If I am advised to have a mastectomy, what are the risks and benefits of immediate breast reconstruction?

Immediate breast rec. The benefits of immediate reconstruction include the amount of skin available to cover a flap, or implants, the reduced number of surgeries, the psychological benefit, and perhaps, superior cosmetics. The downside is a higher risk of complications, and possible changes in therapy, such as radiation, based on the final pathology, that may affect the quality of the reconstruction.
Significant. Immediate reconstruction is assocaited with wound healing and cosmetic issues, depending on whether muscle flaps or breast implants are used and whether radiation is to be done.
Several. Benefits include less scarring, better cosmetic results, and not having to experience being without a breast. Risks include failure of the reconstruction, infection, bleeding, sensation loss, asymmetry, blood clots, ugly scarring, dissatisfaction with the cosmetic results and need for more surgery. Implant reconstruction risks also include hardening, rippling, rupture, and need for replacement.
Benefits. The biggest benefit of immediate reconstruction is that you have the best chance at creating a natural shape to the breast and having it done in one surgery rather than multiple surgery. Since the majority of the breast skin is left in a mastectomy and the shape loss is limited, there is somewhat of a "blueprint" to work with.
BENEFITS>risks. Almost all women who require a mastectomy may be given the option of reconstruction. The major benefit of immediate reconstruction is avoiding an extra operation and the emotional effects of having no breast. Furthermore, as many as 1/3 of all women who plan on having a delayed reconstruction never bother. Rarely, we prefer to delay reconstruction for follow-up of an aggressive breast cancer.

Related Questions

What are the risks and benefits of immediate breast reconstruction if I have a masectomy?

Many. Immediate breast reconstruction is making a big comeback due to several recent improvements, such as skin sparing mastectomy and use of acellular dermal matrix "internal bra" (alloderm). Advantages are fewer surgeries are minimal recovery times, and less depression about body deformity from breast loss. Insist on talking to a plastic surgeon before the mastectomy. Read more...
Depends. Risks are specific to the type of reconstruction performed. However, there is always a risk of partial loss of breast skin if the breast surgeon creates flaps of skin that are too thin. This is a serious risk if tissue expansion is to be performed, as the expander could be exposed and become infected if the skin partially becomes necrotic. Read more...
Immediate vs delay. Immediate breast reconstruction is better if you are pretty sure you will not need radiation therapy and have a relatively small tumor. This plus a skin-sparing mastectomy is state of the art. Read more...
Several. Benefits include less scarring, better cosmetic results, and not having to experience being without a breast. Risks include failure of the reconstruction, infection, bleeding, sensation loss, asymmetry, blood clots, ugly scarring, dissatisfaction with the cosmetic results and need for more surgery. Implant reconstruction risks also include hardening, rippling, rupture, and need for replacement. Read more...
Breast Cancer. The reconstructive technique used works in concert with the mastectomy performed by the breast surgeon. Problems related to surgery are not to be minimized but are the same for virtually every procedure. Specific operations have specific risk such as a mastectomy can result in some skin loss. An infection can lead to removal of an implant. A fat injection can clump and lead to necrosis. Read more...

Does the same surgeon who does the mastectomy also do the breast reconstruction? I got a referral to an excellent surgeon for my mastectomy, and during the consult, he told me I should think about whether I want an immediate breast reconstruction. It didn

