Breast reconstruction is achieved through several plastic surgery techniques that attempt to restore a breast to near normal shape, appearance and size following mastectomy.
Depending on the type of reconstruction, it can take anywhere from 2-3 hours for implat reconstructions with expanders.
There are some common things to expect after any type of surgical procedures will leave a scar somewhere on the body. Depending on the type of reconstruction, the scar can be located in several different areas. For most patients, scar(s) heal well and become faint with time. However, in some patients the scar can remain red and thickened. For greater detail on where scars may be placed, please refer to information on the individual procedures. Sometimes, small nerves, which provide sensation to the skin, are damaged during the procedures. This may cause changes in sensation, including numbness. Of course, there is always some degree of pain after these reconstructive procedures, but most times it only lasts for a few days and is well managed with analgesics (i.e. "pain killers").
There are also some possible complications that are associated with surgery in general. All surgical procedures carry the possibility of consideral blood loss, requiring a blood transfusion. Fortunately, this occurs very rarely in reconstructive breast surgery. Since surgery involves opening the skin, all surgical procedures also have a risk of infection. Again, this is rare in breast reconstruction and when it does occur, it is often treated adequately with antibiotics. Other more rare, but serious complications include a blood clot or embolus, pneumonia, or an unexpected response (or allergic reaction) to certain drugs or anesthetics.
This will depend on the type of reconstruction but the average can be 2-3 weeks. It usually takes four to six weeks before resuming more strenuous activities or returning to work.
Depending on the type of reconstruction, you may be able to bathe or shower within 5 to 7 days.
Most surgeons use sutures that are dissolvable and never need to come out. However, if permanent (i.e. non-dissolvable) sutures are used, they can usually be removed at approximately 7 to 10 days postoperatively.
In general, most patients will be able to return to work within approximately 4 to 6 weeks after their reconstructive procedure.
For patients with breast implant reconstructions, exercise can usually be resumed within 4 to 6 weeks.
In most situations, it is possible to have radiation and/or chemotherapy. However, patients should ask their surgeon and/or oncologist this question directly. It is also imperative that members of the health care team communicate on this issue so that everyone understands the full treatment plan.