Types of Breast Reconstruction

Breast reconstruction rebuilds the breast mound and restores the look of the breast. It can be done at the same time as the mastectomy or sometime later. It can be done using your tissue, synthetic materials, or both.

You should meet with a board-certified plastic surgeon about reconstruction options before your operation. This will help you and your surgical team to see if reconstruction is an option and to plan the best treatment for you. United States law sets requirements for insurance plans to cover immediate and delayed reconstruction. Be sure to contact your insurance provider to confirm your coverage.

Breast reconstruction with implants: This can be done several ways. A round or teardrop-shaped pouch may be placed above or under the muscle at the time of surgery. Another option is for a temporary breast tissue expander that is filled with saline (salt water) over several weeks or months to stretch the breast skin. The expander is later replaced with a permanent breast prosthesis.

Breast Implant

Autologous (flap) reconstruction: This procedure uses tissue taken from another part of your body, such as your abdomen, thigh, or back to rebuild the breast. This process also includes joining blood vessels to keep the tissue alive. This may also include an implant.

Nipple reconstruction is an option when nipple-sparing mastectomy isn’t suitable. It typically involves surgically creating a new nipple, which is enhanced with a tattoo. A 3D nipple tattoo can also be done.  

If you decide not to rebuild your breast mounds, talk to your surgeon about a flat closure.

This procedure is done to make the chest smooth and flat. It can be done after a mastectomy or after implants are removed.⁵⁸ You may need additional procedure(s) to create the final, flat look you want.⁵⁹ Before your procedure, be sure to discuss what will be covered with your surgeon and insurance provider.