Certaintly, if a patient wants to wait to have a breast reconstruction after a mastectomy that seems reasonable. However, reconstruction is easier to perform at the same time as the mastectomy. The tissue planes are all open for insertion of either the expander, implant, or autologous tissue. The weight of the specimen and shape of the breast is better appreciated at that time as well. Scar tissue is not yet present that might make a delayed reconstruction more difficult. I have performed many delayed breast reconstructions without a problem.