Breast Reconstruction after Breast Cancer Surgery - ADORN AHMEDABAD 

By Dr. Harsh Amin | ADORN Aesthetic Clinic

Overview

Breast reconstruction is a surgical procedure to rebuild the breast following a mastectomy or lumpectomy, while oncoplastic surgery combines cancer removal with plastic surgery techniques to preserve breast shape and symmetry. These procedures not only restore the physical appearance but also help boost confidence and overall quality of life.

Who is a Good Candidate?

✔ Women who have undergone mastectomy (full breast removal) or lumpectomy (partial removal)

✔ Patients in good overall health

✔ Individuals with realistic expectations

✔ Non-smokers (or those willing to quit before surgery)

⚠ Not recommended for:

❌ Patients with uncontrolled medical conditions

❌ Individuals with severe radiation damage to chest tissue

❌ Those preferring an external prosthesis

Types of Breast Reconstruction
 

1. Implant-Based Reconstruction

✔ Uses silicone or saline implants to recreate the breast

✔ May require a tissue expander to stretch the skin

✔ Ideal for women with smaller breasts or those without prior radiation therapy

2. Autologous (Flap) Reconstruction

✔ Utilizes the patient’s own tissue from the abdomen, back, thighs, or buttocks

✔ Common techniques include:

 • DIEP Flap (abdomen) – Preserves muscle for a natural feel

 • TRAM Flap (abdomen) – Uses both muscle and fat

 • Latissimus Dorsi Flap (back) – Often combined with an implant

✔ Offers natural-looking results and long-term durability

3. Hybrid (Implant + Flap) Reconstruction

✔ Combines autologous tissue with implants to optimize volume and shape

✔ Ideal when additional support is required
 

What is Oncoplastic Surgery?

Oncoplastic surgery is performed at the time of cancer surgery (lumpectomy or mastectomy) to remove the tumor while simultaneously reshaping the breast.

✔ Volume displacement: Uses remaining breast tissue to fill the defect

✔ Volume replacement: Incorporates fat grafting or tissue flaps to restore breast shape

Benefits of Breast Reconstruction & Oncoplastic Surgery

✔ Restores breast shape and symmetry

✔ Boosts confidence and emotional well-being

✔ Reduces the need for an external prosthesis

✔ Can be performed immediately after cancer surgery or as a delayed procedure

✔ Provides natural-looking results with modern techniques

Frequently Asked Questions (FAQs)

1. When can breast reconstruction be done?

Immediate reconstruction can be performed during mastectomy, or it can be delayed by months or years.

2. How long does the surgery take?

Implant-based reconstruction typically takes 1-2 hours, while flap reconstruction may take 4-8 hours.

3. Is breast reconstruction painful?

Mild discomfort, swelling, and tightness are expected; pain is managed with medications.
 

4. How long does recovery take?

Light activities may resume in 1-2 weeks, most swelling subsides in 4-6 weeks, and final results appear in 3-6 months.
 

5. Will I have scars?

Yes, scars are present but are minimized and placed in discreet locations; they fade over time.

6. Will I regain sensation in the reconstructed breast?

Some loss of sensation is expected, though nerves may regenerate over time.
 

7. Can I have reconstruction after radiation therapy?

Yes, but autologous (flap) reconstruction is often preferred in patients with radiation-damaged tissue.

8. How long do implants last?

Implants typically last 10-15 years, after which replacement may be needed.

9. Can a reconstructed breast look natural?

Yes, especially with flap-based reconstruction and the use of fat grafting.
 

10. Can both breasts be reconstructed for symmetry?

Yes, often the opposite breast is also adjusted (via lift, reduction, or augmentation) for balance.
 

11. How much does breast reconstruction cost in India?

Implant-based procedures range from ₹2,50,000 to ₹4,50,000; flap-based procedures range from ₹4,00,000 to ₹8,00,000.

12. Is breast reconstruction covered by insurance?

Yes, most insurance policies cover reconstruction after cancer treatment.
 

13. What are the risks of breast reconstruction?

Risks include swelling, bruising, infection, implant rupture, and asymmetry, all minimized with an experienced surgeon.
 

14. Can oncoplastic surgery be performed at the time of tumor removal?

Yes, it is specifically designed to preserve or restore breast aesthetics during cancer surgery.
 

15. How do I book a consultation?

Simply contact ADORN Aesthetic Clinic to schedule a personalized evaluation with Dr. Harsh Amin.

Book Your Consultation Today!