Advantages of a reconstruction
Disadvantages of a reconstruction
When can the reconstruction be done?
After having a complete mastectomy, there are various choices available. Reactions to the loss of a breast or breasts vary from woman to woman and only you can choose what feels best for you.
You might feel quite comfortable wearing an external prosthesis (a breast form) in your bra. A good prosthesis not only helps with your appearance but also helps you to maintain your posture and balance. Many women choose this option. Others choose not to wear a prosthesis at all, and still others choose to have a reconstruction.
Some women feel less confident and less feminine after a mastectomy and can become depressed. Some women find that wearing a prosthesis is uncomfortable and a nuisance. Breast reconstruction can overcome some of these problems.
After having a reconstruction, women have reported the following benefits:
‘Since I had a reconstruction, I tend to forget that I had breast cancer. I am not constantly reminded when I look in the mirror.'
‘Having a reconstruction has helped me to feel physically and emotionally whole again.'
‘The main advantage for me was having a cleavage again so I can wear low necklines if I want.'
‘It's so much better than having a prosthesis. I don't have to worry about it falling out.'
‘With the reconstruction, I now feel much more balanced.'
A breast reconstruction will require more surgery, extra time in hospital and extra time at home for your recovery. It may also involve extra costs. As with all operations, problems may occur and there is no guarantee of a good result.
In making your decision about reconstruction, you must weigh up the advantages and disadvantages for yourself.
There are different opinions about the best time for reconstruction. It can be done at the time of the mastectomy, some months afterwards, or even years later.
The timing may depend upon the type of breast cancer you had, whether you need further treatment (for example, chemotherapy), how you feel about the loss of your breast or breasts, your general health, and other concerns, such as the cost.
Talk over these issues with your breast surgeon and plastic surgeon until you understand their advice. Ask for a second opinion if you would like one.
Breast reconstruction is a specialised form of surgery and you should talk it over with your breast surgeon first. Although most women are able to have a reconstruction, your surgeon may advise against it. This might be because of the type of breast cancer you had, because you need extra treatment, because of your general health, or because of the type of treatment you had.
If a reconstruction is possible, your own breast surgeon may have the expertise to do this or they may refer you to a plastic surgeon.
Ask to be referred to a plastic surgeon who is an expert in breast reconstruction and make sure that they are a Fellow of the Royal Australasian College of Surgeons and a member of the Australian Society of Plastic Surgeons. Sometimes it is helpful to get a second opinion from another breast surgeon or plastic surgeon. They may suggest another method of reconstruction for you. Ask your surgeon or general practitioner about getting a second opinion if you want to. Don't feel awkward about it; it is your right to ask for one. In the end it is very important that you feel comfortable with, and have trust in, your surgeon.
You may also find it helpful to talk with a woman who has already had a breast reconstruction. Your local cancer council can put you in touch with women who have had different types of breast reconstruction, through Cancer Connect, or you can ask your surgeon. A breast care nurse or counsellor at your hospital or community health centre may also help you think through the issues.
Other people may offer you advice. Family and friends may be helpful, but some might try to discourage you from having a reconstruction because they think you have been through enough already. Others could pressure you to have a reconstruction when you are not yet ready. It is important for you to make your decision in your own time. There is never any urgency to make a decision about reconstruction.
Updated Sept 2005
