If reconstruction is being considered, even if it is to be done at a later date, the patient should arrange a meeting with a plastic surgeon well before the mastectomy, to discuss the details of the procedure. There are a number of techniques available to build a new breast mound, create a new nipple and areola and make changes in the other breast to achieve better symmetry. However, it is important that the expectations be realistic. The new breast can look natural, and feel normal to someone touching it, but it will have no sensation in the nipple, and decreased or no sensation in the skin of the breast. The woman's satisfaction with the final result will depend as much on the surgeon's skill and technique used, as on her expectations.
Many women choose to have no reconstruction of any type after the mastectomy.
Some make this decision because they want to avoid extra surgery. Others because they're comfortable with their appearance and body image. Breast forms, or prostheses as they are also called, are available in a variety sizes, shapes and colors. Some are designed to fit into a special bra. Others can be attached securely to your chest using a special adhesive.