Breast Reconstruction Surgery After a Mastectomy

Breast Reconstruction Surgery After a Mastectomy

For woman who have undergone a mastectomy, breast reconstruction surgery is a great option to restore the shape or rebuild the breast altogether. In honor of Breast Cancer Awareness Month, let’s take a closer look at all the options available.

Breast implants and a mastectomy:

First, we should mention that anyone having reconstructive breast surgery does not need to worry about time limitations. Whether as part of treatment for cancer or as a preventative measure, reconstructive surgery can happen at any stage during the mastectomy or after. Even several years after.

Below we list several options to consider based on your personal taste and budget.

Implant types to consider for breast reconstruction:

Implants come in two shapes: round and teardrop. Each shape gives a different look, so it is important to choose what looks best on your figure.


Round is quite an attractive shape, and the implant looks like a flat disc. What’s great about the round implant is the variety of options available to achieve different projections (the distance from the chest wall in profile). Round implants are optimal for overall volume, filling out the top of the breast, and getting better cleavage. Because of their symmetry, you won’t have to worry about implant rotation. However, some may feel the result might look more artificial.


The second option is the teardrop shape, which closely mimics the natural shape of the breast. This option, though it holds less filler at the top, actually delivers the most projection, as the bulk of its volume sits at the bottom of the implant. Teardrop implants can also be pricier than the round. The texturized implants reduce the risk of movement or rotation and therefore cost a bit more. This is something to consider if your budget plays a factor in your final decision. However, if you want to go larger with less risk of looking “done,” the teardrop shape is for you.

How to choose a cup size:

Because everyone’s shape is different, individual cup sizes will look different on each body. It’s best when researching to focus on the overall look rather than the actual cup. For some leaner frames, a DD might be too big and in the end not have enough breast tissue to accommodate such a jump in scale. A larger framed woman, however, who wants the same DD might find that this cup size doesn’t yield the desired projection and might find a more generous cup works better. In reality, size is relative, and it’s best to discuss with your doctor what your visions are so they can help you achieve the most suitable option for you.

Saline and silicone implants? Pros and Cons:

Silicone Implants


  • Natural look
  • Natural feel
  • Low rate of ripping/wrinkling
  • Lighter than saline
  • Maintains perkier shape


  • Longer scar because implants inserted are pre-filled
  • Higher price point
  • Might incur late capsular contracture
  • MRI required need to detect rupture

Saline Implants


  • Lower rate of revision surgery
  • Capsular contracture is low
  • Shorter scar
  • Lower cost
  • Now need for MRI if leakage occurs


  • Can sometimes look too round
  • Feel unnatural and stiff
  • Higher rate of downward displacement
  • Heavier than silicon

To learn more about options, call 615-329-3900 to speak to one of our expert members of staff and schedule a consultation.