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Breast Reconstruction: What Can Be Done?
If a woman is a good candidate for reconstruction, she can usually expect a breast mound that will fill a bra cup to her desired volume, along with a nipple and areola, if desired. The opposite breast can be made to match by augmentation, reduction or lifting. These procedures are covered by insurance, as mandated by law. In addition, significant breast symmetry as a result of lumpectomy/radiation or multiple biopsies can be corrected with reconstructive surgery.

The word "can" is used because breast reconstruction is a matter of choice. Some women choose to wear a breast prosthesis with their bra. Others may choose reconstruction, which is not limited to one's age. The overall health condition and status of the cancer are the issues that determine feasibility.

Consultation with a plastic surgeon prior to mastectomy is part of a comprehensive breast care center program. The patient should be fully informed of her options for immediate versus delayed breast reconstruction. The technique(s) recommended are based upon her anatomy, medical background and anticipated future cancer treatments.

Decision-making in breast reconstruction begins with the simple question of whether breast reconstruction will be part of the woman's recovery process.

Some women know the answer immediately; others need days or weeks to decide.

Once the decision is made to go ahead with the procedure, the next question is which technique to select. In each case, the decision is based upon surgical preference and which technique will be better in the face of any anticipated treatments of chemotherapy and/or radiation therapy.