Breast Reconstruction Surgery
Also known as: reconstructive mammoplasty
Breast reconstruction surgery aims to create a new breast shape after a mastectomy, striving to restore symmetry and rebuild any damaged or missing tissue.
What is breast reconstruction surgery?
Breast reconstruction surgery aims to create a new breast shape after a mastectomy, striving to restore symmetry and rebuild any damaged or missing tissue. This procedure is not just about physical appearance; it plays a crucial role in enhancing a patient’s self-esteem and emotional well-being following breast cancer treatment. The loss of a breast can evoke strong emotions, and reconstruction helps many women feel more empowered and confident in their bodies.
There are two primary types of breast reconstruction: implant-based and autologous tissue, each with their own benefits, limitations, and recovery timelines.
Advancements in techniques, such as improved nipple tattooing, are continuously evolving to enhance patient outcomes and satisfaction.
The emotional journey post-surgery can be complex. Many women experience feelings of loss for their previous appearance and health, and it takes time to adjust to their new breast shape. Breast reconstruction can significantly improve breast symmetry, although achieving a perfect resemblance to the other breast might not always be possible.
It’s important to note that each patient’s situation is unique, and the decision to undergo breast reconstruction is deeply personal, influenced by individual preferences and circumstances. Patients may experience different sensations in the reconstructed breast compared to their original one.
Breast care nurses can provide valuable support and counselling for addressing body image concerns. Grasping these aspects can aid patients in making informed decisions and mentally preparing for upcoming changes.
Hospital fee guide price: £4,200
Procedure price subject to bespoke quotation
*Additional consultant fee not included
Before surgery
Initial consultation
During your initial consultation for breast reconstruction surgery, you’ll meet with your surgeon to discuss your medical history, preferences, and goals. The surgeon will take time to explain your options, including implant-based reconstruction and autologous tissue reconstruction, helping you understand the benefits and risks of each. They’ll ask about your lifestyle, overall health, and any treatments you’ve had, such as mastectomy or radiation, as these can influence your reconstruction options. Expect to have a physical examination where the surgeon will assess your body shape, skin elasticity, and other factors to determine the most suitable reconstruction method for you. You’ll also talk about the timeline, recovery process, potential complications, and the expected outcome of the procedure. This is your opportunity to ask questions, voice concerns, and ensure you fully understand the options available, so that you can make an informed decision.
Preparing for surgery
Preparation for breast reconstruction surgery involves several important steps. Pre-operative assessments typically include tests to check your general health and fitness, and a CT scan or an angiogram might be performed to evaluate the blood vessels in the donor site. You’re encouraged to quit smoking and adopt a healthy diet with regular physical activity to promote better surgical outcomes.
Emotional preparation is essential for adjusting to the idea of reconstructed breasts and changes in body image. Mental readiness significantly impacts the recovery process and overall satisfaction with the surgery. Discussing your concerns and expectations with surgeons and seeking support from a breast care nurse is recommended.
Understanding the procedure and asking questions is vital for informed decision-making. You should receive clear guidance on managing medications, dietary restrictions, and other preoperative instructions from your healthcare team. Proper preparation can reduce anxiety and ensure a smoother surgical experience.
During surgery
Breast reconstruction surgery is performed under general anaesthetic, ensuring that the patient remains completely unconscious and pain-free throughout the procedure.
Implant-based reconstruction
During implant reconstruction, the surgeon places saline or silicone implants to restore your breast shape. The procedure typically involves creating a pocket either under the chest muscle or above it (prepectoral reconstruction). Acellular dermal matrices may be used to provide additional support. This method generally offers a quicker recovery period and a shorter hospital stay, often with the use of drains to manage fluid post-surgery. Prepectoral reconstruction is gaining popularity as it often results in less pain and a more natural breast shape.
Nipple and areola reconstruction
Nipple and areola reconstruction plays a vital role in achieving a balanced and aesthetically pleasing outcome post-breast reconstruction. Techniques for this procedure include transferring skin from another body part or using local skin from the breast area. Additionally, 3D tattooing has become a popular option for recreating the appearance of the areola. A common method for nipple reconstruction involves using skin grafts or local tissue flaps to create a protuberant nipple, followed by a 3D tattoo to simulate the colour and texture of a natural areola. This technique enhances visual appearance and helps you feel more complete and comfortable with your body.
For many, this final step is crucial for achieving a sense of normalcy and closure. Combining surgical techniques with advanced tattooing methods can yield highly satisfying results.
After surgery
Post-surgery care and recovery
Post-surgery care and recovery are critical for achieving the best outcomes. You should arrange for assistance at home during recovery. Following nurse instructions for wound care and showering prevents infections and promotes healing. Medication prescribed by your doctor helps control pain and manage discomfort during initial recovery.
Recovery timelines vary; swelling and bruising typically subside within eight weeks, while scarring may take up to two years to heal completely. Avoid heavy lifting and strenuous activities for four to six weeks following reconstruction.
