What are the breast reconstruction options post-mastectomy?

Question

Hello doctor,

I am a 45-year-old who had a mastectomy three months ago. The surgery site has healed well, but I am struggling with my confidence and body image. My husband says he does not mind, but I feel incomplete. Could you please tell me about breast reconstruction options? I am also concerned about the cost, as I have heard it can be very expensive. My insurance only seems to cover basic procedures.

What types of implants are available, and how long would I need to wait after a mastectomy before considering this? Additionally, I have been experiencing strange tingling sensations near the surgery site. Is that normal? Any advice would be greatly appreciated.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

For patients with insufficient chest wall tissue or those who prefer not to use implants, breast reconstruction may involve a flap technique, also called autologous reconstruction. The most common method uses skin and fat from the lower abdomen to shape the breast.

Another option is autologous fat grafting, a newer technique where fat is collected from the thighs, abdomen, or buttocks through liposuction (a cosmetic surgery procedure that removes excess fat) and is used to reconstruct the breast.

Regarding implants:

Choose saline implants to minimize medical risks.
Opt for silicone implants for a more natural appearance.
Consider gummy bear implants (silicone implants) for a combination of natural feel and volume.

Fat-based augmentation (a procedure where fat is taken from other areas of your body (like your abdomen or thighs) using liposuction:

This involves liposuction to remove fat from other areas of the body, which is then injected into the breasts for augmentation.
Reconstruction surgery can typically be done two to six months after a mastectomy (a surgical procedure where one or both breasts are removed). If performed after a longer period, it is referred to as delayed reconstruction.

I hope this helps.

Please revert so I can assist you further.

Thank you.