Surgery

Breast Reconstruction

Breast reconstruction rebuilds the shape of a breast after mastectomy, using an implant or the body’s own tissue.

Quick answer

Breast Reconstruction: what it is, why it's done and what happens

Breast reconstruction recreates a breast shape after all or part of a breast is removed. It uses either a breast implant, tissue moved from elsewhere on the body (a flap), or a combination.

  • Why it is done: It is offered to people who have had, or will have, a mastectomy or wide breast surgery for cancer or risk reduction, to restore breast shape and help with confidence and wellbeing.
  • What happens: Under general anaesthetic, the surgeon rebuilds the breast using an implant or the person’s own tissue.

What it is

Breast reconstruction recreates a breast shape after all or part of a breast is removed. It uses either a breast implant, tissue moved from elsewhere on the body (a flap), or a combination.

Why it is done

It is offered to people who have had, or will have, a mastectomy or wide breast surgery for cancer or risk reduction, to restore breast shape and help with confidence and wellbeing.

What happens

Under general anaesthetic, the surgeon rebuilds the breast using an implant or the person’s own tissue. It may be done at the same time as the mastectomy (immediate) or later (delayed), sometimes in stages.

Recovery

Recovery depends on the method — flap surgery is bigger and takes longer than implant reconstruction. Full recovery takes weeks to months, and further minor procedures (such as nipple reconstruction) may follow.

Good to know

Risks and things to consider

Risks include infection, bleeding, problems with implants or flaps, and effects on the donor area for flap surgery. The reconstructed breast may look and feel different from a natural breast.

Education and reference only. This explains the procedure in general terms and is not medical advice. Your own care, risks and recovery will be explained by the team looking after you.

Answers

Breast Reconstruction: frequently asked questions

Can reconstruction be done at the same time as a mastectomy?

Yes, immediate reconstruction is done during the same operation for many people, though delayed reconstruction later is also common. The best timing depends on your treatment plan and preferences.

Should I choose an implant or my own tissue?

Both have advantages: implants avoid another surgical site, while your own tissue (a flap) can feel more natural but is bigger surgery. Your surgeon will discuss which suits your body and treatment.

Sources

Where this is drawn from

  • NHS — Tests and treatments
  • NICE — procedure and treatment guidance
  • Relevant Royal College / professional body

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