Breast Reconstruction Timing Options Process Explained

Hi, I'm Dr. Rosaline Reynolds, plastic surgeon at Sauk Prairie Healthcare.

This video covers key questions about breast reconstruction, including timing, options, recovery, insurance, and more. We understand this can be a difficult and confusing time, and we're here to help you feel informed and supported.

Call to Make an Appointment with Dr. Rosaline Reynolds: 608-643-4140

One of the first questions you may have is: When can I start breast reconstruction?

The answer often depends on you and your treatment plan. We offer immediate reconstruction done at the same time as your mastectomy. Or, you can delay reconstruction, which allows time to focus on recovery and other treatments first. There is no wrong choice. The planning starts now. We collaborate with your breast surgery and oncology team to find the perfect timing for your journey.

There are many breast reconstruction options. Let's simplify the two main categories for you:

First, there are implant-based reconstructions. These use silicone implants often requiring less surgery time and a shorter recovery.

Second, there are autologous, or flap reconstructions. This uses your own tissue, often from the abdomen. We'll discuss which option is best for your body, lifestyle, and goals in a private consultation.

Implant reconstruction is one of the most common options and usually involves a two-stage process:

• Stage 1: We place a temporary tissue expander under the skin or muscle. This small device is gradually filled with saline over weeks or months.
• Stage II: Once the skin is gently stretched to the desired size, the expander is removed and replaced with a permanent silicone implant. We are here for you every step of the way.

Will insurance cover your breast reconstruction? This is a huge concern, and here's the good news: thanks to the Women’s Health and Cancer Rights Act, insurance plans that cover mastectomies must also cover all stages of breast reconstruction. This includes the breast mounds, surgery on the oppostie breast to achieve symmetry and necessary prostheses. You have the right to reconstructive surgery. We work with all major carriers to ensure you get the care you deserve.

Breast reconstruction is a journey, not a single event. So how long does the process usually take? Depending on the technique, reconstruction usally involves multiple stages over several months to achieve the best, most refinded result. We prioritize your safety and allow time for healing between stages, like implant exchanges or nipple reconstruction. Patience is key. We are here with you for the whole journey, from consult to completion.

Did you know you can have breast reconstruction after a lumpectomy? This is oncoplastic reduction. When a lumpectomy is needed, especially in larger breasts, after the tumor is removed, we use plastic surgery techniques to reshape the remaining tissue to avoid a large dent. If you have larger breasts, we then match the reduction on the other side for symmetry.

We collaborate with your breast surgeon and radiation oncologist to plan timing. Ask your doctor about an oncoplastic reduction consultation.

Call to Make an Appointment with Dr. Rosaline Reynolds: 608-643-4140