Breast
Breast Reconstruction
Comprehensive reconstruction following mastectomy, using the latest implant and flap techniques. Dr. Lemelman is committed to restoring your body and your confidence.
About Breast Reconstruction
Breast reconstruction rebuilds the breast mound following mastectomy (removal of the breast) for breast cancer treatment or risk reduction. It is a deeply personal decision, and Dr. Lemelman works closely with each patient and their oncology team to develop a reconstruction plan that aligns with their treatment timeline, body type, and goals.
Reconstruction can be performed immediately at the time of mastectomy (immediate reconstruction) or at a later date (delayed reconstruction). Options include implant-based reconstruction — using tissue expanders followed by permanent implants — and autologous (flap) reconstruction, which uses the patient's own tissue from the abdomen, back, or other donor sites.
Dr. Lemelman's craniofacial and reconstructive training gives him expertise across the full spectrum of breast reconstruction techniques. He will guide you through the options, explain the trade-offs, and help you make the decision that is right for your body and your life.
Benefits
- Restores breast shape after mastectomy
- Immediate or delayed reconstruction options
- Implant-based and autologous flap techniques
- Nipple and areola reconstruction available
- Coordinated with your oncology team
- Covered by insurance under federal law (WHCRA)
- Improves body image and quality of life
- Symmetry procedures for the opposite breast
Recovery & What to Expect
Procedure time
2–6 hours (varies by technique)
Anesthesia
General anesthesia
Hospital stay
1–3 nights
Return to light activity
3–6 weeks
Full recovery
6–8 weeks
Final results
After all stages complete (3–12 months)
Frequently Asked Questions
Is breast reconstruction covered by insurance?
Yes. Under the Women's Health and Cancer Rights Act (WHCRA) of 1998, insurance plans that cover mastectomy must also cover breast reconstruction, including surgery on the opposite breast for symmetry. Dr. Lemelman's office will work with your insurance to ensure coverage.
Should I have immediate or delayed reconstruction?
Immediate reconstruction is performed at the time of mastectomy and offers the advantage of waking up with a breast mound. Delayed reconstruction is performed months or years later, which may be preferable if radiation therapy is planned. Dr. Lemelman will discuss the timing that best fits your treatment plan.
What is the difference between implant-based and flap reconstruction?
Implant-based reconstruction uses tissue expanders and silicone implants to rebuild the breast mound — it is less invasive but may not be suitable after radiation. Flap reconstruction uses your own tissue (from the abdomen, back, or thighs) to create a breast that looks and feels more natural, but involves a longer recovery.
Can the nipple be reconstructed?
Yes. Nipple reconstruction is typically performed as a final stage, several months after the breast mound has healed. It involves a small outpatient procedure to create a nipple projection, followed by medical tattooing to recreate the areola. The result is a natural-appearing nipple-areola complex.
What if I need radiation therapy?
Radiation can affect reconstruction outcomes, particularly with implants. If radiation is planned, Dr. Lemelman may recommend delaying implant exchange or considering autologous reconstruction, which tolerates radiation better. He will coordinate closely with your radiation oncologist to optimize your plan.
Ready to take the next step?
Every journey begins with a conversation. Book your personal consultation with Dr. Lemelman directly.