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Breast Reconstruction After Mastectomy: You Have Options!

April 11th, 2025 | Breast

One in eight women in the United States will be diagnosed with breast cancer in their lifetime. While treatment is the primary focus, healing is equally important, both physically and emotionally. At My Houston Surgeons, we’re dedicated to helping women feel whole again through breast reconstruction after mastectomy.

If you’re interested in breast reconstruction but not sure where to begin, we’re here to walk you through the most common techniques and help you choose what’s right for you.

 

Why Breast Reconstruction Surgery After Mastectomy?

Losing one or both breasts can be a deeply emotional and life-changing experience. For many women, breasts are tied to identity, femininity, and sexuality. It’s normal to need time to grieve and process the changes.

Whenever you’re ready, know that breast reconstruction surgery is an option. It can be performed at the same time as a mastectomy (immediate breast reconstruction) or at a later time (delayed reconstruction). No matter when you choose to explore reconstruction, our team is here to provide guidance, support, and expert care throughout your journey.

 

Types of Breast Reconstruction

There are several types of breast reconstruction, and the best choice depends on your body, your goals, and your overall health. During your consultation, your breast reconstruction surgeon will review your medical history, answer your questions, and recommend the right approach for you.

Here are the most common techniques used in breast reconstruction post mastectomy:

  • Implants: In breast reconstruction with implants, a saline or silicone gel implant is used to reshape the breast. This is often combined with a tissue expander if needed.
  • Tissue Expanders: A temporary implant stretches the skin and muscle to make room for a future implant or flap.
  • Flap Reconstruction: Also known as autologous reconstruction, this method uses tissue from another area of your body, typically the abdomen, thigh, or buttocks.
  • Combined Approach: Some patients may benefit from a combination of implant and flap techniques for optimal results.

 

Flap vs. Implant Breast Reconstruction: What to Know

While breast reconstruction with implants is common, many women opt for a flap technique due to the natural look and feel of the results. So, what’s the difference between flap vs. implant breast reconstruction?

Implants are less invasive and require shorter initial recovery, but they may need to be replaced over time. Flap procedures use your own tissue, which can lead to longer-lasting, more natural results—but they are more complex surgeries with longer recovery times.

DIEP Flap Breast Reconstruction: The Most Common, Popular Choice

DIEP flap breast reconstruction is one of the most advanced and widely used flap techniques. The DIEP (Deep Inferior Epigastric Perforator) flap uses skin, fat, and blood vessels from your lower abdomen to form the new breast without sacrificing abdominal muscles. This results in a safer, less painful recovery and maintains core strength. Scars from this procedure are barely noticeable, and the surgery results in flattering features through fat removal.

PAP Flap

The Profunda Artery Perforator (PAP) flap harvests tissue from the upper thigh. It’s ideal for women without enough abdominal tissue or with previous abdominal surgeries. The scar is easily concealed beneath the underwear.

GAP Flap

The Gluteal Artery Perforator (GAP) flap uses tissue from the buttocks. It’s a great alternative if you’re not a candidate for DIEP. Like PAP, GAP scars can typically be hidden with clothing.

Other types include stacked DIEP flap reconstruction, SIEA flap reconstruction, direct implant, and tissue expanders. Our surgeons work with each patient to determine the best approach for your goals and needs.

 

Immediate vs. Delayed Breast Reconstruction – What’s Right for You?

Immediate breast reconstruction takes place during the same operation as your mastectomy. This means fewer surgeries and often better aesthetic outcomes since the breast skin is preserved.

Delayed reconstruction is performed weeks, months, or even years later. This approach gives you more time to heal from cancer treatment and consider your options.

Your medical history, cancer treatment plan, and personal preference will determine the best path. We’ll help you understand the pros and cons of both. 

 

Are You a Candidate for Breast Reconstruction Surgery?

Most women are candidates for breast reconstruction surgery, but a consultation is the best way to be sure. During your visit, our team will:

 

Choosing the Right Breast Reconstruction Option for You

Deciding on the right breast reconstruction option for you is deeply personal. There’s no one-size-fits-all answer—but you’re not alone in the process. At My Houston Surgeons, our board-certified plastic and reconstructive surgeons offer experience, compassion, and a commitment to helping you feel confident and whole again.

Ready to explore your options for breast reconstruction after mastectomy? Let’s find the approach that helps you feel like yourself again.