Breast Reconstruction: Overview

Rediscover confidence with breast reconstruction

For many women, breast reconstruction is an essential facet of a full recovery, restoring the breasts to a balanced, natural appearance. Double-board-certified plastic surgeon Dr. Joshua Hyman has extensive experience with breast cancer survivors, helping them to reclaim their figures and restore their feelings of confidence and femininity. To learn more about breast reconstruction in NYC and how our experienced breast surgeon can help you, please contact our office today online or call us to set a time to meet with Dr. Hyman privately and in person. We serve Manhattan, New York City, and nearby areas of New York, in addition to welcoming patients from across the country and around the world.

Before & After Breast Reconstruction

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What are the benefits of breast reconstruction surgery?

Breast reconstruction restores confidence and a natural appearance after mastectomy or trauma. Dr. Joshua B. Hyman, a double board-certified plastic surgeon in NYC, offers personalized reconstruction options tailored to each patient’s needs.

  • Restores Breast Shape & Symmetry
  • Boosts Confidence & Emotional Well-being
  • Customizable Surgical Options
  • Immediate or Delayed Procedures Available
  • Improves Sensation & Comfort Over Time
  • Enhances Clothing Fit & Eliminates External Prosthetics

Am I a candidate for breast reconstruction surgery?

If you have undergone surgical breast cancer treatment, you are likely a good candidate for breast reconstruction surgery. Through this procedure, Dr. Hyman can provide you with beautifully contoured, natural-looking breasts after breast cancer treatments including:

  • Lumpectomy
  • Mastectomy
  • Double mastectomy

If a genetic predisposition to breast cancer has prompted you to have a prophylactic mastectomy as a precautionary measure, you are also likely a very good candidate for reconstructive breast surgery.

During your initial consultation with Dr. Hyman, he will assess your candidacy and explain your treatment options.

Implant breast reconstruction

Immediate implant-based reconstruction is the most common type of breast reconstruction performed by Dr. Hyman. During this reconstructive procedure, a tissue expander is placed beneath the skin and chest muscle at the time of mastectomy. Over a period of several months, a sterile saline solution is periodically injected into the expander through a small valve, gradually filling it.

Following a three-month waiting period, the skin has grown to accommodate the new size, and the expander is replaced with a breast implant in a second procedure. A third procedure is usually performed several months later to correct the nipples and areolas. Depending on your unique situation, Dr. Hyman may recommend an additional procedure to correct any breast asymmetry or sagging.

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TRAM Flap breast reconstruction

The TRAM (transverse rectus abdominis myocutaneous) flap uses skin, fat, and muscle from the lower abdomen to create a new breast. This type of surgery is more complex than implant-based skin expansion and implant placement, and it will create scars on both the abdomen and the breast. However, the TRAM flap will also produce a more natural feel and appearance of the breast. In addition, your abdomen will now be slimmer and flatter due to the tissue removal. Your nipple-areola complex will be reconstructed in a refined, delicate procedure several months later.

Your reconstructive breast surgery

Your breast reconstruction in New York City will be individually tailored to meet your unique needs and aesthetic goals. While reconstructive surgery can be completed at the time of mastectomy, breast reconstruction is often performed in stages, involving the placement of a tissue expander, removal of the expander and placement of a breast implant, nipple correction, and possible future revisions.

Which technique will be right for you?

When determining the best approach for your reconstruction procedure, Dr. Hyman will discuss important considerations, such as:

  • The stage of your breast cancer
  • Your current medical condition
  • Any additional therapy required to treat your cancer
  • Whether you are having one or both breasts reconstructed
  • Which procedure is best suited for your goals and lifestyle
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Breast reconstruction recovery and aftercare

After your breast reconstruction, you may spend one night under care and will be released to return home the following day.

Dr. Hyman typically places a small drain in the chest wall, which is removed in about one week. Once released, you can rest comfortably at home during your recovery. Pain and discomfort are fully controlled with oral medicine.

Dr. Hyman will see you one week after you go home, and then every two weeks to add volume to the tissue expander. The second stage of the process is to exchange the tissue expander for the ideal shape and size of silicone implant, which takes place about three to four months after the initial surgery. The second stage of implant-based reconstruction is a one-hour, outpatient procedure. The recovery is far shorter and typically easy.

