9 doctors weighed in:

What are the advantages & disadvantages of immediate vs. Delayed breast reconstruction?

9 doctors weighed in
Dr. Michael Klein
Family Medicine
3 doctors agree

In brief: See below

There is a tendency after healing from a major surgery to have a hard time motivating for further surgery and this may cause you to avoid or delay the reconstruction or extend your time recovering.
While mastectomy is difficult no matter what, it is a signficant psychological benefit to recover from surgery with the first step of reconstruction already underway.

In brief: See below

There is a tendency after healing from a major surgery to have a hard time motivating for further surgery and this may cause you to avoid or delay the reconstruction or extend your time recovering.
While mastectomy is difficult no matter what, it is a signficant psychological benefit to recover from surgery with the first step of reconstruction already underway.
Dr. Michael Klein
Dr. Michael Klein
Thank
Dr. Kenneth Lee
Surgery - Plastics
1 doctor agrees

In brief: See list

Adv immediate/disadv delayed 1.
More natural appearing as incisions are hidden better 2. Less overall surgeries 3. Ability to be truly skin sparing 4. Psychological as to not be flat disadv immediate/adv delayed 1. No permanent pathology so possibility of radiating reconstruction (poor aesthetic result) 2. If choosing microsurgery - overall can be 8-10 hours of surgery 3. Bad in smokers.

In brief: See list

Adv immediate/disadv delayed 1.
More natural appearing as incisions are hidden better 2. Less overall surgeries 3. Ability to be truly skin sparing 4. Psychological as to not be flat disadv immediate/adv delayed 1. No permanent pathology so possibility of radiating reconstruction (poor aesthetic result) 2. If choosing microsurgery - overall can be 8-10 hours of surgery 3. Bad in smokers.
Dr. Kenneth Lee
Dr. Kenneth Lee
Thank
Dr. Bryan McIntosh
Surgery - Plastics
1 doctor agrees

In brief: Ease, Thin Skin

Immediate breast reconstruction prevents you from having an additional trip to the or, going under anesthesia, etc.
A breast which has just been removed is usually easier to reconstruct. However, it is possible for the general surgeon to leave very thin breast skin, and variable portions of it may not survive after reconstruction.

In brief: Ease, Thin Skin

Immediate breast reconstruction prevents you from having an additional trip to the or, going under anesthesia, etc.
A breast which has just been removed is usually easier to reconstruct. However, it is possible for the general surgeon to leave very thin breast skin, and variable portions of it may not survive after reconstruction.
Dr. Bryan McIntosh
Dr. Bryan McIntosh
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Dr. Todd Sisto
Breast Surgery

In brief: Only advantage of

Delay is if you don't know if you want rec.
Adv of immediate: fewer operations, better physical and emotional outcome.

In brief: Only advantage of

Delay is if you don't know if you want rec.
Adv of immediate: fewer operations, better physical and emotional outcome.
Dr. Todd Sisto
Dr. Todd Sisto
Thank
Dr. Rimma Finkel
Surgery - Plastics

In brief: Options

Immediate reconstruction affords the ability to have cancer treatment and reconstruction at once but is also limited by somewhat longer surgery time.
Delayed reconstruction affords the opportunity to allow healing, especially i'd you are concerned about thin tissue or comorbidities but it means another trip to the operating room and all the involved risks.

In brief: Options

Immediate reconstruction affords the ability to have cancer treatment and reconstruction at once but is also limited by somewhat longer surgery time.
Delayed reconstruction affords the opportunity to allow healing, especially i'd you are concerned about thin tissue or comorbidities but it means another trip to the operating room and all the involved risks.
Dr. Rimma Finkel
Dr. Rimma Finkel
Thank
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