Reconstruction can restore the look, shape, and feel of your natural breast after surgical treatment. While typically done after a mastectomy, some women may want reconstruction after a lumpectomy to ensure that both breasts match. A plastic surgeon performs breast reconstruction either at the same time as surgical treatment or later, in a separate procedure. The timing depends on your individual case and preferences. The types of breast reconstruction are: Flap (or autologous): Uses skin, fat, and sometimes muscle tissues from your own body Implant: Uses saline (salt water) or silicone (synthetic gel) implants If you choose not to have breast reconstruction, you can wear a prosthesis (a breast form) if you want the appearance of breasts.