11 doctors weighed in:

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

11 doctors weighed in
Dr. Karen Vaniver
Surgery - Plastics
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Karen Vaniver
Dr. Karen Vaniver
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Dr. Todd Sisto
Breast Surgery
2 doctors agree

In brief: Previously

Covered.

In brief: Previously

Covered.
Dr. Todd Sisto
Dr. Todd Sisto
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Dr. Ritesh Rathore
Internal Medicine - Hematology & Oncology
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Ritesh Rathore
Dr. Ritesh Rathore
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Dr. Minas Chrysopoulo
Surgery - Plastics

In brief: 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.

In brief: 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.
Dr. Minas Chrysopoulo
Dr. Minas Chrysopoulo
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Dr. Rimma Finkel
Surgery - Plastics

In brief: 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.

In brief: 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.
Dr. Rimma Finkel
Dr. Rimma Finkel
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Dr. Barry Rosen
Surgery

In brief: 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.

In brief: 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.
Dr. Barry Rosen
Dr. Barry Rosen
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