Breast Cancer Reconstruction

Breast cancer reconstruction restores breast shape following mastectomy or lumpectomy. It may be performed at the same time as cancer surgery (immediate reconstruction) or at a later stage once oncologic treatment is complete (delayed reconstruction).

Every reconstructive plan is different. Diagnosis, prior or planned radiation, body type, tissue quality and personal priorities all influence which techniques are appropriate — and whether reconstruction is the right choice at all.

Reconstruction is undertaken as part of a wider team. Dr. Grant works alongside breast surgeons, medical and radiation oncologists and specialist nurses so that reconstructive planning supports — never compromises — cancer treatment.

Options generally include implant-based reconstruction, staged expander-to-implant reconstruction, the patient's own tissue (autologous or flap-based reconstruction), fat grafting for refinement, and symmetry procedures on the opposite breast. The goal is restoration and balance, discussed candidly and without pressure.

Candidacy depends on your diagnosis and treatment plan, general health, smoking status, prior surgery and radiation history, and readiness to proceed. Some patients are best served by staged reconstruction; others by deferring, or by choosing not to reconstruct.

Suitability can only be determined following consultation and review of your oncologic care plan.

Consultations are unhurried and private. Your diagnosis, imaging, planned or completed treatment and personal goals are reviewed, and each reconstructive pathway is explained with its respective timing, recovery and trade-offs.

Where helpful, consultation can be coordinated with your referring surgeon or oncologist.

Reconstruction is frequently staged. A first stage may create or preserve the breast envelope; later stages refine volume, shape, symmetry and — where desired — the nipple-areolar complex.

Setting, expected duration, hospital admission and the sequence of stages are described in detail during consultation.

Anaesthetic choice is made together with the anaesthetic team, based on the plan and individual health considerations. Care is provided in accredited facilities.

Recovery varies substantially between implant-based and tissue-based reconstruction, and is influenced by ongoing chemotherapy or radiation. Drains, activity restrictions, and review appointments are all discussed beforehand.

No specific recovery duration can be guaranteed.

Reconstruction aims to restore shape and proportion rather than to reproduce the breast exactly. Results continue to settle over many months, and refinement stages are often planned from the outset.

Individual results vary.

Reconstructive surgery in the setting of cancer carries additional considerations, including the effects of radiation on healing, implant-related complications, flap-related risks and the possibility of further staged procedures.

This page is educational and is not a substitute for individualized medical advice. Cancer treatment decisions always remain led by your oncology team.