Abdominal Natural Tissue (Flap)
Alternative Natural Tissue (Flap)
Prep, Recovery & Support
There may be many different reasons for this choice, and none of them are wrong. Choosing to have—or not have—breast reconstruction is your decision, and only you can know what’s right for you. Regardless of your choice to have breast reconstruction or not, we recommend that you learn about all of your options before making a decision.
Keep in mind that even if you don’t have immediate reconstruction (done at the same time as the mastectomy), you can have delayed reconstruction (done at a later date after the mastectomy). Breast reconstruction can be done 6-12 months after mastectomy, or even later. However, immediate reconstruction usually has the best cosmetic results.
It’s important to consult with a plastic surgeon to fully understand your options about breast reconstruction in your process of deciding the best direction for you. Even if you opt out of breast reconstruction, you might want to plan with your breast surgeon the best surgical approach, incision placement, appropriate closure, and removal of redundant/sagging skin for your best outcome.
During the mastectomy, some surgeons may leave extra skin at the incision site to make room for a new breast in case the patient changes her mind about reconstruction later. After surgery, the extra skin sags on the chest. If you don’t want extra skin left, make this very clear to your surgeon. If you want the sagging skin surgically corrected after the mastectomy, your insurance company very likely won’t pay for the procedure.