Breast Reconstruction
After your surgery, there are several ways to surgically reconstruct the breasts; some are relatively simple and some are more complex. Your consultant will advise on the best option for you.
You have the option to undergo breast reconstruction either simultaneously with your mastectomy (immediate reconstruction) or at a later time (delayed reconstruction). Alternatively, you may choose not to pursue reconstruction at all.
Implant breast reconstruction
Implant-based techniques are relatively simple and avoid the need for major surgery, additional scars and a long recovery period. It can be difficult to achieve a natural looking breast, but reasonably good results can be achieved in clothing. Implants are more likely to require revision surgery in the future.
DIEP Flap techniques
Flap techniques such as the DIEP flap can achieve a more natural looking and feeling breast by using your own tissue. This technique however requires longer surgery, additional scars and a longer recovery period. Flap reconstructions tend age naturally, and revision surgery is less likely in the future.
Fat grafting / lipofilling
This technique is used to improve the shape and contour of the breast after a wide local excision. Liposuction is used to collect some fat tissue, which is then processed into fat for injection. The processed fat is injected into the area of the breast needing improvement. This technique is also used to improve implant breast reconstructions by increasing the soft tissue cover over the implant. It is can also be used to improve flap breast reconstructions.
Nipple reconstruction
The aim of nipple reconstruction is to improve the appearance of a reconstructed breast by creating a nipple shape on the breast. Although it won’t feel the same as a natural nipple but having it can improve the appearance of the breast.
