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It’s important to have an idea of what to expect after surgery to rebuild your breast, including the possible risks and side effects. How long it takes you to recover from surgery will depend on the type of reconstruction you have. Most women begin to feel better in a couple of weeks and can return to usual activities in a couple of months. Talk to your cancer care team about what you can expect. Be sure you understand how to take care of your surgery sites and how to follow up with your breast care, including regular mammograms and other breast imaging tests depending on the surgery you have had.
Any type of surgery has risks, and breast reconstruction may pose certain unique problems for some women. Even though many of these are not common, some of the possible risks and side effects during or soon after surgery include:
Problems that can develop later on include:
Infection can happen with any surgery, most often in the first couple of weeks after the operation. If you have an implant, it might have to be removed until the infection clears. A new implant can be put in later. If you have a tissue flap, surgery may be needed to clean the wound.
The most common problem with breast implants is capsular contracture. A scar (or capsule) can form around the soft implant. As it tightens, it can start to squeeze the implant, making the breast feel hard and look distorted. Capsular contracture can be treated. Sometimes surgery can remove the scar tissue, or the implant can be removed or replaced.
Using tobacco narrows blood vessels and reduces the supply of blood, nutrients, and oxygen to tissues. Smoking can delay healing in any surgery and is linked to a higher chance of wound complications. This can cause more noticeable scars and a longer recovery time. Sometimes these problems are bad enough that a second operation is needed to fix them. You may be asked to quit smoking a few weeks or months before surgery to reduce these risks. This can be hard to do, so ask your doctor for help. Sometimes your plastic surgeon might choose to delay your surgery until you stop smoking.
You’re likely to feel tired and sore for a week or 2 after implant surgery, or longer after a flap procedure (which will leave you with 2 surgical wounds). Your doctor will give you medicines to help control pain and other discomfort.
Depending on the type of surgery you have, you will most likely be able to go home from the hospital within a few days. You may be discharged with one or more drains in place. A drain is a small tube that’s put in the wound to remove extra fluid from the surgery site while it heals. In most cases, fluid drains into a little hollow ball that you’ll learn how to empty before you leave the hospital. The doctor will decide when the drains can be safely removed depending on how much fluid is collecting each day. Follow your doctor’s instructions on wound and drain care. Also be sure to ask what kind of support garments you should wear. If you have any concerns or questions, ask someone on your cancer care team.
Most women can start to get back to normal activities within 6 to 8 weeks. If implants are used without flaps, your recovery time may be shorter. Some things to keep in mind:
Women who have had a mastectomy to treat breast cancer generally do not need routine screening mammograms on the side that was affected by cancer (although they still need them on the other breast). There isn’t enough tissue remaining after a mastectomy to do a mammogram. Cancer can come back in the skin or chest wall on that side, but if this happens it’s more likely to be found on a physical exam.
It’s possible for women with reconstructed breasts to get mammograms, but experts agree that women who have breast reconstruction after a mastectomy don’t need routine mammograms. Still, if an area of concern is found during a physical exam, a diagnostic mammogram may be done. (Ultrasound or MRI may also be used to look at the area closely.)
If you’re not sure what type of mastectomy you had or if you need to have mammograms, ask your doctor.
Our team is made up of doctors and oncology certified nurses with deep knowledge of cancer care as well as journalists, editors, and translators with extensive experience in medical writing.
American Society of Plastic Surgeons. Breast Reconstruction. Accessed at https://www.plasticsurgery.org/reconstructive-procedures/breast-reconstruction on August 6, 2021.
Jagsi R, King TA, Lehman C, Morrow M, Harris JR, Burstein HJ. Chapter 79: Malignant Tumors of the Breast. In: DeVita VT, Lawrence TS, Lawrence TS, Rosenberg SA, eds. DeVita, Hellman, and Rosenberg’s Cancer: Principles and Practice of Oncology. 11th ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2019.
Mehrara BJ, Ho AY. Breast Reconstruction. In: Harris JR, Lippman ME, Morrow M, Osborne CK, eds. Diseases of the Breast. 5th ed. Philadelphia: Wolters Kluwer Health; 2014.
National Cancer Institute. Breast Reconstruction After Mastectomy. 2017. Accessed at https://www.cancer.gov/types/breast/reconstruction-fact-sheet on August 6, 2021.
National Comprehensive Cancer Network (NCCN). Practice Guidelines in Oncology: Breast Cancer. Version 5.2021. Accessed at https://www.nccn.org/professionals/physician_gls/pdf/breast.pdf on August 6, 2021.
US Food and Drug Administration. Breast Implant Surgery. Updated March 31, 2021. Accessed at https://www.fda.gov/medical-devices/breast-implants/breast-implant-surgery on August 6, 2021.
US Food and Drug Administration. Risks and Complications of Breast Implants. Updated September 28, 2020. Accessed at https://www.fda.gov/medical-devices/breast-implants/risks-and-complications-breast-implants on August 6, 2021.
Last Revised: September 19, 2022
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