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Reconstruction Options After a Mastectomy

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Reconstruction Options After a Mastectomy

August 15, 2025

Deciding whether or not to have breast reconstruction after a mastectomy is a personal choice. Some people choose to have it, and some do not. There’s no right or wrong answer—what is best depends on you, your body, and your preferences.

There are two main types of breast reconstruction:

  1. Implant-based reconstruction

  2. Autologous (or flap) reconstruction

Implant-based reconstruction uses silicone or saline (saltwater) implants to create the shape of the breast. This can be done during the mastectomy or sometime later. Often, it’s done in two steps to help the body heal properly.

Flap (or autologous) reconstruction uses tissue from another part of your body—like your belly, back, or thighs—to rebuild the breast. This method can look and feel more natural than implants, but it usually means a longer hospital stay and recovery time.

Some people may also choose a hybrid reconstruction, which is a mix of both implants and flap tissue. This option may offer more flexibility in how the final results look and feel.

Every option has pros and cons. It’s important to talk with your plastic surgeon about what will work best for you. They can walk you through your choices, answer your questions, and help you feel confident in your decision.

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