The plastic surgeon should explain the advantages and disadvantages of each type of breast reconstruction, including the option of having no reconstruction at all. In addition, the surgeon should describe the surgery in detail and show the patient photos of women who have had the various types of reconstruction. This will allow the patient to view the various options and also have more realistic expectations going into the procedure in order to make an informed decision.

During the surgery, general anesthesia is almost always used. Many breast reconstruction cases require more than one procedure. While the first surgery normally requires general anesthesia, some follow-up procedures may be done using a local anesthetic.

After surgery, it is normal for the patient to be tired and sore for a week or possibly two following implant reconstruction. The recovery period can be several weeks for those undergoing a flap procedure. Depending on the type of breast reconstruction, a hospital stay of 1 to 6 days is normal.

Many women will be discharged with a surgical drain in the breast that is used to remove excess fluids from the breast area. Patients will be instructed on the care of these drains as well as their surgical sites. The drains are usually removed within the first few weeks following surgery. The physician and nurses will also provide information to the patient about recommended exercises and any restrictions on activities.

Most breast reconstruction patients need a series of follow-up procedures after the initial surgery. These can include surgery to reconstruct the nipple and tattooing to simulate the darker skin of the areola. Surgery may also be performed on the natural breast to match the size, shape or lift of the reconstructed breast.

The sexual impact of breast reconstruction should also be considered. While reconstruction creates the shape of a breast that can look normal, it does not restore normal breast sensation. The nerve that leads to sensation in the nipple is cut during surgery. Thus, all feeling beyond slight pressure is usually lost. Over time, the reconstructed breast may regain some feeling, but it will not be the same as normal breast sensation.