How close can breast reconstruction get to creating a breast that looks real? Does it largely depend on how much tissue has been removed?
What Does a Reconstructed Breast Look Like?
Doctor Answers 32
There are many many variables which will determine the final result of a reconstructed breast. The absolute best thing you can do is schedule an evaluation will a reputable well trained board certified plastic surgeon. Upon examination, your well-trained surgeon will be able to give you a really good idea of what you can expect long term as far as appearance. There is a wonderful picture book I found many years ago entitled "Reconstructing Aphrodite" which I share with my patients. This book consists of beautiful professional photos of women who have undergone mastectomys and have opted for reconstruction. I hope you will find this book to be as helpful as my patients have. Best wishes!
What do Reconstructed Breasts Look Like?
This is a simple question that has anything but a simple answer. Because there are so many variables involved, there is no single answer. Some of the variables that affect the appearance of reconstructed breasts include:
- the timing of reconstruction (immediate-at the time of mastectomy or delayed-done at a second procedure sometime after mastectomy)
- whether or not radiation therapy has been part of a women's treatment
- the type of mastectomy performed (e.g., traditional incision, skin-sparing mastectomy or nipple spaing mastectomy
- method of reconstruction (implants or natural-tissue reconstruction)
- patient age
- patient's skin quality and thickness.
The cliché, a picture is worth a thousand words, applies here. I suggest that you consult with board-certified plastic surgeons who have significant experience with breast reconstruction. Most experienced surgeons will have have a significant number of pre and postoperative photographs that you can review to get a better sense of what the results of reconstruction actually look like.
I hope this is helpful.
High variability in breast reconstruction
The results of breast reconstruction run the gamut from very unnatural with hard, visible implants, to very soft and natural using combinations of autogenous flaps and silicone gel implants. Each situation must be taken individually and the results are highly dependent upon individual healing and scarring and whether on not the chest wall has been irradiated. Inaddition, naturalness in feel and look to the doctor or observer may not be the same naturalness and feel to the patient. Much of the final result is also determine by how the mastectomy is performed.
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Real breast reconstruction
There are many variables that can make a result stray from that perfect outcome but at least the results bar begins at a high pointier that.
Cosmetic result of breast reconstruction
It is supposed to look like the breast that you had removed but lifted!
Breast Reconstruction Results
Results from a Breast Reconstruction are influenced by the following:
1. Type of mastectomy performed (traditional vs. skin sparing vs. nipple sparing) determines the skin envelope of the breast.
2. Size/Shape of breast prior to surgery. Breasts that have a lot of loose skin are more difficult to reconstruct than those with less skin.
3. Previous Breast Surgery: patients that have had previous breast reduction or breast lift, may have limited options in mastectomy skin design and nipple preservation.
4. Need for Radiation: After radiation, patients will require removal of damaged skin and replacement with healthy non radiated tissue (patch appearance)
5. Choice of Tissue Reconstruction vs. Implant Reconstruction: Depending on your anatomy and potential donor sites, your plastic surgeon will share which of these options may be able to achieve a more natural result in your setting.
Bottomline, there are several options and factors that can influence a final breast reconstruction results. In some cases, we can achieve very natural results and even improve on the existing breast shape and size. In others, we are limited in options based on the breast anatomy, presence of radiation, or mastectomy performed and must realistically discuss what to expect prior to surgery.
I think the most important part of breast reconstruction is establishing expectations prior to the procedure. With the many doctor visits and different options on the table, it is often difficult to absorb what the limitations of reconstruction can be. However, I find a good understanding of this prior to surgery, leads to a happy and well informed patient postoperatively. I wish you a safe recovery and wonderful result.
It Depends on the Mastectomy itself
The appearance of a reconstructed breast depends a lot on the mastectomy itself. Factors like the amount of skin and tissue that was removed and whether a nipple-sparing approach was used will affect your results. Your plastic surgeon can only work with what he or she has been given, which is one reason why it is important to include your plastic surgeon at the beginning of the process, not after the mastectomy is already completed.
That being said, women today can achieve beautiful, very natural-looking results with reconstruction, particularly with the use of flap reconstruction (using the patient’s own tissue) in combination with implants.
Breast Reconstruction Results
The results following reconstruction today can look very close to the real thing, but they will never look quite like a real breast because it is not a breast. It is very difficult to achieve the natural ptosis (hanging) or projection of a natural breast. In the past, the goal of reconstruction has been to make you look good in clothes, but plastic surgeons today really try to make an individual look good naked.
The amount of cancerous tissue and skin that must be removed does play a role. Other factors, including whether radiation therapy is needed, can also affect the outcome. The more mastectomy skin that can be saved, such as in a skin sparing (where only the nipple-areola complex is removed) or a nipple sparing (where the nipple-areola complex is spared), the more similar the reconstruction will be to the pre-mastectomy breast. Remember, adequately removing the cancer is the main priority.