Exercises to move your arm and shoulder aid recovery, helping you regain mobility and strength. Full recovery can take a year or two, but proper care helps you achieve optimal results.
Potential risks and complications
Like any surgical procedure, breast reconstruction carries certain risks and potential complications. Common risks include infection, blood clots, and minor complications that might require further medical attention. Factors such as smoking, being overweight, and having diabetes can increase these risks.
Specific to breast reconstruction, there may be issues with wound healing, especially in patients who have had radiation therapy. Implant-based reconstruction risks include implant rupture or capsular contracture.
Patients might experience changes in sensation in the reconstructed breast or donor site, which can be temporary or permanent. Emotional and psychological impacts are considerations, as recovery can be lengthy and challenging. Support from healthcare professionals, including breast care nurses, is essential to navigate these changes.
Discussing potential risks with the surgical oncology team is crucial for making informed decisions about breast reconstruction surgery.
Appointment and Treatment Plan
Appointment
Based on your previous consultation with a doctor, an appointment will be arranged between you and your surgeon.
Treatment plan
During this appointment, you will review your medical history, discuss the details of the surgery and recovery process, and collaboratively decide if this procedure is a suitable option for you.
Pre-op assessment
If surgery is an option, then the surgeon and their team will thoroughly assess whether you’re right for the surgery. They’ll consider your current health, any previous issues, and other external matters.
Surgery
Prior to going through the surgery, our team will ensure that you’re prepped once again. If everything is confirmed, you’ll undergo the surgery and then we’ll explain the aftercare instructions.
Aftercare
If necessary, you’ll stay in a ward for a few hours to ensure that you’re ready to go home after the surgery. However, this may depend on the surgery outcome and whether you need moderate or light assistance.
Follow-Up
You’ll come in a few weeks later and we’ll give you one final check-over to ensure that you’re on track for recovery.
Experts
We are proud to provide patients with access to a wide range of clinicians, chosen specifically for their knowledge and reputation in their area of expertise. Our experts align with our values: putting you at the centre of your care and educating you on your options at each step of the journey. We encourage you to learn more about our clinicians and how they can help you below. As always, please contact our patient services team if you require any additional information.
We offer 3 ways to pay for your treatment
We exist to take the stress out of private healthcare.
Our payment options are designed to offer you easy access to our treatments and services. You can choose to pay on the day, spread the cost, or use your private medical insurance.
Our patient services team will guide you through the process, providing clear costs and support throughout your course of treatment so you can focus on the thing that matters most – your health.
Whether you pay in advance, spread the cost, or use your private medical insurance, rest assured you will be receiving exceptional care 365 days a year.
Pay in Advance
Even if you do not have medical insurance, you can still get quick and comprehensive access to private medical care.
We provide transparent pricing from your initial consultation to the completion of your treatment so you know where your stand, every step of the way.
We accept all major debit and credit cards, as well as Apple Pay for UK residents. Please note that we do not accept cash or cheques.
Pay monthly
Paying for your treatment at OSD Healthcare doesn’t need to mean settling the full cost in one go.
Many of our treatments have a pay monthly option that allows you to spread the cost of your treatment over 12 months with no credit checks required.
A minimum spend of £300 does apply. We’ll take your first payment upfront and then arrange a direct debit for your monthly payments thereafter. It’s that simple.
Pay using PMI
We are recognised by all major health insurance companies and with our extensive range of services, there are lots of benefits to using your insurance with us. Our patient services team is here to answer any questions you may have about using your private health insurance with us.
Please bring along your policy details including your scheme details, membership or policy number, expiry date and confirmation of eligibility to claim (i.e. your authorisation number). If you do not have these details with you, we will require payment from you on the day. Patients are liable for any amounts not settled by their insurer.
Hospital fee guide price: £4,200
Procedure price subject to bespoke quotation
*Additional consultant fee not included
FAQs
The primary types of breast reconstruction surgery are implant-based reconstruction, involving saline or silicone implants, and autologous tissue reconstruction, which utilises the patient’s own tissue from another area of the body. Understanding these options is crucial for making an informed decision about breast reconstruction.
The primary difference between immediate and delayed reconstruction is timing; immediate reconstruction occurs immediately following a mastectomy, whereas delayed reconstruction is performed after the patient has completely recovered from the surgery and any subsequent treatments. This distinction can significantly impact the overall patient experience and recovery process.
The recovery period after breast reconstruction surgery generally spans several weeks for initial recovery, with complete healing potentially taking a year or longer. It is essential to follow your surgeon’s guidance during this time for optimal recovery.
Flap surgery techniques carry significant risks, including infection, blood clots, flap failure, and fat necrosis.
Yes, there have been significant advancements in breast reconstruction techniques, such as enhanced nipple tattooing for a more natural appearance. These innovations contribute to better aesthetic outcomes and patient satisfaction.