Is reconstruction required?

No—this is a personal choice. We’ll support whichever path feels right.

What is the impact of radiation?

Radiation can affect multiple aspects of the reconstruction. Generally, radiation can affect the quality and color of the skin, reduce volume of native and autologous tissue, and cause the breast to remain firm and higher on the chest.

Immediate or delayed reconstruction?

Based on cancer plan; both are viable.

Will I lose sensation?

Sensation can change after mastectomy; emerging techniques aim to improve it in select scenarios.

Breast Reconstruction

(Post-Mastectomy/Lumpectomy)

Compassionate, precision reconstruction that restores form and confidence—tailored to your cancer journey and goals.

Overview

Breast reconstruction rebuilds the breast mound after mastectomy or lumpectomy using implants or your own tissue. Dr. Slamin collaborates closely with your oncology team to plan timing (immediate or delayed), incision placement, and symmetrizing procedures—prioritizing safety, proportion, and a result that feels authentically you.

Goals of Breast Cancer Reconstruction

Recreate natural contour and symmetry
Minimize scarring and respect oncologic incisions
Preserve or restore sensation where possible
Integrate with radiation/therapy needs
Foster emotional closure and confidence

Candidates for Breast Cancer Reconstruction

Undergoing breast cancer surgery
Previous breast cancer surgery without reconstruction
Prior reconstruction seeking options for revision
Cleared by oncology for reconstruction approach
Realistic expectations about stages and healing

Dr. Slamin’s Approach to Breast Cancer Reconstruction

Consultation & Planning

We review cancer treatment plan (radiation/chemotherapy), reconstruction goals, donor-site options, and lifestyle. We discuss aesthetic flat closure, one-stage (“direct-to-implant”) vs staged expander-based implant reconstruction, as well as autologous options when preference favors your own tissue.

Technical Approaches

Aesthetic flat closure: A purposeful, smooth chest-wall contour after mastectomy for patients who choose not to rebuild a breast mound.
Oncoplastic: Shaping and lift/reduction techniques at time of lumpectomy
Implant-Based: Tissue expander → implant (occasionally direct to implant); often prepectoral with soft-tissue support
Autologous Tissue: DIEP/PAP/latissimus flaps in appropriate candidates
Reinnervation: When possible nerve grafts and coaptations can be used to restore sensation to the breast and nipple-areola complex
Symmetrizing Procedures: Lift, reduction, or augmentation of the opposite breast for balance
Nipple/Areola: Nipple-sparing when oncologically appropriate; nipple reconstruction and/or 3D tattooing later
Fat Grafting: A very useful adjunct for small revisions and staged refinements to contour

Day of Procedure

Length and recovery vary considerably by method. Implant-based pathways typically involve shorter operations and staged clinic expansions; autologous flaps require longer surgery and recovery but yield living-tissue results. We provide detailed timelines unique to your plan.

Frequently Asked Question

Is reconstruction required?
No—this is a personal choice. We’ll support whichever path feels right.
What is the impact of radiation?
Radiation can affect multiple aspects of the reconstruction. Generally, radiation can affect the quality and color of the skin, reduce volume of native and autologous tissue, and cause the breast to remain firm and higher on the chest.
Immediate or delayed reconstruction?
Based on cancer plan; both are viable.
Will I lose sensation?
Sensation can change after mastectomy; emerging techniques aim to improve it in select scenarios.
Are revisions common?
Yes, for perfection
Covered by insurance?
Covered; we navigate.