Breast Reconstruction
Breast reconstruction is a surgical procedure that restores the shape, appearance, and symmetry of the breasts following mastectomy, lumpectomy, or trauma. For many women, breast cancer and the loss of breast tissue are often both physically and emotionally challenging. Breast reconstruction offers an opportunity to rebuild what has been lost, helping patients feel more whole, confident, and comfortable in their bodies.
Reconstruction of one or both breasts can be performed using implants, your body’s own tissue, or a combination of both. Dr. Ryan Constantine works closely with each patient to develop a thoughtful, personalized surgical plan that prioritizes both aesthetic outcomes and long-term well-being. His goal is to achieve results that look natural, feel balanced, and support healing on every level.
Who Is a Candidate for Breast Reconstruction?
Breast reconstruction may be appropriate if you:
- Have undergone or are planning a mastectomy or lumpectomy
- Have experienced breast trauma or significant breast deformity
- Want to restore breast shape, symmetry, and contour
- Are in good overall health and able to undergo surgery
- Have realistic expectations about the reconstructive process
Breast reconstruction can be performed at the time of mastectomy (immediate reconstruction) or at a later date (delayed reconstruction), depending on individual circumstances.
Benefits of Breast Reconstruction
Breast reconstruction offers both aesthetic and emotional benefits. Benefits can include:
- Restoration of breast shape and contour: Rebuild a natural-looking breast mound.
- Support for emotional recovery: Help patients feel more confident and complete after cancer or trauma
- Improved symmetry: Balance the appearance between both breasts
- Personalized reconstruction: Tailor the size, shape, and surgical technique to your goals
- Long-term results: Modern techniques are designed for durability and natural appearance
About the Procedure
Breast reconstruction is performed under general anesthesia and may take place at the time of mastectomy (immediate reconstruction) or at a later stage after healing and other treatments are complete (delayed reconstruction). The timing and approach are tailored to each patient’s medical needs, treatment plan, and personal goals.
Reconstruction can be achieved using implants, the patient’s own tissue (flap reconstruction), or a combination of both. Surgery may involve one or multiple stages, depending on the chosen approach. Additional procedures, such as nipple and areola reconstruction or adjustments to the opposite breast, may be performed to refine symmetry and achieve a balanced result. Most patients return home the same day to begin their recovery.
Surgical Techniques
Breast reconstruction techniques are selected based on the patient’s anatomy, medical history, and personal goals:
- Tissue Expander to Implant Reconstruction: A temporary expander is placed beneath the chest muscle or skin and gradually filled over time to stretch the tissue. Once the desired size is achieved, the expander is replaced with a permanent implant to restore breast volume and shape.
- Direct-to-Implant Reconstruction: In select patients, a breast implant can be placed at the time of mastectomy, avoiding the need for a tissue expander and reducing the number of procedures required.
- Flap Reconstruction: Uses the patient’s own tissue—commonly from the abdomen, back, or other areas—to create a breast mound. This approach often results in a softer, more natural look and feel and may be preferred for patients who want to avoid implants.
- Nipple and Areola Reconstruction: The nipple and areola can be recreated using surgical shaping and medical tattooing to complete the appearance of the breast.
- Symmetry Procedures: Additional procedures (breast lift, reduction, or augmentation) may be performed on the opposite breast to improve overall balance and proportion.
Dr. Constantine will recommend the technique(s) that will best support your long-term health and provide optimal aesthetic results.
Recovery and Healing
Recovery from breast reconstruction varies depending on the technique used and whether multiple stages are required. After single-stage reconstruction, or after the final stage of reconstruction, most patients can expect the following:
- First week: Swelling, tightness, soreness, and fatigue are common. These can be managed with medication and rest.
- Two to three weeks: Most patients are recovered enough to return to light activities and work (depending on job type and the extent of surgery).
- Four to six weeks: Patients may gradually return to exercise and normal routines.
- Several months: Final results evolve as the tissues heal and settle.
Because breast reconstruction may occur in stages, Dr. Constantine provides ongoing guidance and follow-up care throughout the entire process.
