operating room under general anesthesia. The approach varies depending on your medical history, body type, and reconstruction goals. Options include implant-based reconstruction, autologous tissue reconstruction (such as using skin and fat from the abdomen), or a combination. If reconstruction is performed in stages, expanders may be used to gradually prepare the area for final reconstruction. Nipple reconstruction and tattooing can be done later to complete the process. Each step is carefully planned with your health and long-term satisfaction in mind.
Breast reconstruction options include implant-based, autologous tissue-based, or a combination of both. Your plan will be customized during your consultation to align with your anatomy, goals, and cancer treatment.
In many cases, breast reconstruction after mastectomy is covered by insurance, including procedures for the opposite breast to ensure symmetry. Our team can help verify coverage and assist with pre-authorization.
Yes. However, radiation may influence the timing and method of reconstruction. Many patients with prior radiation benefit from tissue-based reconstruction, which Dr. Malotky will review with you in detail.
Initial recovery generally takes two to three weeks, but full healing may take several months. Your recovery timeline may vary depending on whether you choose implants, tissue-based reconstruction, or a staged approach.
Some patients may require staged procedures, such as tissue expansion or nipple reconstruction. These steps are spaced out over time and planned around your comfort, healing, and preferences.