In patients who meet strictly defined criteria, the reconstruction process (regardless of the method) can be completed in one stage, during the same operation as the mastectomy. A two-stage approach is followed in other patients, with the initial placement of an expander which is progressively filled with fluid until it reaches the desired size. It is then exchanged with the final insert in a second operation. Reconstruction of the nipple, if desired, is performed later in a minor operation under local anesthesia.

The restoration method is chosen preoperatively and confirmed during surgery when the final size of the resection is known. If required, a section of the latissimus dorsi muscle from the dorsal spine together with its skin is transferred to the breast area to close the deficit. Otherwise, the skin and muscles of the breast area are used to close the wound. Before closure and if volume is required, either an insert (in a one-stage operation) or a dilator (in a two-stage operation) can be placed.
If there is a patency vessel, it is progressively filled in single office visits (usually 20 ml at a time, every three days). When it is the desired size, it is removed and replaced with the final insert under general anesthesia in the operating room. If the other breast is to be corrected, this is done during the last operation of the reconstruction. After 2 or 3 months, the procedure may be completed with nipple reconstruction and, if necessary, any other revision surgery.

Recovery varies greatly depending on the reconstruction method chosen. The modern technology we use, disposable materials, and advanced techniques guarantee both the result of the procedure and the reduction of the recovery time. The success of the operation and the maintenance of the result for a long period of time is contributed by the cessation of smoking at least six weeks before the operation and during the reconstruction period.

Recovery varies greatly depending on the reconstruction method chosen. The modern technology we use, disposable materials, and advanced techniques guarantee both the procedure result and the recovery time reduction. To ensure the procedure’s success and maintain the result for a long time, smoking cessation is strongly suggested at least six weeks before the procedure and during the reconstruction period.

Breast reconstruction procedures are inevitably accompanied by scarring locally or (in case the latissimus dorsi is transferred) on the back. These scars are well hidden by clothing, and the final appearance is undoubtedly superior to a mastectomy that is not restored. The new breast may not be perfectly symmetrical to the healthy one or may not be exactly the desired shape or size. The reconstruction area usually lacks normal sensation and might be completely “numb” and insensitive. In relatively rare cases, breakdown of the wound may occur or even exposure of the implant or expander, which must then be replaced. The risk (although low) is relatively increased in patients undergoing radiotherapy.