What Are the Different Types of Breast Reconstruction After Mastectomy?
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Breast reconstruction after mastectomy is often considered one of the most impactful parts of recovery after breast cancer or trauma that helps restore confidence and a sense of wholeness. Thanks to advances in plastic surgery, women today have several different breast reconstruction methods to consider. At Plastic Surgery of Houston, internationally recognized board-certified plastic surgeon Dr. Jay Shenaq offers a full range of reconstructive breast surgery techniques — including flap-based reconstruction and breast reconstruction with implants — tailoring each treatment plan to the patient's health, body type, and personal goals. Explore some of the most popular types of breast reconstruction here to learn which one may align with your preferences and desired outcome.
What is implant-based breast reconstruction?
Implant reconstruction is one of the most common approaches for breast reconstruction after mastectomy. It involves using a saline or silicone implant to rebuild breast shape. In some cases, an implant can be placed immediately following a mastectomy, while in other cases it may be delayed until after the tissues have healed, which is known as delayed breast reconstruction. For patients who need to stretch the skin first, a tissue expander is placed temporarily. AeroForm®, a modern needle-free expander system, is sometimes used to allow gradual expansion at home with more comfort and control.
What is autologous tissue reconstruction?
Autologous breast reconstruction uses a woman's own tissue — often from the abdomen, back, or thighs — to re-create the breast. Flap vs. implant reconstruction can typically produce a more natural look and feel since living tissue is used rather than a synthetic implant. Flap procedures such as the DIEP or TRAM flap breast reconstruction are common examples. While recovery after breast reconstruction with a flap procedure can take longer because tissue is taken from another area of the body — meaning there are multiple surgical sites that will need to heal — many women appreciate the results for their realistic contour and long-term durability.
What is a combination breast reconstruction?
Some women may benefit from combining their own tissue with an implant. This approach can provide added volume while still maintaining the natural look and feel of autologous tissue. For women with limited donor tissue or those who want a specific breast size after reconstruction, this hybrid method may be a good option.
Are there secondary breast reconstruction procedures I should consider?
Many women choose to undergo second-stage or revision breast reconstruction procedures once the initial reconstruction has healed. These may include nipple reconstruction, fat grafting, or breast lift after reconstruction to improve symmetry and refine the final appearance. These steps are highly personalized and depend on the patient's goals.
What determines whether you need implant reconstruction vs. flap breast reconstruction?
Every woman's situation is unique. The choice between implants, tissue-based reconstruction, or a combined technique depends on multiple considerations, such as:
- Health status
- Body shape
- Personal preference
- Desired recovery timeline
During a thorough consultation, Dr. Shenaq evaluates these factors carefully and works with patients to create a treatment plan that is most appropriate for each woman as an individual.
Feel feminine, whole, and more like yourself once again with breast reconstruction in Houston, TX
Breast reconstruction after mastectomy offers women the chance to restore both their appearance and their confidence. With multiple techniques available — from implant-based methods to advanced autologous tissue flaps — the right approach can be tailored to fit each patient's unique needs. At Plastic Surgery of Houston, renowned board-certified plastic surgeon and Houston, TX breast reconstruction specialist Dr. Jay Shenaq is here to help guide you through each stage of the breast reconstruction process, giving you the confidence you deserve during this important stage of recovery. Contact us today to schedule a consultation and learn more about your options for breast reconstruction surgery.