BREAST RECONSTRUCTION
Reconstruction of a breast that has been removed due to cancer is one of the most rewarding surgical procedures available today. But patients should be aware that, breast reconstruction is not a simple undertaking. There are often many options to consider and it is important to take time to work out what is the best option for you.
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Reconstruction can involve the use of breast implants or your own natural tissue (autologous reconstruction). In general terms autologous reconstruction is the best way to achieve the most natural, long-lasting breast reconstruction but does require more complex and technically demanding surgery. Not all options will be right for all patients and your surgery will be tailored specifically to your needs.
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For more information on breast implants please click here. Please be aware that the use of breast implants for breast reconstruction is very different to the use of breast implants for straight forward breast enlargement.
It is normal for you to feel anxious about having an operation. John Dickson aim is always to make sure your stay in hospital is as comfortable as possible and will support you throughout your recovery.
How long will the operation take?
About 6-8 hours (although this will vary depending on the specific form or reconstruction you are having).
Will I need a General Anaesthetic?
Yes, you will need to be asleep for the surgery.
How many nights will I need to stay in hospital?
Usually you will stay in hospital several nights and sometimes as long as a week.
Will it be painful afterwards and how long do I have to have off work?
There is usually some swelling, bruising and some discomfort or pain after this type of surgery. This usually settles gradually after 1-2 weeks. During your recovery, you will need time off work and typically between 4 weeks to 3 months is required. How much time you need will depend on the specific type of reconstruction you have and the nature of your work.
What should I avoid after the operation?
You should find you are able to get up and walk within a day or two of having your surgery. You will then be able to build up your activities over about 2-4 weeks. Please try to avoid heavy lifting and strenuous activity for about 6 weeks.
What are the risks of the operation?
All operations carry some risks. Bruising, swelling and temporary numbness of the skin are common with this operation. Infection, bad scarring, asymmetry, bleeding, permanent numbness, nipple / areolar loss, delayed healing, fat necrosis can also occur with this operation but these risks are generally less common. With breast reconstruction problems can arise in relation to breast implants either in the short or long term. Problems with breast implant are much more likely in patients undergoing breast reconstruction compared with patient undergoing breast enlargement. Flap reconstruction (using your own natural tissue) can lead to the most natural and long-lasting form of reconstruction but again there are some risks. You will be given lots more detail about all the benefits and risks during your consultation.
When will I have appointments after the operation?
You will normally be seen for an appointment at 1-2 weeks and at about 3 months after surgery to ensure that you are recovering well. The scars continue to settle and improve over time and typically fade to the normal skin colour after about 1-2 years.