Choosing to undergo breast reconstruction is a deeply personal decision, and one of the most important factors to consider is when to have the procedure. At his Chicago practice, board-certified plastic surgeon Dr. Robert Galiano helps patients navigate this choice with compassion and expertise. Whether performed at the time of mastectomy or at a later date, breast reconstruction can help restore both physical form and emotional confidence.
What Is Immediate Reconstruction?
Immediate breast reconstruction is performed during the same surgery as the mastectomy. This means the breast tissue is removed, and the reconstruction process begins right away — either with the placement of a tissue expander, a breast implant, or the transfer of tissue from another part of the body.
For many women, immediate reconstruction provides the benefit of fewer total surgeries. It often preserves more of the natural breast skin and shape. It may also reduce the emotional impact of waking up from surgery without a breast. However, this approach may not be appropriate for every patient, particularly those who will need radiation therapy after mastectomy, as radiation can affect the results and healing process of the reconstructed breast.
What Is Delayed Reconstruction?
Delayed breast reconstruction takes place weeks, months, or even years after the mastectomy has been completed. This approach allows the body to heal fully and, if necessary, provides time for additional cancer treatments, such as chemotherapy or radiation, to be completed first.
Delayed reconstruction may be recommended when concerns arise about surgical healing, oncologic outcomes, or if a patient prefers more time to consider their reconstructive options. It also provides flexibility for those who want to emotionally process their diagnosis and treatment before making decisions about reconstruction.
How to Choose the Right Timing
The decision between immediate and delayed reconstruction should be made in close collaboration with your oncology team and a board-certified plastic surgeon like Dr. Galiano. Your overall health, cancer treatment plan, anatomy, and personal preferences will all play a role. Some patients also explore a hybrid approach: starting reconstruction at the time of mastectomy but completing it in stages later.
Dr. Galiano is committed to helping each patient make an informed decision that aligns with their health, lifestyle, and vision for recovery.
Explore Your Options with Dr. Galiano
If you’re preparing for a mastectomy or exploring reconstruction after cancer treatment, Dr. Galiano offers personalized consultations in his Chicago office to help guide you. Contact 312-926-4382 or contact us online to schedule your appointment and discuss your breast reconstruction options with a trusted expert.
