Breast Reconstruction

Generally performed after a mastectomy, such as after breast cancer, breast reconstruction may also be performed to correct a congenital absence or acquired loss of the breast. “Immediate reconstruction” is usually performed during the same operation as the mastectomy, while “delayed reconstruction” is performed at a later date once the tissues have healed. Reconstruction with an implant may involve placement of a tissue expander to create a pocket for either a saline or silicone gel filled implant.

As with any implant, additional surgical procedures may be necessary in the future to correct changes or replace the implant. In contrast, autologous reconstruction involves the transfer of your natural tissues onto the chest to reconstruct the breast mound. The most commonly utilized techniques are the TRAM (transverse rectus abdominus myocutaneous) and LD (latissimus dorsi) flaps. These flaps typically require a longer initial surgical procedure and a short in-patient hospitalization but can give excellent long-term results. Your surgeon can best educate you on which procedure may be best for you.