Having a mastectomy is an unfortunate reality for breast cancer patients, and partial or complete mastectomy can be emotionally difficult, not just physically so. At Longwood Plastic Surgery, we perform breast reconstruction procedures weekly to enhance breast volume, shape, and symmetry, improving overall quality of life as well as shapely curves.
How Does Breast Reconstruction Work?
Each patient’s situation is highly individualized, so there is no cookie-cutter type of breast reconstruction following mastectomy. There are, however, two main categories of reconstruction: implant-based and flap (or autologous) reconstructions. A breast reconstruction can also be done at the time of mastectomy, or in delayed fashion, called a revision breast reconstruction done later, as early as 3 months after your initial procedure.
The implant method is what it sounds like—breast implants restore volume and shape to your breasts. Flap reconstruction uses your own tissues to rebuild your breasts. For some patients, a hybrid procedure using techniques from both may be most suitable. Nipple reconstruction may also be necessary or desired in some cases.
Revision breast reconstructions after your oncology protocol is complete may involve simple volume and contour adjustments. They can also be complex involving implant exchange, fat transfer, and even flap salvage.
With LPS surgeons’ 40+ years of combined experience with breast reconstruction, you’re in the best possible hands to help you meet your goals. You’ll experience world-class surgical talent, compassionate and detailed patient care, and a high rate of success. Knowing this, there are still realistic expectations to consider:
- It’s not always possible to completely restore sensation
- You may still experience asymmetry
- Scars may be a visible reality
- Your reconstruction may involve multiple procedures
Am I a Good Candidate for Breast Reconstruction?
If you’ve undergone a partial or complete mastectomy and desire breasts that look and feel like they did pre-trauma, a breast reconstruction with the LPS experts may be your answer. During your consultation, your LPS surgeon will review your oncology medical plan, examine your treatment area and anatomical features, and explain your best options for which breast reconstruction techniques will restore your breasts. You can expect detailed answers to all your questions courtesy of your LPS provider’s experience in this field.
What is Breast Reconstruction Like?
If your reconstruction is performed at the time of your mastectomy, it will be done in a hospital with an 1-3 day inpatient stay. For revisions after the fact, your outpatient treatment may be at the hospital or in our accredited surgical suite. The details of your specific plan determine the length of your procedure, but you’ll awaken with compression garments and possibly have drains. Extensive aftercare instructions are provided before you return home.
Recovery and Downtime
The greatest discomfort is typically 2-3 days post-op, and many patients return to their regular routine, including non-strenuous work, within 1-2 weeks, with light exercise toward the end. If your job is more strenuous, it may be closer to 4-6 weeks before you can return. Each patient heals in their own way, so incorporate more energetic activity as you feel ready to do so, though you should avoid lifting your arms or heavy items for 4-6 weeks. It may take a few more months before you feel completely recovered.
What Results Can I Expect after Breast Reconstruction?
Very often, you’ll see immediate improvement to your breast volume and symmetry, even with some swelling. This will continue to improve as healing occurs, for up to 6-12 months as your new breasts fully settle. Past LPS breast reconstruction patients widely state their results have brought dramatic improvement to their appearance and quality of life, helping to heal them after mastectomy and trauma. We can help you, too.
Take the Next Step
Interested in learning about breast reconstruction? Schedule your consultation with Longwood Plastic Surgery today by calling our Brookline office at (617) 383-6250. We serve the Brookline and Greater Boston area with distinction.