# Breast Reconstruction (Reconstructive Mammoplasty) > **Breast reconstruction surgery** is done after either a single or double mastectomy – it is the removal of defective or cancerous tissue and cells from the breast. - Canonical page: https://doctormaresky.co.za/procedure/breast-reconstruction - Category: [Breast Augmentation](https://doctormaresky.co.za/procedure-category/breast-augmentation) - Procedure directory: https://doctormaresky.co.za/procedures.md - Medical disclaimer: https://doctormaresky.co.za/medical-disclaimer ## Overview **Breast reconstruction surgery** is done after either a single or double mastectomy – it is the removal of defective or cancerous tissue and cells from the breast. The best time for a breast reconstruction surgery is during the mastectomy, the reconstructive surgery will correct all defects in the breast after the mastectomy. ## The procedure There are various types of reconstruction techniques available, these include **implant-based reconstruction** where an implant is placed in the breast pocket, and **flap/autologous reconstruction** where the surgeon uses your own tissue from a harvest site. ## Candidate information - **Description:** The ideal candidate would be in generally good health and have realistic expectations with the outcome. A perfect candidate would need to possess certain qualities. These include: ### Criteria - Coping well with their diagnosis - No additional medical conditions - Over the age of 18 years - Maintain a stable weight - Not planning to breastfeed in the near future - Not pregnant ## Preparation - **Timeline:** **2-4 weeks** before surgery ### Medical tests - **Complete blood count (CBC)** - **ECG if over 40 years old** - **Chest X-ray if indicated** - **COVID-19 test if required** ### Medications #### Medications to discuss stopping - **Stop** aspirin and blood thinners **2 weeks** prior - **Stop** NSAIDs (ibuprofen, naproxen) **1 week** prior - **Stop** herbal supplements (ginkgo, garlic, ginseng) **2 weeks** prior - **Stop** vitamin E supplements **1 week** prior #### Medications to continue - **Continue** essential medications as advised by **Dr Maresky** - **Inform Dr Maresky** of all current medications during consultation ### Lifestyle - **Smoking:** **Quit** smoking at least **4 weeks** before surgery to promote proper healing and reduce complications - **Alcohol:** **Avoid** alcohol **48 hours** before surgery - **Fasting:** No food or drink after midnight the night before surgery (**NPO after midnight**) ### Arrangements - **Arrange** transportation home after surgery - you cannot drive - **Arrange** for a responsible adult to stay with you for the first **24-48 hours** - **Prepare** recovery space at home with comfortable clothing and easy access to essentials - **Stock** up on prescribed medications and recommended supplies - **Arrange** time off work (**1-2 weeks** recommended, varies by procedure) - **Plan** for help with childcare and household tasks during recovery ## Recovery and aftercare Recovery time varies depending on the type of reconstruction performed. **Implant-based reconstruction** typically has a shorter recovery time than flap procedures. Patients can expect some discomfort, swelling, and bruising for several weeks. ## Expected results Breast reconstruction can restore the breast's shape, appearance, and symmetry. While the reconstructed breast will not have the same sensation as the original breast, many women find that reconstruction helps them feel **whole again** after mastectomy. ## Techniques - **Implants:** An implant is placed in the breast pocket and shaped according to the patient's anatomy and reconstruction goals. - **Flap/Autologous Reconstruction:** The surgeon will use your own tissue from a harvest site and place it in the breast cavity for the most natural feeling breast. ## Frequently asked questions ### When can breast reconstruction be performed? Breast reconstruction can be performed **immediately** after mastectomy or **delayed** until a later date. The timing depends on your specific situation and treatment plan. ### Will insurance cover breast reconstruction? In many countries, insurance is required to cover breast reconstruction after mastectomy. Check with your insurance provider about your specific coverage. ### How many surgeries will I need for breast reconstruction? The number of surgeries varies depending on the reconstruction method and individual factors. Some women may need only **one surgery**, while others might require multiple procedures to achieve the desired results. ### What is the difference between implant and flap reconstruction? Implant reconstruction uses **silicone or saline implants**, while flap reconstruction uses your own tissue from another part of your body for a more natural feel. ### Will I have sensation in my reconstructed breast? Reconstructed breasts typically have limited sensation initially, though some feeling may return over time, especially with certain flap reconstruction techniques. ### How long does breast reconstruction surgery take? Surgery time varies from **2-8 hours** depending on the reconstruction method. Implant-based reconstruction is typically shorter than flap procedures. ### How much does breast reconstruction cost in Cape Town? Breast reconstruction costs vary based on the technique used and complexity. A detailed quote is provided during your consultation with **Dr Maresky**. ### Can I have breast reconstruction if I had radiation therapy? Yes, though radiation can affect healing and results. **Dr Maresky** will evaluate your specific situation and recommend the best reconstruction approach. ## Indicative pricing - Estimate: R120,000 to R200,000 ZAR - Cost factor: Unilateral vs bilateral - Cost factor: Technique (implant vs flap) - Cost factor: Staged reconstruction - Detailed cost page: https://doctormaresky.co.za/cost/breast-reconstruction - Final pricing is confirmed after an individual consultation. ## Consultation and contact - Consultation: https://doctormaresky.co.za/procedure/general-consultation - Contact: https://doctormaresky.co.za/contact