There are different ways to rebuild your breast after a mastectomy or lumpectomy. Breasts can be reconstructed using implants, your own tissue or a combination of both.
At Banner MD Anderson Cancer Center, our surgeons specialize in some of the latest techniques and work closely with your oncology team to help you choose the type of breast reconstruction that fits your needs, treatment plan and goals.
Implant-based reconstruction is the most common type of breast reconstruction. It uses silicone or saline implants to restore the shape and size of the breast. A breast implant can be combined with nipple and areola reconstruction later.
If you choose implant-based breast reconstruction, it is typically done in stages but in certain, specific cases you may be able to have the implant placed right away. If it’s done in stages, your surgeon first places a tissue expander to gently stretch the breast skin and in some cases, chest wall muscle before inserting a permanent breast implant after mastectomy.
Implant-based reconstruction usually means a shorter surgery and recovery time, compared to tissue flap procedures. But implants may need to be replaced or adjusted over time.
Learn more about implant-based reconstruction.
Autologous, or “flap,” reconstruction uses your own tissue to rebuild your breast. This tissue is usually skin and fat, and sometimes muscle. Tissue flap reconstruction offers a natural look and feel and can last a lifetime.
To rebuild your breast with autologous reconstruction, surgeons usually take tissue from various places, but the most common are your abdomen or your back. A flap from your back also requires an implant for full reconstruction, while the abdominal flap uses just the excess lower abdominal skin and fat to recreate the breast tissue.
Tissue flap surgery involves different areas of your body and is more complex, so it usually takes longer to recover from autologous breast reconstruction compared to implant-based reconstruction. Your surgeon will talk to you about whether you’re a good candidate for tissue flap reconstruction based on your body type, previous surgeries and overall health.
Find out more about autologous (tissue flap) reconstruction.
Hybrid breast reconstruction combines implants with tissue from your body. It is often used when there is a need to replace damaged or unhealthy breast skin. It can also be used to cover the implant when there is healthy, supple tissue. This type of combination breast reconstruction can give you volume, softness and symmetry when one method isn’t enough.
Hybrid reconstruction gives surgeons more flexibility and may be an option if you’ve had reconstruction surgery or radiation therapy in the past.
Learn more about hybrid breast reconstruction.
Your reconstruction choice depends on several factors. You and your care team will want to discuss your:
Your Banner MD Anderson surgeon will help you weigh the benefits and considerations of each option.
Learn more about choosing the right breast reconstruction option and understanding risks and complications.
At Banner MD Anderson, you are in expert hands for your breast reconstruction. Our plastic and reconstructive surgeons work closely with your cancer care team. We offer advanced microsurgical options and focus on your safety, appearance and long-term comfort, providing compassionate support every step of the way.
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