Which Breast Reconstruction Option is Right for You?
Since each option and technique has its advantages and disadvantages and each woman has her unique goals, expectations and individual body type, there is no one choice that is best for all patients.
Other factors, such as radiation therapy, medical condition and if one or both breasts are being reconstructed, will influence which options you should consider. Your plastic surgeon will offer you recommendations based on these variables after examining you and learning about your specific situation.
|
Expander/Implant |
Tissue Reconstruction |
Surgery |
2 or 3 surgeries |
Usually 2 surgeries |
General Anesthesia |
Yes |
Yes |
Hospitalization |
First Stage: Usually 1-2 days Second Stage: Outpatient |
Usually 4-5 days |
Recovery Period |
2-3 weeks |
4-6 weeks |
Need for Multiple Office Visits |
Yes (for expansion) |
Yes |
Scars |
Mastectomy scar only |
Mastectomy scar and donor site scar |
Shape and Consistency |
No natural sag; flat across front; may be firm |
More natural shape; soft |
Opposite Breast |
More changes usually needed to achieve a match in a bra |
Fewer changes usually required to achieve a match in a bra |
Skin Sensation |
Altered in surgical areas |
Altered in surgical areas |
Potential Problems |
Breast hardening with shape change; skin ripples, infection; rupture |
Abdominal weakness or bulge (TRAM); partial breast hardening; total flap loss |
Breast Reconstruction FAQs