Every breast cancer case is unique, as is the treatment and reconstruction of the treated breasts. You might choose to have a mastectomy and reconstruction at the same time. This is referred to as immediate reconstruction. You may be better served by delayed reconstruction, in which your breasts are reconstructed months after your lumpectomy or mastectomy. Finally, your breast reconstruction may occur in stages.
Immediate breast reconstruction is nearly always done for patients who undergo prophylactic mastectomy, the removal of high-risk natural breast tissue as a preventive measure. Immediate reconstruction may also be selected after mastectomy to remove cancerous breast tissue. In this singular procedure, which can take several hours, the oncological surgeon removes the breast tissue, then the plastic surgeon rebuilds the breast mound using implants or fat and skin from another part of the body. You'll wake up with newly-built breasts. If your breast cancer treatment involves radiation therapy or chemotherapy after mastectomy, it may be in your best interest to complete these treatments before beginning the reconstruction process. Sometimes, the reconstruction is started and then finished after chemotherapy or radiation. These details are all discussed with you during your consultation for care.
Delayed breast reconstruction may be necessary due to ancillary therapeutic treatments. This may be recommended if there is a chance that needed therapy like chemo or radiation might alter the texture, color, volume, or overall appearance of the reconstructed breast. Some studies have suggested that breast implants may undergo changes due to radiation treatment. Conversely, some studies suggest that breast implants can diminish the maximum efficacy of radiation treatment due to obstruction of the affected tissue. Some delayed breast reconstruction procedures are patient-driven.
It's entirely up to you when you choose to have breast reconstruction. Some women choose to never rebuild their breasts after cancer treatment. Here in our Austin office, you'll receive the information you need to help you make this personal decision with confidence.