Breast Reconstruction Options After Mastectomy: Implants vs. Autologous Tissue

For women facing mastectomy due to breast cancer or preventive breast cancer risk reduction, breast reconstruction offers an opportunity to restore confidence and feel whole again. Two of the most common options for breast reconstruction are implant-based reconstruction and autologous tissue (flap) reconstruction. Each approach has its own benefits, limitations, and recovery considerations, and the appropriate choice for you will depend on a number of individual factors — like your health, lifestyle, and goals. 

At Stalder Plastic Surgery in New Orleans, board-certified plastic and reconstructive surgeon Dr. Mark W. Stalder provides patients with personalized treatment plans, offering both implant-based and autologous tissue techniques — as well as a full range of reconstructive breast surgery solutions — to rebuild the breast with natural-looking results they can feel confident about. 

 

What happens in breast reconstruction with implants? 

Implant-based reconstruction uses silicone or saline implants to restore breast shape and volume after mastectomy. There are two primary types of breast implant reconstructions: direct-to-implant reconstruction, where the implant is placed almost immediately during the mastectomy, and two-stage reconstruction, which uses a temporary tissue expander before placing the implant. 

Direct-to-implant is sometimes called single-stage breast reconstruction and can be an efficient option for patients who qualify, removing the need for multiple surgeries. Two-stage breast reconstruction is somewhat more common, however, allowing gradual expansion of tissues before implant placement. Both methods can achieve natural-looking results and may appeal to patients who prefer shorter surgical times and recovery compared to flap procedures. 

 

What happens during flap reconstruction surgery? 

Autologous tissue reconstruction uses your own tissue, often taken from the abdomen, thighs, or back, to create a new breast mound. Because the tissue comes from your own body, the reconstructed breast tends to look and feel more natural compared with other approaches. Common types of flap reconstructions include DIEP flaps, TRAM flaps, and latissimus dorsi flaps. Generally speaking, the flap-based reconstruction method requires more extensive surgery and longer recovery but often delivers more optimal long-term results, since natural tissue doesn't face the same risks of rupture or replacement as implants. Patients may also benefit from the added contouring effect of tissue removal at the donor site, though there can be scars or other side effects at both surgical areas. 

 

How do you choose between flap vs. implants for breast reconstruction surgery? 

Choosing between implant-based and autologous tissue reconstruction is an extremely personal decision and will depend heavily on factors like your medical history, preferences, and expectations. Some general considerations for implant vs. flap reconstruction may include: 

 

Implant-based reconstruction benefits and considerations:  

• Shorter surgery and recovery 
• No additional donor site required 
• Can be completed at the time of mastectomy (in select cases) 
• May require replacement or revision over time 

 

Autologous tissue reconstruction benefits and considerations:  

• Longer initial surgery and recovery period 
• Uses your own tissue for a natural look and feel 
• Results that can last a lifetime 
• Additional procedure required at the donor site 

Both options can be further tailored based on your preferences and goals. For example, hybrid breast reconstruction combines implants and tissue for enhanced results, and nerve grafting techniques such as Resensation® may restore sensation in the reconstructed breast. During your consultation, Dr. Stalder will take ample time to discuss all possibilities for reconstruction after mastectomy (or otherwise), including corrective or secondary breast reconstruction surgery procedures if you are looking to revise a previous reconstruction. Whatever the case may be, our caring team is here to help you look and feel more like yourself once again. 

 

Restore your confidence and wholeness with advanced breast reconstruction in New Orleans, LA 

Undergoing a mastectomy is one of the most personal and life-changing events a woman can experience, but breast reconstruction can help you feel whole again. At Stalder Plastic Surgery, board-certified surgeon and New Orleans breast reconstruction specialist Dr. Mark W. Stalder provides state-of-the-art implant and autologous tissue options — as well as secondary procedures — to help restore your body and confidence. Whether you are considering immediate breast reconstruction or exploring your choices after past treatment, contact us today to schedule a consultation and learn how breast reconstruction can help you move forward with the strength and renewed self-esteem you deserve.