before and after breast reconstruction

Breast Reconstruction

For 35 percent of cancer patients, a mastectomy is the best treatment option. However, it can make you feel less feminine or self-conscious.

Though a prosthesis can temporarily provide feminine curves, a breast reconstruction can restore physical and emotional wholeness. For good.

Is breast reconstruction right for me?

before and after breast reconstruction

Breast Reconstructions Have Been Linked to Increased Chances of Survival

Restore Lost Breast Tissue

Whether you have had some or all of your breast tissue removed, a breast reconstruction can be performed to recreate the breast mound. Many patients find comfort in restoring the balance between their breasts.

Improved Self-Esteem

Women who undergo reconstructive surgery have shown improved body image and quality of life. These psychological benefits can minimize the impact of the breast cancer diagnosis and contribute to your survival.

Immediate Results

For some patients, breast reconstruction can be completed during your mastectomy. You will not have to experience the trauma of seeing yourself without a breast or breasts between surgeries. 

More Women Are Choosing Reconstruction

63 percent of women chose reconstruction in 2007

*According to the Journal of Clinical Oncology®

While wearing a prosthetic bra or embracing a newly flattened chest are still post-mastectomy options, more women are choosing to undergo reconstruction after mastectomy each year. A study published in the Journal of Clinical Oncology found that 63 percent of women chose reconstruction in 2007, compared to only 46 percent of women in 1998

before and after a breast reconstruction before and after a breast reconstruction

It Sounds Like a Great Option But I Can't Afford it...

Good news. By law, your health insurance must provide coverage for your mastectomy and reconstructive surgery. The Women's Health and Cancer Rights Act of 1998 deemed that coverage must include all stages of your reconstruction. 

Most offices can review your insurance coverage with you and help you file the appropriate documentation to ensure that your procedure is covered partially or fully. 

There Are Two Types of Breast Reconstruction Surgeries

Your doctor can reconstruct your breasts using implants or a tissue flap. This is what you can generally expect during each:


Reconstruction with implants is the more popular alternative and is completed over various stages. During stage one, a tissue expander is placed under remaining skin or chest muscles to stretch the tissues. On a weekly basis, your doctor will inject saline into the tissue expander to enlarge it until it reaches ideal size. Finally, the tissue expander is replaced with silicone or saline implants

Skin Flap

This is the less popular option but has historically offered the greatest long-term satisfaction and lower complication rates because it uses your own tissue. During surgery, tissue is taken from your back, thigh, or buttocks and transplanted to your breasts. This surgery requires a single procedure lasting about 8 to 10 hours.

Recovering from Surgery

The initial recovery lasts about two weeks. During this time, you will experience some soreness and tenderness. After six to eight weeks, you can return to normal activities. Your scars will begin to fade around the one-year mark.

Surgery Is Designed On an Individual Basis

To help you determine which type of surgery to have and whether you should begin during your mastectomy or wait until later, your doctor will take into account: 

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The size and location of your cancer

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The size of your breasts 

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The amount of tissue you have available for autologous use 

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Your age, body type, lifestyle, and long-term goals 

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Your overall health 

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Your desired recovery time and willingness to undergo multiple surgeries 

You Can Wait or Explore Other Options

If you are concerned about undergoing more extensive surgery than needed, you may consider fat grafting. Fat grafting is a less invasive way of adding volume to your breasts. Alternatively, many women choose not to undergo a breast reconstruction at all. You can also wear a breast prosthesis or choose to "go flat." 

Don’t be afraid to change your mind. Although reconstruction is usually recommended during your mastectomy, it is always an option later in life unless you have outstanding health issues. 

Your Doctor Can Help You Decide

During your consultation, your doctor will assess your health, your current condition, and discuss your overall goals to help you choose if reconstruction is right for you. To learn more about reconstruction, schedule an appointment with your doctor today.

Dr. John E. Gatti

John E. Gatti MD

Dr. John E. Gatti offers patients in and around Cherry Hill, NJ, a wide array of procedures to improve their confidence and quality of life. Dr. Gatti is a member of a number of national affiliations, including:

  • American Society of Plastic Surgery
  • North-Eastern Society of Plastic Surgery
  • American College of Surgeons

To schedule a consultation and learn more, contact us online, or call our office at (856) 354-6100 today.

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