Reconstructive surgery consultation after breast cancer surgery

Purpose of the procedure

• Duration of the procedure: 3–6 hours
• Anaesthesia: general anaesthesia
• Discharge: after two nights in hospital
• Return to work: within 2–3 weeks
• Price: from €7,000

In immediate breast reconstruction, the breast is reconstructed during the same operation in which the tumour or breast is removed. This modern, comprehensive approach combines cancer treatment and aesthetic reconstruction in a single procedure. The aim is to remove the tumour completely while preserving the natural shape of the breast and the woman’s sense of self. For many patients, this offers an opportunity to begin physical and emotional recovery at the same time. “Immediate breast reconstruction is not only about appearance – it is part of healing and restoring a woman’s sense of wholeness.” – Dr Simmo

Course of the procedure

Immediate breast reconstruction is performed in collaboration between an oncological surgeon and the plastic surgery team. Dr Simmo is responsible for the reconstruction, including restoring the breast’s shape, volume and symmetry. The reconstruction method is selected according to the extent of the cancer surgery, the condition of the tissues and the patient’s wishes:

• Implant-based reconstruction – a silicone implant is inserted immediately after the breast has been removed, sometimes with a tissue expander or biological support material, such as an acellular dermal matrix (ADM).
• Autologous tissue reconstruction – the breast is reconstructed using the patient’s own tissue from the back or abdomen. This method can produce a more natural result and may be particularly suitable for patients who have undergone radiotherapy.
• Combined reconstruction – the patient’s own tissue is used in combination with an implant when additional volume or improved symmetry is required.

The operation lasts three to six hours, depending on the method, and is performed under general anaesthesia. The patient usually remains in hospital for observation for up to two nights.

Consultation and preparation

Immediate breast reconstruction requires careful planning and close collaboration with the oncology team. During the consultation, the following will be discussed with you:

• Whether immediate reconstruction is oncologically appropriate and safe
• Whether reconstruction using your own tissue or an implant would be more suitable
• What results you can realistically expect
• How any subsequent treatment, such as radiotherapy or chemotherapy, will be planned

The consultation usually takes place before cancer surgery so that the entire process can be carefully planned and clearly explained. A detailed treatment plan will be prepared for both the operation and recovery. See how to prepare for a consultation →

Anaesthesia

The operation is performed under general anaesthesia, so you will not feel any pain during the procedure. Depending on the reconstruction method and the extent of the surgery, you may remain in hospital for up to two nights to support a safe and comfortable initial recovery.

Recovery and aftercare

Recovery varies from person to person, but generally follows this course:

• During the first week, you will need rest and appropriate wound care.
• Strenuous physical activity should be avoided for four to six weeks.
• Initial swelling subsides within two to three weeks, while the tissues may take up to three months to soften and settle into their final shape.
• A special support bra should be worn to support healing and reduce swelling.
• Stitches are usually removed after five to ten days or dissolve on their own.

Dr Simmo and his team will monitor your recovery throughout the healing process. Where necessary, minor corrective procedures may be planned to achieve the best possible symmetry.

Possible side effects and risks

Immediate breast reconstruction is a complex procedure that requires careful planning. Possible risks include:

• swelling, bruising or fluid accumulation
• delayed wound healing
• changes in sensation
• in rare cases, capsular contracture around an implant or reduced tissue viability

All risks and the measures used to reduce them will be explained in detail during the consultation.