Breast Reconstruction Summary If you need a mastectomy, you have a choice about whether or not to have surgery to rebuild the shape of the breast. Instead of breast reconstruction, you could choose to wear a breast form that replaces the breast, wear padding inside your bra, or do nothing. All of these options have pros and cons. What is right for one woman may not be right for another. Breast reconstruction may be done at the same time as the mastectomy, or it may be done later on. If radiation therapy is part of the treatment plan, your doctor may suggest waiting until after radiation therapy. If you’re thinking about breast reconstruction, talk to a plastic surgeon before the mastectomy, even if you plan to have your reconstruction later on. A surgeon can reconstruct the breast in many ways. Some women choose to have breast implants, which are filled with saline or silicone gel. Another method uses tissue taken from another part of your body. The plastic surgeon can take skin, muscle, and fat from your lower abdomen, back, or buttocks. The type of reconstruction that is best for you depends on your age, body type, and the type of cancer surgery that you had. A plastic surgeon can help you decide. NIH: National Cancer Institute Find an Expert American Cancer Society American Cancer Society National Cancer Institute National Cancer Institute Specifics Breast Implants Food and Drug Administration Breast Implants: Saline vs. Silicone Mayo Foundation for Medical Education and Research Breast Reconstruction with Breast Implants Mayo Foundation for Medical Education and Research Breast Reconstruction with Flap Surgery Mayo Foundation for Medical Education and Research Start Here Breast Reconstruction Susan G. Komen for the Cure Breast Reconstruction After Mastectomy American Cancer Society Breast Reconstruction After Mastectomy National Cancer Institute Array Breast reconstruction – implants Breast reconstruction – natural tissue Breast reconstruction – slideshow Related Issues Breast Reconstruction and Prosthesis Susan G. Komen for the Cure Risks of Breast Implants Food and Drug Administration Videos and Tutorials Breast Reconstruction with Tissue Expansion OR-Live Breast Reconstruction: Deep Inferior Epigastric Perforator OR-Live Clinical Trials ClinicalTrials.gov: Breast Implants National Institutes of Health ClinicalTrials.gov: Mammaplasty National Institutes of Health Encyclopedia Mastectomy and breast reconstruction – what to ask your doctor Journal Articles Breast implants Breast reconstruction