Can you tell me the side effects of mastectomy? What about breast reconstruction?

Many! A mastectomy removes the entire breast including the nipple. It leaves a diagonal scar about 6 inches long. Pain is minimal; most women report numbness of their chest. A flexible tube drains fluid from the incision for 2-3 weeks. Reconstruction can be done at the same time as the mastectomy or later. For info on reconstruction options, check out http://www.Breastcancer.Org/treatment/surgery/.
-ve Mast & +ve Recon. Mastectomy creates an acquired absence of breast with associated scarring and deformity as well as having significant psychosocial impact. Reconstruction on the other hand tries to make the person 'whole' again by creating a breast from either your own body tissues or with implants followed by recreation of a nipple areolar complex. Each procedure will have some side effects but talk to your md.
Breast surgery. A skin sparing mastectomy is most commonly performed in immediate reconstruction that i perform. I help patient decide on using fat graft, implants, or flaps. This discussions revolve around a number of factors like lifestyle, expectations for size and shape. I usually spend over an hour personally discussing breast reconstruction options with each of my patients.
Deformity. A mastectomy results in a significant deformity to the chest wall, and this can cause emotional and psychological distress as well. There is also a variable level of numbness to the remaining skin. Breast reconstruction can result in asymmetry as compared to the uninvolved breast, but this is often corrected by operating on the uninvolved breast.
will loose breast. You will loose breast, with it the physical female form which may affect you psychologically as well.Of course, you can have breastreconstruction.Today, becsause of advancement in technique some of the reconstructed breasts looks no less attractive than the affected breast which has been removed for medical reason..This reconstruction could be done at the time of first surgery of mastectomy.
Side effects. Mastectomy without reconstruction results in a major deformity of the chest wall and significant asymmetry when compared to the other breast. Reconstruction is meant to restore what was removed.
Side effects. Though there are different types of mastectomies, depending on the type of cancer and its location, mastectomy will generally leave numbness on the chest wall and possibly the inner arm. This may be temporary or permanent. With reconstruction, the side effects depend on the type and timing of the reconstruction. This should be discussed with you breast and reconstruction surgeons.

Related Questions

Can you tell me about breast reconstruction after mastectomy using dermis?

DIEP flap. I believe you are asking about using your own tissue. We normally transfer skin and fat. The dermis is part of the skin. Read more...
Dermis. Dermis, which is the inner layer of skin, can be harvested from the abdomen (or other areas) to use with tissue-expander or implant-based breast reconstruction. This is used in place of acellular dermal matrix, which is derived from pig skin. The use of dermis is different from a TRAM or DIEP flap, which uses skin, fat, and the attached blood vessels for "autologous" breast reconstruction. Read more...

Can you tell me about breast reconstruction after mastectomy and complications?

Breast Cancer. This is a great question. The issue is how safe is it to be under anesthesia for longer periods of time. The short answer is it is very safe. I perform the diep flap breast reconstruction surgery and it takes longer because of all of the steps. These patients do extremely well after surgery and have had the benefit of removal of the lower abdominal tissue just like I do for a tummy tuck. Read more...

What is involved with post mastectomy breast reconstruction?

Lots of options. Reconstruction can be performed either immediately (begun) at the time of mastectomy or later after recovery. The two main techniques are either using implants with or without tissue expansion and using your own body tissue. You should consult with at least one plastic surgeon at the recommendation of your primary physician, ob/gyn or breast surgeon. A team approach is best. Read more...
Individual planning. This a complex problem that requires that your surgical plan be coordinated with your treatment team. Depending on many factors the reconstruction should be individualized to your needs. Read more...
Reconstruction. Post mastectomy reconstruction is best treated through a multidisciplinary approach. The reconstructive plastic surgeon should be involved early to help determine the incisions, the eventual reconstruction choices and options, and to advise the patient on the aesthetic ramifications of choosing breast conservation vs mastectomy. Timing, implants or tissue are all choices that have to be made. Read more...
Multiple steps. There are several reconstructive options which can be performed at the same time as mastectomy or any time later. Not everyone is a candidate for immediate reconstruction. Options range from breast implants to "flap" surgery which use the patient's own tissue to recreate a "natural", warm, soft breast. The nipple and areola can also be reconstructed. Typically more than one surgery is required. Read more...

Can I have breast reconstruction at the same time as mastectomy?

