Breast Reconstruction

Breast reconstruction restores shape and balance after mastectomy or injury, helping you feel whole and confident in your body again.

Procedure Overview

Breast reconstruction is a deeply personal choice, often forming an important step in recovery after breast cancer surgery or trauma. The procedure aims to recreate the breast’s natural shape, symmetry, and contour, while honouring your sense of self and supporting emotional as well as physical healing.

There are several approaches to reconstruction, including implant-based techniques and autologous (your own tissue) reconstruction. Sometimes reconstruction is performed immediately at the time of mastectomy, while in other cases it may be delayed until healing or treatment is complete. Each plan is carefully tailored to your needs, medical history, and aesthetic goals, with the aim of achieving results that look and feel as natural as possible.

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What to expect

  • Dr. de Chalain will listen carefully to your story, your priorities, and your hopes for reconstruction. Together, you’ll review your surgical options, taking into account your health, treatment history, and the approach most suited to your needs. Multiple consultations are often encouraged, so you can feel fully informed and supported in your decision.

  • Preparation depends on the type of reconstruction you choose. For procedures performed under general anaesthetic, you’ll be asked to fast beforehand. We may also request medical imaging or liaise with your oncology team to ensure timing and planning are aligned with your treatment.

  • The procedure length and technique vary depending on whether implants or your own tissue are used. In implant reconstruction, a tissue expander may first be placed to gradually stretch the skin before replacing it with a permanent implant. In autologous reconstruction, tissue is carefully transferred from another part of your body, such as the abdomen or thigh, to form the new breast. In some cases, both approaches are combined.

  • Following surgery, you’ll spend time in recovery, and in most cases, an inpatient stay is required for monitoring and comfort. Dressings and support garments are used to protect the surgical area, and temporary drains may be placed to assist healing.

  • Healing time varies depending on the technique used. Implant-based reconstruction generally allows a quicker return to light activity, while tissue-based reconstruction may involve a longer recovery. Swelling, bruising, and a feeling of tightness are normal in the early weeks. Dr. de Chalain and our expert team will provide clear guidance on movement, scar care, and gradual return to activity.

  • Regular follow-up appointments are essential to support healing and ensure symmetry and comfort. These visits provide an opportunity to review your results; discuss refinements such as nipple reconstruction, tattooing, or a lift or reduction to reduce asymmetry in the case of a single-side reconstruction; and address any concerns you may have along the way. Our goal is to support you through every stage of recovery, both physically and emotionally.

Frequently Asked Questions

  • Reconstruction can be done immediately (at the same time as mastectomy or lumpectomy), or can be performed weeks, months, or even years later. The timing depends on your cancer treatment plan, overall health, and personal preferences.

  • There are two primary approaches:

    • Implant-based reconstruction, which uses a breast implant to recreate the breast mound.

    • Autologous (flap) reconstruction, which uses tissue from another part of your body (such as the abdomen, back, or thighs) to create the breast.

    Some patients may have a combination of both.

  • The best option depends on your anatomy, medical history, treatment plan, and personal goals. Dr. de Chalain will help guide you through the advantages and considerations of each method, including factors like recovery time, scarring, and how the reconstructed breast may feel and look.

  • While reconstructed breasts won’t have exactly the same sensation or texture as natural breast tissue, modern techniques can create results that look and move very naturally. Flap reconstructions often feel more natural than implants, but both can be excellent options depending on your needs.

  • Most people experience reduced or changed sensation in the reconstructed breast. In some cases, sensation may gradually improve over time, and certain advanced techniques can help preserve or restore some feeling.

  • Recovery depends on the type of reconstruction. Implant-based reconstruction usually involves a shorter recovery (a few weeks), while flap reconstruction may take longer due to the additional donor site healing. Dr. de Chalain and our expert team will give specific recovery timelines and aftercare instructions tailored to your surgery.

  • Yes. Nipple reconstruction and/or 3D tattooing can be done as a separate step once the breast shape has healed. Some patients choose to skip this step, while others find it provides a sense of closure and restored body image.

  • If reconstruction is performed after mastectomy, routine mammograms are generally not needed on the reconstructed breast. However, regular check-ups and imaging of any remaining natural breast tissue are still important. Your medical team will guide you on a personalised screening plan.

  • In most cases yes, the cost of breast reconstruction through the private healthcare system is covered by health insurance. As a Southern Cross Affiliated Provider, Dr. de Chalain will be able to provide some guidance, but for specific questions about your policy it’s best to contact your insurance company directly.

  • No, reconstruction is a personal choice. Some people feel more comfortable without reconstruction, while others find that it supports their physical and emotional recovery. There’s no “right” decision; it’s about what feels right for you.

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