Mastectomy Reconstruction Before And After
Thinking about breast reconstruction after mastectomy? Discover what to expect before and after surgery, including recovery tips, emotional support, and long-term outcomes.
Written by Dr.Sonia Bhatt
Last updated on 13th Jul, 2025
Introduction
Undergoing a mastectomy—surgical removal of one or both breasts—can be an emotionally and physically challenging experience. However, breast reconstruction surgery offers hope and the opportunity to restore confidence and body image. Whether you're considering reconstruction or have already undergone the procedure, understanding what to expect before and after can help you make informed decisions and prepare for the journey ahead.
What Is Mastectomy Reconstruction?
Breast reconstruction is a surgical procedure that rebuilds the shape and appearance of the breast after mastectomy. It can be performed:
Immediately after mastectomy, during the same surgery.
Delayed reconstruction, months or years later.
There are two main types of reconstruction:
1. Implant-Based Reconstruction – Uses silicone or saline implants.
2. Autologous (Flap) Reconstruction – Uses tissue from another part of the body, such as the abdomen, back, or thighs.
Your surgeon will help determine the best option based on your health, body type, and personal preferences.
Consult Top Specialists for Personalised Advice
Before Mastectomy Reconstruction: What to Expect
Being prepared can make the experience more manageable. Here’s what you can expect before surgery.
1. Consultation and Planning
Your surgeon will discuss your options, risks, benefits, and expected outcomes.
You may need imaging tests, like an MRI or mammogram, before surgery.
If you’re undergoing radiation therapy, your surgeon may recommend delaying reconstruction.
2. Preparing for Surgery
Medical Evaluation: Blood tests, heart health checks, and other assessments may be required.
Lifestyle Adjustments: Quit smoking, avoid certain medications like blood thinners, and maintain a healthy diet to promote healing.
Emotional Preparation: Counselling or support groups can help you cope with anxiety and expectations.
3. Day of Surgery
The procedure can take several hours, depending on the type of reconstruction.
You’ll be under general anaesthesia.
Drains may be placed to remove excess fluid post-surgery.
After Mastectomy Reconstruction: Recovery and Results
Recovering well is as important as the surgery itself. Here’s what to know.
1. Immediate Post-Surgery Phase (First Few Weeks)
Pain & Discomfort: Mild to moderate pain is normal; medications will help manage it.
Swelling & Bruising: These will gradually subside over weeks.
Limited Mobility: Avoid heavy lifting or strenuous activities for 4-6 weeks.
Drains & Dressings: Your surgeon will remove them once fluid drainage reduces.
2. Long-Term Recovery (Months to a Year)
Scarring: Scars will fade over time but may not disappear completely.
Nipple Reconstruction (If Needed): This is usually done in a later procedure.
Final Results: It may take up to a year for swelling to fully resolve and for breasts to settle into their final shape.
3. Emotional and Psychological Adjustment
It’s normal to feel a mix of emotions—relief, sadness, or frustration.
Support from loved ones, counselling, or breast cancer survivor groups can be beneficial.
Some women choose tattoos—medical or decorative—to enhance their new breasts.
Tips for a Smooth Recovery
These steps can support healing and help you feel more comfortable.
1. Follow Your Surgeon’s Instructions – Take prescribed medications, care for incisions, and attend follow-ups.
2. Wear a Supportive Bra – A soft, non-wired bra helps with comfort and healing.
3. Eat a Nutritious Diet – Protein, vitamins, and hydration aid recovery.
4. Gentle Movement – Light walks improve circulation and prevent blood clots.
5. Avoid Smoking & Alcohol – These can delay healing.
6. Be Patient – Healing takes time; don’t rush the process.
Possible Risks and Complications
Like any surgery, breast reconstruction has risks, including:
Infection
Bleeding
Implant complications like leakage or capsular contracture
Poor wound healing
Changes in breast sensation
Discuss these with your surgeon beforehand to make an informed decision.
When to Seek Medical Help
Contact your doctor if you experience:
Severe pain not relieved by medication
Signs of infection like fever, redness and pus
Sudden swelling or bleeding
Unusual changes in breast shape
Final Thoughts
Breast reconstruction is a deeply personal choice. Some women choose it for physical symmetry, while others do it for emotional healing. There’s no right or wrong decision—only what feels best for you.
If you’re considering reconstruction, consult a plastic surgeon specialising in breast reconstruction to explore your options. Apollo24|7 offers expert consultations and surgical care—book an appointment today to discuss your needs.
Remember, you are not alone in this journey. Many women have walked this path and found strength, confidence, and renewed self-love after reconstruction. Take your time, ask questions, and prioritise your well-being every step of the way.
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Consult Top Plastic Surgeons
Dr. Reginold Lam
Plastic Surgeon
25 Years • MBBS, Mch
Hyderabad
Sathya Veda Medical Center, Hyderabad
Dr Sreekar Harinatha
Plastic Surgeon
18 Years • MBBS, MS General Surgery, MCH Plastic Surgery, DNB Plastic Surgery
Bengaluru
Contura clinic, Bengaluru
(925+ Patients)
Dr. Kushal Monga
Plastic Surgeon
12 Years • MBBS, MS - General Surgery, MCh - Plastic Surgery
New Delhi
Maple Care, New Delhi
Dr. Ranganath Vs
Plastic Surgeon
21 Years • MBBS,MS Gen Surgery,MCH(Pl.Surgery)
Bengaluru
SURGIDERMA HOSPITAL, Bengaluru
Dr. Vinayak Chavan
Plastic Surgeon
8 Years • MBBS, MS (General Surgery), MCh (Plastic Surgery), DNB (Plastic & Reconstuctive Surgery)
Hubballi
Hubli Plastic and Cosmetic Surgery, Hubballi
