Understanding Breast Reconstruction Options After Mastectomy: What You Should Know
Introduction
Breast reconstruction after mastectomy is about more than restoring physical form — it’s about helping women reclaim confidence, identity, and a sense of wholeness after breast cancer. The decision is deeply personal and should be informed by medical facts, lifestyle considerations, and emotional readiness.
At Philippa C. Jackson Plastic Surgery, we offer tailored reconstructive options to ensure every woman has access to compassionate care and clear information before making this life-changing choice.
Immediate vs. Delayed Reconstruction
Immediate reconstruction occurs at the same time as the mastectomy. It can have a powerful psychological benefit, allowing patients to wake from surgery with breast shape already restored. However, it requires coordination with your breast or oncology surgeon, and not all patients are suitable if radiotherapy is planned.
Delayed reconstruction is performed months or even years later, once cancer treatment and healing are complete. It allows more flexibility and ensures radiation or chemotherapy do not affect the reconstructed tissue.
In some cases, a “delayed-immediate” approach — placing a temporary tissue expander during mastectomy and reconstructing later — offers a balance of both.
Main Reconstruction Options
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Implant-Based Reconstruction
Silicone or saline implants are used to recreate the breast mound. Implants can be placed under or above the chest muscle (subpectoral vs. pre-pectoral) depending on anatomy and surgeon preference.-
Pros: Shorter surgery, quicker recovery.
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Cons: Will feel less natural, and implants may require future replacement. There is also a small risk of other implant-associated cancers.
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Autologous (Flap) Reconstruction
Uses your own tissue — often from the tummy, back, thighs, or buttocks — to form the new breast.-
DIEP Flap: Uses abdominal skin and fat, preserving muscle. Considered the “gold standard” for natural results.
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Latissimus Dorsi (LD) Flap: Uses muscle and skin from the upper back, sometimes combined with an implant.
- TUG/PAP flap: Uses skin and fat from your inner thigh, possibly with a small piece of muscle. A good alternative if there is not enough tissue on your tummy.
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Pros: Natural look and feel; lasts for life.
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Cons: Longer operation, recovery, and donor site scar.
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Hybrid Reconstruction
Combines small implants with your own fat or tissue to enhance softness and contour.
Factors to Consider
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Overall health and BMI.
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Cancer treatment plan and timing.
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Availability of donor tissue.
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Personal goals for symmetry and natural appearance.
- Flap reconstruction requires 2-3 nights in hopsital
Recovery and Long-Term Outcomes
Recovery varies by technique. Implant reconstruction usually allows discharge within a few days; flap reconstruction may require a week in hospital. Most women return to light activity within 4–6 weeks.
With modern microsurgical techniques, satisfaction rates are high, with most patients reporting improved self-esteem and quality of life.
Final Thoughts
Breast reconstruction is not about vanity — it’s about healing. Philippa C. Jackson provides a comprehensive, patient-centred pathway, guiding women from consultation to long-term aftercare with clarity and compassion.


