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Studies have shown that breast reconstruction after a mastectomy can improve self-confidence and quality of life in patients, especially after surviving such a traumatic medical intervention.

When you’re going through cancer treatment and recovery, especially from cancer, you might not want to be thinking about next steps, such as further surgical procedures.

But when you’re comfortable moving forward with breast reconstruction, there are a few things you might consider about the process, including if the surgery is right for you.

Choosing the Right Procedure

There are several elements that factor into your choice of reconstruction procedure. With reconstruction via implants, you need enough tissue left after the mastectomy in order to cover the implants.

You can expect a series of follow-up appointments with your surgeon to discuss the results and ensure no complications are present such as infection due to the presence of a foreign body, implant extrusion, or implant rupture.

Another commonly-used surgical procedure is reconstruction with autologous tissue. The surgery itself and the recovery period from the surgery are both longer. Some patients find that autologous tissue provides a more natural breast shape than traditional implants.

Nipple Reconstruction

Contrary to what you might think, nipple reconstruction does not occur at the time of the initial reconstruction. Reconstruction is explored once the patient has healed from the initial reconstruction surgery and any follow-up cancer treatments.

The process is twofold. First, the surgeon creates the nipple, generally using tissue from the reconstructed breast. A few months after this skin is positioned, the areola is recreated, usually with tattoo ink. In some cases, it is possible to recreate the areola with skin taken from other parts of the body.

Will Insurance Cover Reconstructive Surgery?

If your health insurance covered the cost of the mastectomy, they have to cover your reconstructive surgery as well. The Women’s Health and Cancer Rights Act of 1998 requires HMOs, group health plans, and insurance companies to cover both mastectomy procedures and reconstruction post-mastectomy.

Even in cases where only one breast was removed, surgery on both breasts might be necessary in order to achieve an even shape or size. Health care plans are also required to cover both breasts, so you can rest assured that your needs will be met.

Your Future Health

Some patients worry that breast reconstruction, especially with implants, can either cause or mask future cancer. However, there is no need to worry. Reconstruction does not reduce the efficacy of mammograms, and there are no solid findings that show links between reconstruction and recurrence of breast cancer.

If you are thinking about your options and breast reconstruction surgery, contact Dr. Chris Livingston with any questions or to set up a consultation.