Generally yes. Though there are reasons not to perform reconstruction at the time of mastectomy, most women will be good candidates to have concurrent surgery. However, most will need one or more surgeries depending on the type of reconstruction. It is best to ask questions and discuss all the options with your reconstructive surgeon. Read more...
Maybe. Depends on the reason for mastectomy, whether you will need radiation and many other factors. Always a good idea to see a plastic surgeon before the mastectomy so that you plan for the best outcome. Make sure that your breast surgeon is very experienced in breast cancer - typically with a surgical oncology or breast surgery fellowship (or a general surgeon with lots of breast surgery experience). Read more...
Usually. Immediate reconstruction avoids image of no breast mound but also allows preservation of the skin envelope (if it's not directly involved by the cancer) and sometimes the nipple complex. This may afford a more natural look/feel. A complicating factor is need for postmastectomy radiation esp. If a tissue recon is planned. Review your options with your breast surgeon and consult with plastic surgeon. Read more...
Depends. Depends on you, your cancer and your plastic surgeon. Talk with your oncologist and your surgeon about immediate breast reconstruction. Read more...
Most women can. Immediate breast reconstruction allows the patient to wake up from the surgery "whole" and avoid the experience of a flat chest. Having the reconstruction at the same time typically leads to nicer results and less scarring compared to delayed reconstruction (reconstruction performed some time after mastectomy). Most women with early breast cancer (stage 1 or 2) or brca+ are candidates. Read more...
Absolutely. There are caveats depending on the extent and type of cancer you have at the time of surgery. Read more...

If I am advised to have a mastectomy, what are the risks and benefits of immediate breast 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. Read more...
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. Read more...
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. 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...
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. Read more...

Can I have my breast reconstruction done to make my breasts bigger than they were pre-mastectomy? I've always wanted  bigger breasts, but didn't want augmentation surgery. Now that I'm going to need breast reconstruction after a double mastectomy, I'd lik

Most . Most women who have mastectomy are able to make a personal decision with their plastic surgeon regarding the final size of your breasts. If you have breast reconstruction using tissue expanders, the expanders will be gradually filled until you have reached the size goal that will work best for your body and your personal aesthetic. The tissue expanders will then be exchanged for similarly sized permanent breast implants at a second operation. Some plastic surgeons are performing one stage breast reconstruction with immediate placement of permanent breast implants. This approach eliminates a second operation, but your implant size choice is limited by the amount of skin and tissue that you have following mastectomy. As always, discuss your options with your board certified plastic surgeon to determine what is best for you. All the best, dr. Skourtis. Read more...
You . You are not alone, as many women find themselves in a similar situation. The only way to determine if you can have breasts augmented larger than the size you had before mastectomy would be to discuss this issue with your plastic surgeon. To give you heads up, many women can have this accomplished. Good luck from nyc. For more info visit www.Drgrossman.Com. Read more...
This . This is certainly possible but the surface area of the skin will need to be enlarged through the use of tissue expansion or introduction of skin using flap tissue. Read more...
Yes. Women the undergo breast reconstruction with tissue expanders get to decide when to stop expansion when they are happy with the breast size. http://www.dassmd.com/breast-reconstruction-beverly-hills.html. Read more...
Discuss with Surgeon. Discuss your goals with your plastic surgeon. It may be helpful to show him/her goal pictures. Depending on how much skin is present and what type of reconstruction you undergo, your goals made or may not be achievable. Best wishes. Read more...

How is breast reconstruction done after mastectomy?

Tram flap. One of the common methods is by using the tram flap which is use of patients own abdominal muscle and skin paddle to create breast mound. Read more...
Lots of ways. There are many options these days for reconstruction; some simple and some complex depending on each patients needs and desires. Talk with a plastic surgeon or try www.Plasticsurgery.Org. Good luck. Read more...
Several options. Breast reconstruction uses the patient's own tissue (from another part of the body) or a breast implant. More than 1 surgery is usually needed to complete the reconstruction. The degree of scarring, recovery and risks vary depending on the technique used. The nipple and areola can also be reconstructed. Some patients also have surgery on the other breast for best symmetry. Read more...
Several options. A complete history and exam are needed to determine the best procedure for each individual. Flaps or tissue transferred from another part of the body can be used to reconstruct the breast. Or expansion and subsequent implant placement can also be performed. Read more...