How is it performed?
Reconstruction can be performed at the same time as the mastectomy or after cancer treatment has been completed. The breast can be rebuilt with an implant or tissue expander, or with the patient's own tissue taken from areas such as the abdomen or back. Nipple reconstruction and symmetry procedures are usually planned in later stages.
Who is it suitable for?
- People who have had or will have a mastectomy or breast-conserving surgery
- Those cleared by their oncology team
Consultation and preparation
- At the first consultation, your expectations, medical history and current medications are discussed in detail.
- Blood tests and any other necessary examinations are carried out before surgery, and an anaesthetist's assessment is obtained.
- Blood thinners, certain herbal products and supplements may need to be stopped for a period beforehand on the physician's advice.
- Smoking impairs wound healing; a break of at least several weeks before and after surgery is recommended.
- Fasting times and your arrival time at the hospital are given to you in advance.
Recovery
Recovery depends on the chosen method. Reconstruction may be completed in more than one stage.
Aftercare advice
- Take the prescribed medication and follow the dressing instructions as advised.
- Short walks in the early period support circulation; avoid heavy lifting and intense exercise until your physician approves.
- If recommended, wear the garment, bandage or compression clothing for the specified period.
- Protect the incision areas from direct sunlight during the first months.
- Attend your follow-up appointments regularly; contact us without delay if you develop fever, increasing pain, redness or discharge.
Possible risks and complications
- Bleeding and haematoma
- Infection
- Flap loss
- Capsular contracture (with implants)
- Asymmetry
- Need for revision
Frequently asked questions
Who decides on the timing of reconstruction?
Timing is decided jointly by the general surgeon, oncologist and plastic surgeon, taking into account the patient's treatment plan and preferences.
Does radiotherapy affect reconstruction?
Radiotherapy can affect tissue healing and is therefore taken into account when choosing the method and timing.
Where is the surgery performed?
Operations are performed in licensed hospitals in Istanbul, primarily Liv Hospital Topkapı, with an anaesthetist present.
I am travelling from abroad. How long should I stay in Istanbul?
This depends on the type of surgery and your recovery. After the preliminary assessment, the recommended length of stay is given to you in writing.