Breast Reconstruction Timing

Preferably immediately after diagnosis. I feel it is very important for patients to learn about all their breast cancer treatment options, including breast reconstruction, at the very beginning of their journey. This is the only way to ensure they are truly involved in their treatment plan. It also allows those patients interested in immediate breast reconstruction to pursue it if they are candidates. For those that may not be candidates, knowing they will have the option once all their other breast cancer treatment is completed is often a huge source of strength.

Dr C
http://www.PRMA-enhance.com

Totally agree with dzookeeper. TWO surgery with the risks it entails (Complications, anaestesia risks, etc) is a major disadvantage to posponing reconstruction. I would also add that by delaying reconstruction, if your mind is already made up you want one that is, there is also the added length of time before you are back into control of your life. I know that for me was something I wasn't ready to do. I wanted everything done and over as soon as possible, put the breast cancer in the past instead of the present.

For me, when I was done with treatment, instead of thinking about reconstruction options and when, where and what it would require, I was thinking about going on with my life and putting everything behind me. I was relieved I didn't have another surgery to plan and another hospital stay to think about because I had already done the reconstruction with the mastectomy.

In terms of the results and the psycho-social benefits, reconstruction at the same time as the mastectomy is generally considered to be better.

"Immediate reconstruction" is the term used when the reconstruction is performed at the same time as the mastectomy. "Delayed reconstruction" usually takes place several months after the mastectomy but there is no set time limit..... Reconstruction can be performed literally years after the mastectomy.

Immediate reconstruction enables the patient to wake up from the surgery "complete" and avoid the experience of a flat chest completely. Most women with early breast cancer (stage I or II) are candidates. Immediate reconstruction is generally associated with more natural results, and less scarring.

Patients having radiation may be advised to delay the surgery for the best cosmetic results. This is because radiation can sometimes damage the reconstruction if the reconstruction is performed first. This also allows the chest tissues to heal as much as possible after the radiation. Other reasons for delaying reconstruction include advanced disease (stage III or IV), lack of access to a reconstructive surgeon, or patient preference.

I hope that helps.

Dr C
http://www.PRMA-enhance.com