Breast Reconstruction Timing

The timing of breast reconstruction is described in two ways:

• Immediate Reconstruction

• Delayed Reconstruction

Immediate Reconstruction
Breast reconstruction can be done at any time after a mastectomy, however superior results are often obtained if reconstruction is done at the time of the mastectomy. This is called “immediate reconstruction.” At the time of mastectomy there is usually no scar tissue, no fibrosis, and no radiation damage to the tissue that can affect healing and the ultimate outcome of the reconstruction.  Additionally, when done at the time of the mastectomy, the plastic surgeon will work with the cancer surgeon to make incisions that will be less visible and heal better.

Delayed Reconstruction
Delayed reconstruction is done months or even years even after a mastectomy. Delayed reconstruction options are generally the same as immediate reconstruction options. Women who have had radiation treatment may have limited options, due to tissue damage caused by radiation therapy.

The goal of both immediate and delayed breast reconstruction is to replace the missing breast volume and any missing skin. Shape and symmetry are of prime importance. The longevity of the reconstruction and the morbidity of the operation are also important factors.

The information provided here is intended to support the consultation patients have with their plastic surgeon, to assist them in making a well-informed choice. The information found here does not provide all options, risks, complications or possible outcomes.