This website is intended to provide you with general information only. This information is not a substitute for advice from your Specialist Plastic Surgeon and does not contain all the known facts about this procedure or every possible side effect of surgery. It is important that you speak to your surgeon before deciding to undergo surgery. If you are not sure about the benefits, risks and limitations of treatment, or anything else relating to your procedure, ask your surgeon to explain. Patient information provided as part of this website is evidence-based, and sourced from a range of reputable information providers including the American Society of Plastic Surgeons, Better Health Channel and Mi-tec medical publishing.
Breast reconstruction is an increasingly common surgical procedure for women who have had a mastectomy. The procedure can create a breast that resembles a natural breast in appearance and form. Breast reconstruction is a physically and emotionally rewarding procedure for a woman who has lost a breast due to cancer or other condition.
Breast reconstruction is a surgical procedure that rebuilds a new breast or breasts to resemble a natural breast in appearance and form. Breast reconstruction is usually performed immediately after, or some time after a mastectomy.
There are two main types of breast reconstruction: implant reconstruction and flap reconstruction. In implant reconstruction, an implant is placed under the skin and muscle to recreate the shape of the breast. In flap reconstruction, skin, fat and muscle are taken from elsewhere on the body to make the new breast. The procedure best for you will depend on your age, general health, size and shape of the other breast, and available body tissue.
Breast reconstruction is a highly individualised procedure and may not be suitable for everyone. Always talk to your Specialist Plastic Surgeon before making a decision. Your Specialist Plastic Surgeon will assess your condition and general health, and plan the treatment that is best suited to you.
Before you decide on breast reconstruction surgery, there are some important issues to keep in mind:
Breast reconstruction may be a good option for you if:
Remember that the procedure best for you will depend on your age, general health, size and shape of the other breast, and available body tissue. Discuss your options with your surgeon.
Breast reconstruction is performed under general anaesthesia. Modern anaesthesia is safe and effective, but does have some risks. Ask your Specialist Plastic Surgeon and anaesthetist for more information.
Your surgeon and/or anaesthetist will ask you about all the medications you are taking or have taken, and any allergies you may have. Make sure you have an up to date list before the surgery.
Modern surgery is generally safe but does have the potential for risks and complications to occur.
Some general complications and risks associated with surgery may include:
Some possible complications and risks associated with breast reconstruction surgery using implants may include:
Some possible complications and risks associated with breast reconstruction surgery using flap reconstruction may include:
Breast reconstruction surgery requires a short hospital stay of between two to five days, depending on your particular case.
You will also be asked to provide a complete medical history for your Specialist Plastic Surgeon including any health problems you have had, any medication you are taking or have taken, and any allergies you may have.
You may be advised to stop taking certain medicines such as non-steroidal anti-inflammatory drugs (NSAIDs), aspirin, and medicines that contain aspirin. You may also be asked to stop taking naturopathic substances such as garlic, ginkgo, ginseng and St John’s Wort as they may affect clotting and anaesthesia. Always tell your surgeon EVERYTHING you are taking.
You may be given medicines to take before the surgery, such as antibiotics.
Questions your surgeon may ask before the surgery include:
Unless your surgeon advises differently, you will be able to continue taking most medicines that you have been taking.
Your surgeon will advise you if any other tests are required, such as blood tests, X-ray examinations or an Electrocardiograph (ECG) to assess your heart.
Prepare a “recovery area” in your home. This may include pillows, ice packs, a thermometer and a telephone within easy reach. Make sure you arrange for a relative or friend to drive you to and from the hospital or clinic. Someone should also stay with you for at least 24 hours after you return home.
Your surgeon should give detailed preoperative instructions. Follow them carefully.
After the surgery, your reconstructed breast may be covered with dressings. The nursing staff will change these regularly. With flap reconstruction, the new breast will, at first, be larger than the other breast. However, over the next few weeks, it will gradually become smaller to match your natural breast.
It is normal for your Specialist Plastic Surgeon to prescribe injections for pain relief. A plastic tube may be inserted into each breast to drain excess fluid. Other dressings may be changed or removed at this time.
Your surgeon will advise whether or not you should wear a bra immediately after surgery.
It is normal to feel tired and sore for the first two weeks. Avoid heavy lifting, strenuous exercise, swimming and strenuous sports until advised by your surgeon.
If you experience any of the following symptoms, notify your surgeon immediately:
Your surgeon will give you specific instructions on post-operative care. These instructions may include:
Be sure to ask your surgeon specific questions about what you can expect during your individual recovery period, such as:
Scars are an inevitable part of any invasive surgery. Your Specialist Plastic Surgeon will endeavour to minimise scarring and to keep your scars as inconspicuous as possible by locating the incisions in easily hidden sites. That way, scars will be along natural skin lines and creases. Scars may fade with time and become barely noticeable. If you are prone to scarring, you should advise your surgeon.
Breast reconstruction usually requires more than one operation to achieve the optimal outcome. Revisional surgery may also be necessary to correct minor irregularities.
The Breast Implant Registry (BIR) is a public health initiative focusing on patient safety. The Registry collects relevant patient, surgeon, procedural and implant data relating to breast implants. Choosing to become part of the BIR allows patients to be contacted should there be any concerns regarding breast implants. The Registry is administered by the
Australian Society of Plastic Surgeons Inc (ASPS).
Cost is always a consideration in elective surgery. Prices for individual procedures can vary widely between Specialist Plastic Surgeons. Some factors that may influence the cost include the surgeon’s experience, the type of procedure used and the geographic location of the office.
Costs associated with the procedure may include:
Breast reconstruction surgery is generally considered a reconstructive procedure and may be covered by private health insurance. Pre-certification is required for reimbursement or coverage. Insurance policies may vary greatly. Review your policy carefully to determine what is covered.
Pigmented skin surrounding the nipple
A complication of breast implant surgery which occurs when scar tissue that normally forms around the implant tightens and squeezes the implant and becomes firm
Deep Inferior Epigastric Perforator flap which takes tissue from the abdomen
An area of your body where the surgeon harvests skin, muscle and fat to reconstruct your breast – commonly located in less exposed areas of the body such as the back, abdomen or buttocks
To remove the skin
Surgical techniques used to reposition your own skin, muscle and fat to reconstruct or cover your breast
Drugs and/or gases used during an operation to relieve pain and alter consciousness
A surgical technique to recreate your nipple and areola
Blood pooling beneath the skin
Sedatives administered by injection into a vein to help you relax
Latissimus Dorsi flap technique:
A surgical technique that uses muscle, fat and skin tunnelled under the skin and tissue of a woman’s back to the reconstructed breast and remains attached to its donor site, leaving blood supply intact
A drug injected directly to the site of an incision during an operation to relieve pain
An x-ray image of the breast
The removal of the whole breast, typically to rid the body of cancer
Surgery to lift the breasts
Superior Gluteal Artery perforator flap which takes tissue from the buttock
Stitches used by surgeons to hold skin and tissue together
A surgical technique to stretch your own healthy tissue and create new skin to provide coverage for a breast implant
Also known as Transverse Rectus Abdominus Musculocutaneous flap, a surgical technique that uses muscle, fat and Transaxillary incision: An incision made in the underarm area
Visit the Plastic Surgery Glossary
for more medical terms.