PRMA Plastic Surgery

Your Breast Reconstruction Timeline

I. Initial Breast Reconstruction Consultation

  • Typically lasts about 60 minutes
  • We obtain your history and discuss reconstructive options
  • Initial patient photos are taken
  • We discuss your surgical plan and start the scheduling process

II. Pre-Operative Appointment for First Stage Reconstruction Surgery

  • Occurs two weeks before your surgery
  • Usually takes about 1-1.5 hours with the nurse
  • Review of the surgical plan with you
  • Remaining questions and concerns are addressed
  • Pre-surgery instructions are reviewed:
    • Nothing to eat or drink after midnight before surgery day
    • Time of arrival and directions to hospital
    • Instructions for family members
  • Complete blood work, EKG, and chest x-ray as needed

III. Stage One—Breast Reconstruction Surgery

  • Perforator flap surgery (DIEP, TUG, GAP, etc.)
    • Typically requires a four day inpatient hospital stay
  • Implant based surgery (tissue expanders, direct-to-implant with Alloderm)
    • Requires a 1 or 2 day stay in the hospital

IV. Initial Post-Operative Visit

  • 7-14 days after surgery
  • Typically lasts about 30 minutes
  • Removal of drains as indicated
  • Review of care instructions

V. Further Follow-Up Visits

  • Scheduled as necessary per nurse and surgeon
  • Typically last around 15 minutes
  • Removal of remaining drains as indicated
  • We discuss the surgical plan and start the scheduling process for your Second Stage (Revision Surgery)

VI. Pre-Operative Appointment for Second Stage (Revision Surgery)

  • Two weeks before your surgery
  • Appointment usually takes about 45 hours with the nurse
  • Review of the surgical plan with you
  • Remaining questions and concerns are addressed
  • Pre-surgery instructions reviewed:
    • Nothing to eat or drink after midnight before surgery day
    • Time of arrival and directions to hospital
    • Instructions for family members
  • Complete blood work, EKG, and chest x-ray as needed

VII. Stage Two—Revision Surgery

  • Typically scheduled for at least 3 months after initial reconstructive surgery
  • Procedure performed as an outpatient
    • Breast shaping, contouring, asymmetry correction, fat grafting as needed
    • Nipple reconstruction
      • In some instances, the nipple reconstruction will not be performed at this time. Depending on the type of revision, the nipple reconstruction may be performed at a subsequent stage (stage 3), which in turn moves the micropigmentation to a later time (stage 4)
    • Re-contouring of the donor site as needed (tummy, buttock, thigh or back)
    • Scar revision

VIII. Revision Post-Operative Visit

  • 1-3 weeks after surgery depending on procedure performed
  • Typically lasts about 30 minutes
  • Removal of drains or sutures as indicated
  • Further instructions about post-operative care and activity are provided
  • We initiate planning of nipple-areola micropigmentation or 3D tattoo if necessary

IX. Final Stage—Nipple-Areola Micropigmentation or 3D Tattoo

  • 3 months after previous stage.
  • Medical micropigmentation performed as an office procedure by the nurse
  • 3D tattoo performed by a licensed tattoo artist is also an option

It is important to remember every breast reconstruction journey is different and depending on your individual experience, this timeline may vary.