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Delayed Reconstruction

Delayed reconstruction occurs weeks, months, years, or even decades after a mastectomy.

While preserving the breast skin and nipple is not an option, there are many procedures that are possible with delayed reconstruction.

Delayed reconstruction refers to timing of breast reconstruction as it relates to the oncologic breast surgery (mastectomy or partial mastectomy/lumpectomy).

In natural tissue reconstruction, this means that the tissue flap will be removed from the donor site and reshaped into the breast mound in a separate surgery that occurs after the mastectomy.

In implant reconstruction, this means that the tissue expander or implant is placed in a separate surgery that occurs after the mastectomy.

Delayed reconstruction can occur months, years, or decades after the original breast surgery. In some cases, delayed reconstruction is recommended based on your medical history to avoid the risk of surgical complications that might delay your cancer treatment.

If breast reconstruction is delayed, the preservation of the breast skin, nipple, and areola will not be possible. Skin from the tissue flap can be used to rebuild the breast, and the nipple and areola can be reconstructed surgically or with medical tattooing.

Frequently Asked Questions

01
What are the advantages of having delayed breast reconstruction?

Delayed breast reconstruction allows for time to complete other cancer treatments such as radiation and chemotherapy. It also gives patients more time to consider their breast reconstruction options.

02
What are the disadvantages of having delayed breast reconstruction?

Since the skin, nipple and areola from the original breast can no longer be used, delayed reconstruction usually involves additional surgeries and recovery time.

03
Will insurance cover delayed breast reconstruction?

Yes. Under the Women’s Health and Cancer Act of 1998 (WHCRA), insurance companies are required to pay for breast reconstruction after a mastectomy or lumpectomy, regardless of timing.

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