During the first consultation, your surgeon will review your breast cancer diagnosis, including tumor size, location, and whether you will need chemotherapy or radiation therapy. These factors help determine the best timing and technique for reconstruction. Emotional support and realistic expectations are also discussed.

There are two main approaches to reconstruction: using implants or using tissue from your own body. Implant-based reconstruction involves placing a silicone implant or a temporary expander to recreate the breast shape. This is often a simpler and quicker option, especially when radiation is not part of the treatment plan. Flap reconstruction, on the other hand, uses skin, fat, and sometimes muscle from areas such as the abdomen or back to rebuild the breast with natural tissue. 

To improve balance and symmetry, a procedure may be done on the healthy breast—such as a reduction, lift, or augmentation. This helps ensure both breasts look and feel more alike, especially when only one side is reconstructed.

Breast reconstruction is performed under general anesthesia. You will be completely asleep and pain-free during the procedure. In small procedures (quadrantectomy-local reconstruction), the anesthesia procedure is similar to a aesthetic mastopexy.

Reconstruction may be done in one or multiple steps. Some patients have immediate reconstruction at the time of mastectomy, while others require staged procedures—especially if using expanders or if radiation therapy is involved. Final refinements, like nipple reconstruction or fat grafting, may be done in later stages.

Recovery depends on the type of reconstruction performed. Most patients need to avoid heavy lifting, wear supportive garments, and attend regular follow-up visits. Emotional recovery is just as important, and support groups or counseling may be recommended.