Get Your Breast Reconstruction Questions Answered
Even if you think you are prepared for breast reconstruction surgery, more often than not, you will still have questions for your surgeon. This is very understandable since patients are normally taking a lot and are feeling stressed during that period.
For most patients, the diagnosis of breast cancer comes as a surprise with many associated uncertainties. Even patients who are considering delayed or prophylactic mastectomies and reconstruction have a lot of information to take in when making their reconstruction choices. At Breast Reconstruction Associates, we have been caring for patients like you since 2014. We want you to feel comfortable and informed about what autologous breast reconstruction can offer you. Here are a few of the most common patient questions we receive to help you further process and understand your decision to undergo breast reconstruction.
Q: How much pain can I expect after surgery?
A: Most patients experience a very tolerable degree of post-operative pain. Our pain medication regimen which is aligned with the Enhanced Recovery After Surgery (ERAS) protocol has proven remarkably effective. After surgery, most patients are able to do their regular activities of daily living and sleep with mild-moderate discomfort. The majority of our patients are no longer needing regular pain medications after 2 weeks.
Q: What will my breast size be?
A: During the initial reconstruction surgery, it is possible to control the width and the height of the flap when creating a breast. The depth, or projection, of the flap is largely dependent on the depth, or projection, of the abdominal tissue. Your surgeon should be able to estimate how close to your current breast size you will be after surgery at your consultation. It is possible to make adjustments to size and shape after the initial reconstruction surgery if needed.
Q: Will I have drains after surgery?
A: You can expect a drain in each breast that is operated on and 1-2 drains in your abdomen after surgery. Typically, patients will go home with all of their drains in place. While inpatient, your nurse will educate you regarding the emptying, recording of drainage and general care of your drains before you go home. Once at home, our team is available to address any questions or concerns that may come up. Most patients have their drains removed 1-2 weeks after surgery.
Q: What kind of bra should I wear after surgery?
A: You will be given a hospital-issued post-surgical bra after surgery. This eliminates the need to purchase a bra prior to reconstruction. After surgery, you may be fitted for a compression bra in our office for proper sizing and comfort.
Q: When can I start exercising again?
A: After surgery, we ask that you limit your activities to light walking, no core muscle use, and lifting weight less than 10 pounds. Once you are 4 weeks post-op, you may start cardio activities such as using the stationary bike or the elliptical machine. After this point, let your surgeon guide you as to how and when to get back into more strenuous activities. In general, most patients are free of restrictions and may use their core muscles again 12 weeks after surgery.
If you have additional questions, make a list! We are happy to be your resource for breast reconstruction information. Contact one of our offices in Fort Worth, Austin or Oklahoma City for more information or to schedule a consultation.
FAQs
Recovery timelines vary based on your job type and the extent of your surgery. Patients in desk-based positions typically feel comfortable returning within 3-4 weeks, though you may need modifications like limiting typing or phone use initially. If your work involves physical labor or standing for long periods, plan for 6-8 weeks of recovery. We recommend coordinating with your employer about a gradual return-to-work schedule if possible. Many patients find that taking 4-6 weeks off allows them to focus on healing without the added stress of work demands.
Yes, reconstruction involves surgical scars typically on the chest where the new breast is created and on the donor site (usually the abdomen). These scars are usually placed in inconspicuous locations and fade significantly over 12-18 months. Initially, scars appear red or pink and may feel firm, but they gradually lighten and flatten. Most patients find that scars become much less noticeable under clothing and swimwear. Scar management techniques like silicone products and massage can help with the healing process. During your consultation, your surgeon can show you exactly where incisions will be placed.
Sensation typically returns gradually over the first 6-12 months as nerves heal. Some patients regain near-normal sensation, while others experience permanently altered sensation—this varies significantly from person to person. Some areas may feel numb, while others become overly sensitive. These changes are usually manageable and often become less noticeable as you adapt. It’s important to discuss sensation expectations with your surgeon, as this is an individual aspect of recovery that’s difficult to predict.
Revision surgeries are common and can address concerns about size, shape, symmetry, or proportion. Most surgeons recommend waiting at least 3-6 months before pursuing revisions, as the breast continues to settle and refine during this time. Minor adjustments like liposuction or reshaping can often be done under local anesthesia in an office setting. More significant revisions may require a return to the operating room. Many patients find that what bothers them immediately post-op becomes less noticeable as swelling resolves and the breast matures.
Mammograms and imaging are still possible after reconstruction, though special techniques may be needed since the breast composition changes. Inform your radiologist about your reconstruction so they can adjust their imaging approach accordingly. Self-exams and clinical breast exams remain important for monitoring your health. Additionally, your reconstructed breast has a very low risk of developing cancer since it’s made from your own tissue rather than breast tissue. Regular follow-ups with your surgical team are important for long-term monitoring.
Yes, your reconstructed breast will age naturally along with the rest of your body. Factors like weight fluctuations, gravity, hormonal changes, and the natural aging process can affect the appearance of your reconstruction over time. Some patients may notice changes 5-10 years post-surgery that might warrant a revision if they’re concerned about symmetry. This is why maintaining a stable weight and following post-surgical guidelines is beneficial. Your surgeon can discuss long-term expectations and how lifestyle factors may influence your results.
Reconstruction is both a physical and emotional journey. Many patients benefit from connecting with support groups, whether in-person or online, to hear from others who’ve had similar experiences. Consider speaking with a therapist or counselor who specializes in cancer-related trauma or body image issues. Set realistic expectations by reviewing before-and-after photos during your consultation and asking detailed questions about potential outcomes. Allow yourself time to process your feelings about your cancer diagnosis and surgery. Remember that reconstruction is a gift you’re giving yourself, and it’s normal to have mixed emotions throughout the process.