Looking to Your Future
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 is the optimal time in your treatment to have your breast implant reconstruction?
The answers below apply to reconstruction following mastectomy, but similar considerations
apply to reconstruction following breast trauma or reconstruction for congenital
anomalies. The breast reconstruction process may begin at the time of your mastectomy
(immediate reconstruction) or months to years afterwards (delayed reconstruction).
This decision is made after consultation with your cancer treatment team based on
your individual situation.
Immediate reconstruction may involve placement of a breast implant, but typically
involves placement of a tissue expander, which is used to recreate skin that was
removed during your cancer surgery. The tissue expander is then eventually replaced
with a breast implant.
What about delayed reconstruction?
By waiting to have your reconstructive surgery sometime after your mastectomy, you
can delay your reconstruction decision and surgery until other treatments, such
as radiation therapy and chemotherapy, are completed. Delayed reconstruction may
be advisable if your surgeon anticipates healing problems with your mastectomy,
or if you just need more time to consider your options.
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.