Site Map

Breast reconstruction - natural tissue

Transverse rectus abdominus muscle flap; TRAM; Latissimus muscle flap with a breast implant; DIEP flap; DIEAP flap; Gluteal free flap; Transverse upper gracilis flap; TUG; Mastectomy - breast reconstruction with natural tissue; Breast cancer - breast reconstruction with natural tissue

After a mastectomy, some women choose to have surgery to remake their breast. This type of surgery is called breast reconstruction. It can be performed at the same time as a mastectomy (immediate reconstruction) or later (delayed reconstruction).

During breast reconstruction that uses natural tissue, the breast is reshaped using muscle, skin, or fat from another part of your body.

Description

If you are having breast reconstruction at the same time as mastectomy, the surgeon may do either of the following:

In either case, skin is left to make reconstruction easier.

If you will have breast reconstruction later, the surgeon can still do skin- or nipple-sparing mastectomy. If you are not sure about having reconstruction, the surgeon will remove the nipple and enough skin to make the chest wall as smooth and flat as possible.

Types of breast reconstruction include the following:

For any of these procedures, you will have general anesthesia. This is medicine that keeps you asleep and pain-free.

For TRAM surgery:

For latissimus muscle flap with a breast implant:

For a DIEP or DIEAP flap:

For a gluteal flap:

For a TUG flap:

When breast reconstruction is done at the same time as a mastectomy, the entire surgery may last 8 to 10 hours. When it is done as a second surgery, it may take up to 12 hours.

Why the Procedure Is Performed

You and your surgeon will decide together about whether to have breast reconstruction and when. The decision depends on many different factors.

Having breast reconstruction does not make it harder to find a tumor if your breast cancer comes back.

The advantage of breast reconstruction with natural tissue is that the remade breast is softer and more natural than breast implants. The size, fullness, and shape of the new breast can be closely matched to your other breast.

But muscle flap procedures are more complicated than placing breast implants. You may need blood transfusions during the procedure. You will usually spend 2 or 3 more days in the hospital after this surgery compared to other reconstruction procedures. Also, your recovery time at home will be much longer.

Some women choose not to have breast reconstruction or implants. They may use a prosthesis (an artificial breast) in their bra that gives a natural shape. Or, they may choose to use nothing at all.

Risks

Risks of anesthesia and surgery are:

Risks of breast reconstruction with natural tissue are:

Before the Procedure

Tell your surgeon if you are taking any medicines, including supplements, or herbs you bought without a prescription.

During the week before your surgery:

On the day of your surgery:

After the Procedure

You will stay in the hospital for 2 to 5 days.

You may still have drains in your chest when you go home. Your surgeon will remove them later during an office visit. You may have pain around your cuts after surgery. Follow instructions about taking pain medicine.

Fluid may collect under the incision. This is called a seroma. It is fairly common. A seroma may go away on its own. If it doesn't go away, it may need to be drained by the surgeon during an office visit.

Outlook (Prognosis)

Results of this surgery are usually very good. But reconstruction will not restore normal sensation of your new breast or nipple.

Having breast reconstruction surgery after breast cancer can improve your sense of well-being and quality of life.

Related Information

Mastectomy
Breast augmentation surgery
Breast reconstruction - implants
Mastectomy and breast reconstruction - what to ask your doctor
Cosmetic breast surgery - discharge
Mastectomy - discharge

References

Boukovalas S, Kalaria SS, Park JE. Breast reconstruction. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 36.

Cameron J. Breast. In: Cameron J, ed. Current Surgical Therapy. 14th ed. Philadelphia, PA: Elsevier; 2023:717-808.

BACK TO TOP

Review Date: 3/11/2023  

Reviewed By: Debra G. Wechter, MD, FACS, General Surgery Practice Specializing in Breast Cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

ADAM Quality Logo
Health Content Provider
06/01/2025

A.D.A.M., Inc. is accredited by URAC, for Health Content Provider (www.urac.org). URAC's accreditation program is an independent audit to verify that A.D.A.M. follows rigorous standards of quality and accountability. A.D.A.M. is among the first to achieve this important distinction for online health information and services. Learn more about A.D.A.M.'s editorial policy, editorial process and privacy policy. A.D.A.M. is also a founding member of Hi-Ethics. This site complied with the HONcode standard for trustworthy health information from 1995 to 2022, after which HON (Health On the Net, a not-for-profit organization that promoted transparent and reliable health information online) was discontinued.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- 2024 A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.