Hello, . Hello, first, best wishes getting well from your upcoming mastectomy. Hope it turns out great. It is not common for a mastectomy performed for breast cancer and its reconstruction to be performed by the same surgeon. Most commonly a general surgeon with expertise in breast conditions performs the mastectomy and lymph node biopsies. Either under the same anesthesia or later, a plastic surgeon can perform your breast reconstruction. Be sure to request a consult with you surgeons' favorite plastic surgeon immediately. Having lots of time ahead of surgery to assimilate all this new information is time well spent, although i sympathize that it is stressful and exhausting to have to make all these decisions. Dan downey md facs. Read more...
Generally . Generally speaking, one surgeon will perfrom your mastectomy, and a secnd surgeon will perform your breast reconstruction. It is very helpful to speak to a reconstructive surgeon prior to your mastectomy. The plastic surgeon will help determine whether you are a candidate for nipple sparing mastectomy, whether you might wish to consider bilateral mastectomy and reconstruction, whether you are a candidate for immediate reconstruction or delayed reconstruction, whether you are a candidate for single stage reconstruction, and what type of reconstruction best fits your body type and your goals. The plastic surgeon will also discuss symmetry, or matching surgery, with you and nipple reconstruction. You do not have to have immediate reconstruction if you are not ready for it! although it can seem overwhelming, trust me that in the end, you will feel musch more satfisfied and in control of your life by researching your options. Your breast surgeon should be able to provide one or more referrals for you if you don't have a specific plastic surgeon in mind. Read more...
Most . Most of the time mastectomy and reconstruction is performed by different doctors who all work in a team approach. Good luck from nyc. For more info visit www.Drgrossman.Com. Read more...
Usually. Generally speaking, surgery done for treatment of breast cancer is done by one surgeon and surgery done for “reconstruction” is done by another. However, there are a few surgeons who have been well-trained/experienced with both types of surgery. Hopefully, your surgeon will be able to refer you to a plastic surgeon who he/she has confidence in. Best wishes with your treatment plan. Read more...
Breast cancer. Typically the breast surgeon has a relationship with a plastic surgeon(s) to perform reconstruction. It is important to be seen and evaluated for all forms of breast reconstruction. Although this is a very stressful time it is important to have all the information regarding your surgical options. In many instances not enough time is given to this portion of a patients care! Read more...
No,a plastic surgeon. No, usually your breast oncologic surgeon performs the mastectomy and refres you for reconstruction to a plastic & reconstructive surgeon.An immediate breast reconstruction is a common procedure that is performed at the same time as the mastectomy.The type of surgery varies depending on your choice, your body size and shape and your plastic surgeon.Creation of a breast mound is the first operation. Read more...

Does a growing lump on a one-stage immediate breast reconstruction after mastectomy because of cancer followed by a tissue flap procedure meancancer?

Not necessarily. It could be scar tissue, a problem with the implant or a fluid collection but you do need to see your doctor ASAP. Good luck. Read more...
Must get it checked. A new lump doesn't necessarily mean cancer, but you definitely must get it checked out to be sure. New lumps can appear after mastectomy and reconstruction, more with flap surgery than implants. More often than not, it is fat necrosis (hard fat) or scar tissue. Fat turns hard when the blood supply to that area isn't quite as good as it should be. Neither fat necrosis or scar tissue are harmful. Read more...

Hi. I had a bilateral mastectomy with immediate breast reconstruction 6 weeks ago and don't fit into my clothes. Can this be due to water retention?

Possibly. Water retention is a normal response to trauma(surgery). Give it a few weeks before panicking. Read more...
Most definitely. It depends on what kind of reconstruction you had (implants, or tissue taken from the back or belly). The extent of the operation as well can impact the amount of trauma to the tissues amount of water retention. Typically by 6 weeks most of the water weight should be resolved, but I have seen it last for several months. After evaluating you, your MD may Rx a water pill if thats whats going on. Read more...

Do I have to wait until my radiation treatments are over before I can get breast reconstruction? I wanted to get immediate breast reconstruction after my mastectomy, but my doctor says I need radiation and recommended I wait. Why? .

Radiation . Radiation treatment causes permanent and, frequently, progressive changes in tissue. Your best result may require repeated procedures if undertaken prematurely. Why don't you believe your treating physicians? Read more...
The . The answer to your question should be given to you by your treating team, not doctors who don't know the details of your condition. Good luck from nyc. For more info visit www.Drgrossman.Com. Read more...
Usually safer. Immediate breast reconstruction can still be performed if radiation is planned. However, breast implants and radiation generally do not go well together. Radiation increases complications after any reconstruction, but much more so with implants (eg hardening, pain, need for implant removal). Tissue flaps tolerate radiation much better. Delayed reconstruction is associated with fewer complications. Read more...
Breast Cancer. I perform immediate breast reconstruction on patients every week who will get radiation treatments. I prefer to perform the diep flap for patients who i know will get radiated because i can take care of your own tissue much easier than an implant after radiation. The only time i don't perform or delay the reconstruction is when the tumor is close to the chest wall and maybe difficult to check. Read more...