Recovery After Breast Reconstruction: A Guide on What to Expect

If you are considering breast reconstruction, it is crucial to understand the post-surgery care required for a smooth recovery. Recovery from this kind of surgery is not just limited to physical care but also involves emotional adjustment. Understanding both aspects can help you navigate the challenges that come with this surgery.

Post-Surgery

Soon after the surgery, you will likely experience pain, swelling, and bruising. Your healthcare team will provide pain management strategies such as taking painkillers. You may also have drains in place to remove excess fluid, which will be removed in the days following surgery. As with all surgeries, there may be some possible risks, including:

• Bleeding
• Blood clots
• Infection at the surgery site(s)
• Fatigue
• The wound not healing normally

Other possible complications associated specifically with breast reconstruction include:

• Changes in the arm on the same side as the reconstructed breast.
• Problems at the donor site include loss of muscle strength, bulging of the abdominal (belly) wall and dimples in the skin.
• Uneven breasts
• Tissue death (necrosis) of all or part of a tissue flap, skin, or fat.
• Loss of or changes in nipple and breast sensation
• Development of a very rare type of cancer in the scar tissue around a breast implant, many years later.
• Problems with a breast implant such as movement, leakage, rupture, rippling (when an implant or the skin over the implant wrinkles), or scar tissue formation (capsular contracture).

Restricted activities

You will likely have restrictions on certain movements and activities for a period of time. Your surgeon will provide specific guidelines on what you can and cannot do.

Scarring

There will be surgical scars. Over time, they will fade, but it's important to follow your healthcare team's recommendations for scar care to ensure proper healing.

Follow-up appointments

You will have regular follow-up appointments with your healthcare team to monitor your recovery progress.

Grief and loss

You may experience a sense of loss related to your original breast(s). On top of the distress of breast cancer, a physical part of you is gone. This change can be harder to accept, but with time and the right support, things will improve as you adjust to normal life.

Body image and self-esteem

Adjusting to a new physical appearance can be emotionally challenging. It's normal to have mixed feelings. Seek support from loved ones, support groups, or a mental health professional if you need extra support. Some people may experience disappointment after their breast reconstruction and that is valid as well. Sharing your honest feelings with someone you trust may help you work through these feelings.

Empowerment

Many individuals find that breast reconstruction can help restore a sense of control and confidence after cancer treatment. It is essential to understand what your breasts mean to you and how it can affect your life. Knowing this will allow you to make a decision that suits your needs.

Monitor for complications

While rare, there can be complications after breast reconstruction. Be vigilant for signs of infection, implant issues (if applicable), or other concerns, and promptly contact your healthcare team if you notice anything unusual.

Mammograms and screening

If you had a mastectomy on one side, you will still need regular screenings for the remaining breast. Discuss the best approach for your specific situation with your healthcare provider.

Long-term follow-up

Continue regular follow-up appointments with your healthcare team to monitor your overall health and well-being.

Bra and clothing choices

You may need to adjust your bra and clothing choices to accommodate your new breast shape.

Exercise and physical activity

Once cleared by your healthcare team, you can gradually resume regular physical activities and exercise routines.

Having sex and physical intimacy

You should avoid having sex one to two weeks after the surgery to allow the site to recover. When you feel ready to be physically intimate again, be careful to avoid putting pressure on the surgical site for the first few weeks. The sensation of the breasts may be different from before, so allow yourself some time to adjust. Having an open and honest conversation with your partner can also make having sex again more comfortable.

Support groups

Joining a support group, either in person or online, can provide valuable emotional support and a sense of community with others who have gone through similar experiences. If you feel alone with no one to share your feelings with, consider joining a support group, as these people have gone through similar experiences and are willing to lend a listening ear and give advice on how to get through difficult times.

Counseling or therapy

If you're struggling emotionally, consider speaking with a mental health professional who is experienced in working with cancer survivors. Counseling or therapy can be a powerful way to recover emotionally from breast cancer treatment and breast reconstruction.

Remember, every individual's experience with breast reconstruction is unique. It's important to communicate openly with your healthcare team about any concerns or questions you may have. They can provide personalized guidance and support throughout your recovery process.