Breast Reconstruction Candidates

The decision to undergo breast reconstruction is not one that should be made with haste. Because the treatment can involve several procedures over the course of many months, it is important for potential breast reconstruction candidates to thoroughly explore whether or not the procedure is right for them. The following guidelines can you a basic overview of the qualities necessary for a successful post-mastectomy breast reconstruction.

 

Candidate Characteristics

Candidates for post-mastectomy breast reconstruction are individuals who have had either one or both breasts removed following breast cancer. The reconstructive process can begin at the same time as mastectomy or can occur after the patient has healed. While no reconstruction can mimic the exact look and feel of the natural breast, reconstructive surgery can go a long way toward helping a patient feel better both emotionally and physically. Unfortunately, not all women who have their breasts removed are good candidates for this procedure. The ideal breast reconstruction candidate is an individual who:

• Wishes to restore the size a shape of their breast
• Is a non-smoker
• Is cancer-free
• Has coped well with previous treatment and diagnosis
• Does not have diabetes or high blood pressure
• Can make the time commitment for several surgeries
• Has realistic expectations regarding the procedure

Individuals who smoke or suffer from diabetes or high blood pressure are not only at an increased risk during surgery, but may also be vulnerable to complications during healing. Because breast reconstruction typically involves several procedures, the amount of healing time in between each treatment is critical.

Flap v. Implant Reconstruction Candidates

In addition to identifying if breast reconstruction surgery is right for you, it is important for potential candidates to choose the method that will best suit them. Candidates for breast reconstruction using the TRAM, latissimus dorsi, gluteal, or DIEP flap techniques must be free of any health complications that might affect their surgery. This is because these procedures take tissue from other areas of the body and are generally more invasive than implant reconstruction. In addition, flap reconstruction is often preferred for patients undergoing unilateral breast reconstruction (the reconstruction of one breast), because it will be easier to match the size, shape, and feel of the opposite breast when migrating tissue.

Implant reconstruction is recommended for older patients because it is a less-invasive procedure that typically requires less recovery time. Women who are very thin, and therefore do not have a lot of excess tissue may also prefer this procedure over flap reconstruction. Finally, implant-based reconstruction is often preferred for bilateral patients (those having both breasts reconstructed) because it is much easier to achieve symmetrical results.

Using Support Groups to Make Your Decision

In addition to having the above health qualifications before undergoing breast reconstruction, it is important to understand the surgery and how it can possibly affect you. Just as there are support groups and forums for women dealing with breast cancer, there are opportunities to speak to other women who have undergone breast reconstruction. While each woman’s experience with breast reconstruction surgery is different, it can be beneficial to hear first-hand accounts of the surgical process and recovery. This is in-depth information that, in most cases, your surgeon simply cannot provide. Your surgeon or one of their staff members will most likely have information on online forums and in-person support groups. Although its not required that potential breast reconstruction candidates participate in either, many women have found the experience valuable both before and after surgery.

Find a Plastic Surgeon near You

The best way to find out which post mastectomy breast reconstruction technique is right for you is to speak with a qualified surgeon. Use DocShop’s directory to find an experienced, board-certified cosmetic surgeon in your area.