Why choose Dr. Joshua Hyman for breast reconstruction in NYC?

Dr. Hyman is a board-certified plastic surgeon and a Clinical Assistant Professor of Surgery at Weill Cornell Medical Center. He has decades of experience and has performed thousands of successful surgeries. His private, luxury onsite surgery center is state-of-the-art and has a perfect safety record. Beyond providing an exceptional level of personalized care, Dr. Hyman is a warm, relaxed person who genuinely cares about the women he treats with this critical aesthetic surgery. He is honored to assist women in the final phase of a full recovery after breast cancer surgery and to help them enjoy their lives with their breasts restored, looking balanced and natural in appearance. Your treatment will be performed in Dr. Hyman’s state-of-the-art private surgical center, on-premises, and not in a busy, impersonal hospital or outpatient clinic.

Some of Dr. Hyman’s top credentials include:

New York City Building
Large Door to NYC Building
Stairs Leading to Double Doors
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Office Kitchen
Procedure Room
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Procedure Room
Waiting Room
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Schedule your confidential breast reconstruction consultation today

To schedule your confidential breast reconstruction consultation, call 646-603-0579 today. We help breast cancer survivors from Manhattan, New York City, and nearby areas of New York, in addition to welcoming patients from across the country and all over the world.

Breast Reconstruction FAQ

Will breast reconstruction interfere with cancer monitoring?

Can I go braless after breast reconstruction?

Can belly fat be used for breast reconstruction?

Can breast reconstruction be performed years after a mastectomy?

What is the difference between breast reduction and breast reconstruction?

How long do I have to sleep on my back after breast reconstruction?

How does radiation therapy affect reconstruction options?

How do reconstructed breasts feel compared to natural ones?

Will insurance cover breast reconstruction?

Will breast reconstruction interfere with cancer monitoring?

That’s an excellent and very common concern. Reconstruction itself does not hide or prevent follow-up imaging, such as mammograms or MRIs, from detecting any recurrence. I coordinate closely with your oncology team to ensure ongoing surveillance is not compromised, and I’ll recommend the most appropriate reconstruction technique based on your medical history.

Can I go braless after breast reconstruction?

While it may be possible to go braless after healing, wearing a supportive bra is recommended to maintain shape and comfort. Dr. Hyman will guide you on when and if going braless is advisable based on your surgical outcome.

Can belly fat be used for breast reconstruction?

Yes, DIEP flap reconstruction is a technique that uses fat, skin, and blood vessels from the abdomen to reconstruct the breast, offering a natural alternative to implants. Dr. Hyman specializes in advanced reconstruction techniques to ensure optimal results.

Can breast reconstruction be performed years after a mastectomy?

Absolutely. Some patients prefer to delay reconstruction until long after their cancer treatment is complete, and that’s entirely possible. Even if many years have passed, we can often create a very natural and balanced result using either implants or your own tissue. During consultation, I’ll review your current health, skin quality, and goals to map out the safest path forward.

What is the difference between breast reduction and breast reconstruction?

Breast reduction removes excess tissue to reduce breast size and alleviate discomfort, while breast reconstruction rebuilds the breast after surgical removal or damage. Both procedures are performed by Dr. Hyman but serve different purposes.

How long do I have to sleep on my back after breast reconstruction?

Patients should sleep on their back for at least 4 to 6 weeks after surgery to prevent pressure on the healing tissues. Using pillows for support or sleeping in a slightly elevated position can enhance comfort during recovery.

How does radiation therapy affect reconstruction options?

Radiation can significantly influence the timing and type of reconstruction. It may limit skin elasticity and increase the risk of complications with implants. In these cases, I often recommend flap-based techniques using your own tissue, which tend to tolerate radiation effects better. Every plan is customized based on your oncology treatment timeline.

How do reconstructed breasts feel compared to natural ones?

Sensation is typically reduced compared to natural breasts, though some feeling can gradually return over time. Implant reconstructions often feel firmer, while flap procedures more closely mimic the softness of natural tissue. I’ll walk you through what to expect based on the method we choose, so your expectations are clear.

Will insurance cover breast reconstruction?

Yes. In most cases, federal law requires insurance providers to cover breast reconstruction after mastectomy, as well as procedures to restore symmetry in the opposite breast. My team is experienced in working with insurers to help patients access these benefits, and we’ll assist you throughout the process.

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