Breast reconstruction makes women whole again after breast cancer. It restores something that nature has provided but cancer has taken away. It is also covered by insurance thanks to a 1998 Federal Mandate.
Unfortunately, only 30% of American breast cancer patients are offered the option of breast reconstruction after mastectomy or lumpectomy.
Women have several reconstructive options after mastectomy or lumpectomy. These range from implants to "flap" techniques which use the patient's own tissue to recreate a "natural", warm, soft breast. The nipple and areola can also be recreated.
Immediate vs. Delayed Breast Reconstruction
Immediate reconstruction is performed at the same time as the mastectomy. Advantages include keeping the natural breast skin ("skin sparing mastectomy") and less scarring. In some cases nipple-sparing mastectomy can be performed; this preserves the nipple and areola as well as the breast skin.
Immediate reconstruction enables the patient to wake up from the surgery "complete" and avoid the experience of a flat chest. Most women with early breast cancer (stage I or II) are candidates.
Delayed reconstruction usually takes place several months after the mastectomy. Patients having radiation may be advised to delay the surgery for the best cosmetic results. This delay may be for several months. This allows the chest tissues to heal as much as possible after the radiation. Other reasons for delaying reconstruction include advanced disease (stage III or IV) and lack of access to a reconstructive surgeon.
Breast Reconstruction Options
PRMA is one of the leading breast reconstruction practices in the World. We are very experienced with all types of reconstructive breast surgery, but do have a strong focus on state-of-the-art microsurgical procedures using the patient's own tissue. This is because these procedures generally provide superior and much more "natural" results long-term than implants. Options available at PRMA include:
Before and after Pictures
Please visit our Gallery to view breast reconstruction before and after photos.