Most cases of breast cancer are initially treated with surgery, often in combination with other treatments such as chemotherapy, radiotherapy, hormone therapy or targeted therapy.
Depending on the stage of the cancer and how far it has spread, removing the tumor may mean complete removal of the breast. Breast reconstruction can be started during the same surgical procedure or delayed until a later date, usually after other treatments are completed. It’s a personal choice as to when you undergo breast reconstruction surgery, and the decision is based on your overall health, your preferences and your doctor’s recommendation.
Types of breast reconstruction
Breast reconstruction can be performed after a mastectomy, where the whole breast is removed, or a lumpectomy, where the breast is partially removed.
There are two main types of breast reconstruction possible: flap reconstruction, which involves taking fat, skin, muscle and blood vessels from other parts of your body, and implant reconstruction, which uses saline or silicone implants.
The best option for you will depend on several factors:
- Overall health
- Age
- The extent or severity of your breast cancer
- The amount of breast tissue removed
- Additional upcoming treatments
- Previous surgery, such as abdominal procedures
- Personal preference
Your healthcare team will advise you on the most appropriate option for you.
Learn more about breast cancer treatment and care
Choosing the best timing for breast reconstruction
Before making your decision on when to undergo breast reconstruction surgery, there are some factors to take into consideration. In both cases, rebuilding your breast may require several surgical procedures.
Immediate reconstruction
Reasons to begin the reconstruction process at the same time as breast tissue removal include:
- Your cancer is early-stage, and you don’t expect further treatment.
- You prefer to combine both the mastectomy and breast reconstruction.
- You may struggle with the loss of your breast tissue without reconstruction.
- Aesthetically, the skin and/or nipple may be better preserved.
Reasons to wait:
- If radiotherapy is required, it may affect the reconstructed breast and delay wound healing.
- You need more time or prefer to take things one step at a time.
Delayed reconstruction
Reasons to delay the reconstruction process by several months or years may include:
- Radiation therapy can affect healing or appearance.
- Your overall health means you need to take things slowly.
- You need time to focus on your treatment and then consider your breast reconstruction options.
- Your healthcare team advises you to wait.
To decide between immediate versus delayed breast reconstruction, be an active participant in your breast cancer journey and ask your healthcare provider what they think is best. Weigh your own preferences and personal situation before making a decision.
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