Breast reconstruction rebuilds the breast mound and restores the look of the breast. It can be done at the same time as the mastectomy or sometime later. It can be done using your tissue or synthetic materials.
You should talk with your surgeon about reconstruction options before your operation. This will help you and your surgical team to plan the treatment that is best for you. United States law requires most insurance plans to cover immediate and delayed reconstruction. be sure to contact you insurance provider to confirm your coverage.
Breast reconstruction with implants: this can be done several ways. A round or teardrop-shaped pouch may be placed above or under the muscle at the time of surgery. Another option is for a breast tissue expander to be placed at the time of surgery and filled with saline (salt water) over time. The expander is later replaced with a permanent breast prosthesis.
Autologous (flap) reconstruction: This procedure uses tissue taken from another part of your body, such as your abdomen, thigh, or back. This may also include an implant.
You also can choose to reconstruct your nipple. A nipple-sparing mastectomy may be possible, which means that your own nipple is saved. Otherwise, a tattoo can be placed to darken the tissue to look like a nipple.
For more information about breast reconstruction, visit the American Society of Plastic Surgeons site or The Aesthetic Society.
If you decide not to rebuild your breast mounds, talk to your surgeon about a flat closure.
This procedure is done to make the chest smooth and flat. It can be done after a mastectomy or after implants are removed.58 You may need additional procedure(s) to create the final, flat look you want.59 Before your procedure, be sure to discuss what will be covered with your surgeon and insurance provider.