Whether you have a breast implant or a tissue flap reconstruction, the following surgical procedures may be options for you in completing your breast reconstruction.

The nipple is often removed with the breast tissue during mastectomy in case it contains cancer cells. Your nipple can be reconstructed using a small graft or by taking part of the nipple from the opposite breast. The dark circle around your nipple (the areola) may be reconstructed with a skin graft, or by tattooing the area to match the areola of the opposite breast. Nipple and areola reconstruction is usually done as a separate, outpatient procedure after the initial reconstruction surgery is complete.

In one-sided (unilateral) breast reconstruction, it may be difficult for the surgeon to exactly match the remaining breast, particularly if you have large breasts or if your breasts have sagged with age or from bearing children. In order to help improve symmetry between your natural and reconstructed breasts, your plastic surgeon may suggest a breast lift (mastopexy), breast reduction (reduction mammaplasty), or breast enlargement (augmentation mammaplasty), to the remaining breast.

If it is important to you not to alter the unaffected breast, you should discuss this with your plastic surgeon, as it may affect the breast reconstruction methods considered for your case.

The skin of the breast stretches over time and with pregnancy, causing the breast to droop or sag. Mastopexy, or breast lift, is done by surgically tightening the skin around the breast. The surgeon removes a strip of skin from under the breast or from around the nipple, lifting and tightening the remaining breast skin.

 

Your plastic surgeon may recommend that you consider reducing the size of your unaffected breast to improve the symmetry between your natural and reconstructed breasts. Reduction mammaplasty is similar to mastopexy, but the surgeon removes breast tissue as well as skin.

 

You may choose to have the size of your natural breast augmented (increased) with a saline filled breast implant to help achieve symmetry between your natural and reconstructed breast.