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Breast Reconstruction After Mastectomy in Sydney

COSMEX in Sydney provide breast reconstruction consultation after mastectomy. Discuss implant and tissue-based options, staging, and recovery.
  • Specialist Plastic Surgeons (FRACS)
  • Individualised reconstruction planning
  • Licensed surgical facilities
  • Structured aftercare and monitoring

Overview

Breast reconstruction after mastectomy is a surgical process that may be performed to recreate a breast mound following breast removal, which is commonly part of breast cancer management or risk-reduction surgery. Reconstruction planning is individualised and considers factors such as your anatomy, the type of mastectomy, overall health, and any current or planned cancer treatments (including radiotherapy). A consultation is required to discuss suitability, the stages of reconstruction, expected outcomes and limitations, risks, scarring, recovery, and alternatives.

Before and After Images

The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.

*It is important to note that individual results vary depending on factors such as anatomy, skin quality, surgical approach and healing response. The images shown are not intended to guarantee or predict the outcome of any procedure.

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About This Procedure

Breast reconstruction after mastectomy may involve rebuilding the breast using:

Implants, or your own tissue (autologous reconstruction / flap surgery), or a combination of both approaches.

Reconstruction may be performed at the time of mastectomy (immediate reconstruction) or at a later date (delayed reconstruction). Some people have reconstruction in multiple stages. The aim is to create a breast shape that is appropriate for the individual and the clinical context. Symmetry cannot be guaranteed, and additional procedures may be recommended to refine contour or address balance between sides.

Key Benefits

Breast reconstruction may assist with restoring breast mound contour and symmetry. Individual outcomes vary depending on the reconstruction method, anatomy, and healing.

  • Recreating a breast mound: which may assist with overall chest contour.
  • Reducing reliance on external prostheses: some people may reduce or stop using external breast forms; this varies.
  • Clothing fit considerations: some people report changes in how clothing fits; this varies.

Ideal Candidate

A suitable candidate is generally someone who has had (or is planning) a mastectomy and is seeking advice on reconstruction options. Suitability depends on medical history, current health, cancer treatment planning, smoking status, and individual risk factors. A consultation is required to discuss goals, limitations, and whether immediate or delayed reconstruction is appropriate.

  • Are in good overall physical health (as assessed clinically)

  • Have realistic expectations about variability in outcomes, scarring, and the possibility of staged procedures

  • Have realistic expectations about variability in outcomes, scarring, and the possibility of staged procedures

  • Do not smoke or are willing to stop nicotine use for a specified period before and after surgery (as directed)

  • Have anatomy that supports the planned reconstruction method (for example, adequate donor tissue for a flap, or suitability for an implant-based approach)

Techniques & Approaches

The specific surgical approach is selected based on individual anatomy, goals, and clinical assessment. Your surgeon will discuss the most appropriate technique during your consultation.

Two-stage process

With a tissue expander followed by exchange to a permanent implant, or

Single-stage approach

in selected cases, depending on clinical factors.

Combined approach

In some cases, a combination of implant and autologous tissue techniques may be used. Your surgeon will discuss whether this is appropriate.

Timing considerations

Reconstruction may be performed at the same time as mastectomy (immediate) or delayed until after completion of other treatments. Timing depends on your treatment plan and is discussed with your oncology team.

Anesthesia

Breast reconstruction is commonly performed under general anaesthesia. The anaesthesia plan depends on the type and extent of reconstruction, patient factors, and the operating facility’s protocols and will be discussed during consultation.

What we will cover in consultation

Your medical practitioner will explain:

  • review of health, mastectomy type, current or planned treatments including radiotherapy.
  • discussion of implant-based vs tissue-based (flap) approaches, and the trade-offs of each.
  • immediate vs delayed reconstruction; staging and the possible need for multiple procedures.
  • explanation of scars on the breast and, for flap procedures, at the donor site.
  • timeline varies with reconstruction type; activity restrictions, follow-up, and donor site healing (if applicable).

Your surgeon will explain recommended incision placement, expected scarring, and the trade-offs of each approach during consultation.

Possible Risks and Complications

All surgical procedures carry risks. The decision to undergo breast reconstruction should be made after a thorough consultation with a suitably qualified medical practitioner. The following is a summary of potential risks; a comprehensive discussion will occur during your consultation.

Potential risks and complications may include:

Potential risks and complications may include may require further intervention, may require antibiotics or additional treatment, all surgery results in scars on the breast and, for flap procedures, at the donor site; appearance varies, may occur, particularly after radiotherapy, fluid accumulation that may require drainage, may be temporary or permanent, scar tissue around the implant may tighten, and implants are not lifetime devices. Your surgeon will discuss risks specific to your situation during consultation.

Preparation typically includes:

Preparation typically includes:

Medical review:: including medications, supplements, and relevant investigations (where required).
Medication guidance:: you may be asked to stop certain medications/supplements that can increase bleeding risk (where clinically appropriate).
Nicotine cessation:: nicotine can impair healing; you may be asked to stop smoking/vaping/nicotine products for a specified period before and after surgery.
Fasting instructions:: follow the facility’s requirements prior to anaesthesia.
Support planning:: arrange transport and post-operative support after discharge.

Recovery Milestones

Week 1

monitoring in recovery; dressings and sometimes drains may be used; swelling, bruising and discomfort can occur.

Week 2

hospital stay length varies depending on the procedure and clinical needs; early mobilisation may be encouraged as advised.

Week 2 - 6

follow-up typically scheduled; drains may be managed or removed depending on output; assistance at home may be helpful.

Week 6 - 12

gradual increase in daily activity may be possible depending on healing; lifting restrictions often apply.

3 - 12 Months

ongoing changes in swelling, contour and scar healing occur; return to exercise is guided by clinical review and depends on donor site healing (if applicable).

Pricing & Estimate

Prices vary based on individual assessment and the reconstruction method chosen (implant-based or tissue-based), the number of stages required, and whether additional procedures are needed. A personalised quote will be provided during consultation. Some reconstruction procedures may be eligible for insurance or Medicare rebates depending on clinical circumstances; eligibility will be discussed during your consultation.

Disclaimer

Prices vary based on individual assessment. A personalised quote will be provided during consultation.

Starting From

Available on consultation

Indicative pricing only

Final exact cost will be confirmed after consultation.

Why Choose Us

At COSMEX, we combine advanced surgical expertise with personalized care to deliver natural, confident results. Your safety, comfort, and satisfaction are always our priority.

Specialist Plastic Surgeons

Our surgeons hold Fellowship of the Royal Australasian College of Surgeons (FRACS) in Plastic and Reconstructive Surgery. Each procedure is performed by qualified specialists with extensive training in cosmetic and reconstructive surgery. You are welcome to verify your surgeon's credentials via the AHPRA public register.

Accredited Surgical Facilities

All surgical procedures are performed in licensed, accredited hospitals in Sydney. Our facilities meet Australian standards for theatre safety, anaesthesia, infection control, and emergency care. Your safety is the foundation of every treatment plan.

Individualised Care

No two patients are the same. Every treatment plan at COSMEX is developed following a thorough one-on-one consultation where your anatomy, concerns, goals, and medical history are carefully assessed. You will receive a personalised recommendation — not a standardised package.

Structured Aftercare and Follow-Up

Your care continues well beyond the day of your procedure. COSMEX provides a structured aftercare program including scheduled follow-up appointments, access to your surgical team for questions during recovery, and long-term monitoring where clinically indicated.

Video FAQs

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Frequently Asked Questions

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