What does breast reconstruction mean?
Breast reconstruction is the surgical restoration of the female breast after partial or complete loss, for example, after breast cancer, after prophylactic mastectomy due to genetic predisposition, or in cases of congenital breast malformations. The goal is to restore the breast's shape, volume, and symmetry as naturally as possible. We decide which procedure is suitable on an individual basis, taking into account anatomical conditions, prior treatments (e.g., radiation), and your personal preferences.
The reconstruction can immediately – within the scope of the tumor surgery – or time-shifted (secondary). The decision will be closely coordinated with oncological treatment. More on diagnostics and surgery for Breast cancer.
Overview of Breast Reconstruction Procedures
For breast reconstruction, there are three main approaches available, which can also be combined:
1. Reconstruction with own tissue (microsurgical flap surgery)
Here, the breast is shaped using the patient's own tissue – without foreign material and with a natural, permanent result. The fine blood vessels are connected to the chest wall using microsurgery under an operating microscope. Depending on the patient's physique, tissue from the abdomen, buttock crease, or thigh can be used; the procedure is also suitable for bilateral reconstructions.
- DIEP flap Reconstruction with abdominal tissue, without sacrificing abdominal muscles
- FCI & Gracilis Flap – Tissue from the gluteal fold or inner thigh, also suitable for slender patients
2. Reconstruction with implant
The structure with a Silicone implants – if necessary, after prior skin stretching with an expander – is often possible if the skin envelope of the breast could be preserved, for example, with skin-sparing or prophylactic mastectomy.
3. Fat Grafting (Lipofilling) Reconstruction
Body fat can be used to add volume and refine contours. Lipofilling is often used as a supplement or in multiple sessions.
Nipple reconstruction
If desired, the nipple can be reconstructed in a minor follow-up procedure, usually about three months later, for example, using tissue from the opposite side, skin from the upper eyelids, or through medical tattooing.
Hospital Stay & Anesthesia
Breast reconstruction procedures are performed under general anesthesia and as an inpatient. The effort and duration of the hospital stay depend on the procedure – microsurgical autologous tissue reconstructions are more complex and require close follow-up care. We will discuss the exact procedure with you individually.
Coverage by health insurance
Medically justified breast reconstruction – particularly after breast cancer – is generally covered by statutory health insurance; this also includes adjusting the healthy opposite breast to restore symmetry. We will discuss your individual requirements together.
Breast Reconstruction in Frankfurt – Personal Consultation
The detailed consultation and planning for your breast reconstruction takes place at our practice in Frankfurt am Goetheplatz – with experience in microsurgical reconstruction using autologous tissue and in close coordination with oncological treatment. Feel free to schedule a personal, no-obligation consultation.
Frequently Asked Questions about Breast Reconstruction
When is breast reconstruction possible – immediately or later?
Both. Reconstruction can be performed directly during the tumor surgery (immediate reconstruction) or delayed after completion of oncological treatment. What is sensible is decided individually and interdisciplinarily.
Own tissue or implant – which is better?
Both methods have their strengths. Autologous tissue provides a particularly natural, long-lasting result without foreign material; implant reconstruction is less complex and is particularly well-suited when the skin envelope is preserved. The choice depends on your body type, previous treatment, and your desires.
Will the costs be covered?
Following breast cancer, breast reconstruction is usually covered by insurance, as is the contralateral breast equalization.
Can the nipple be restored?
Yes, usually in a small follow-up procedure after about three months – using the patient's own tissue or through tattooing.