Breast Surgery

Breast Reconstruction Procedures: What You Need to Know

Breast reconstruction surgery

For women who have undergone a mastectomy, breast reconstruction surgery can be a life-changing experience. Several different procedures can be used to achieve the desired results, and each has its own set of pros and cons. 

In this blog post, we’ll take a look at the different types of breast reconstruction surgery that are available.

The Main Types of Breast Reconstruction Surgery and Their Pros and Cons

1. Implants:

Breast implants are artificial structures that are used to augment or enhance the size and shape of a woman’s breasts.

Breast reconstruction surgery

While breast implants were originally developed to help women who had undergone mastectomies due to cancer, they soon became popular among women who simply wanted to change the appearance of their breasts.

There are several different types of breast implants available on the market today, including saline-filled and silicone-filled options.

Both types of implants have their pros and cons, with saline implants generally considered safer because they can be easily deflated in cases of rupture or leakage.

Silicone implants, on the other hand, often produce more natural-looking results but have been linked with several health issues. 

They look and feel more natural than other types of reconstruction. 


  • Pros: One of the advantages of implants is that they look and feel more natural than other types of reconstruction.

    They can also be inserted immediately after a mastectomy, which means that you won’t have to undergo additional surgeries.

  • Cons: One of the drawbacks of implants is that they don’t last forever. You might need additional surgeries to replace them every 10 years or so.

    Also, because implants are placed under your chest muscle, you might have difficulty breastfeeding if you choose this type of reconstruction.

2. Autologous Tissue Reconstruction:

Autologous tissue reconstruction uses skin, fat, and muscle from another part of your body — usually your back, abdomen, or thighs — to rebuild your breasts.

The most common procedures in this category are the pedicled TRAM flap and the free TRAM flap.


A pedicled TRAM flap: A pedicled TRAM flap involves using skin, fat, and muscle from your lower abdomen to create a new breast mound.

The pedicled TRAM flap procedure preserves some of the underlying blood vessels, which means that there’s a lower risk of complications than with a free TRAM flap procedure.

A free TRAM flap: A free TRAM flap uses skin and fat from your lower abdomen—along with the underlying blood vessels—to create a new breast mound.

This type of autologous tissue reconstruction gives you the most natural-looking results but also poses the greatest risk of complications because the blood vessels are detached from their original location in your body during surgery.


  • Pros: One advantage of autologous tissue reconstruction is that it uses your tissue, so there’s no risk of rejection by your body.

    This type of reconstruction also provides more feeling in the neck and breast than implants do because nerves are preserved during surgery.

Cons: One downside to autologous tissue reconstruction is that it requires extensive surgery with a long recovery time — usually 4 to 6 weeks or more.

There’s also a greater risk of complications with this type of procedure than with implants.

Additionally, if you have autologous tissue reconstruction using skin from your lower abdomen (TRAM flap), you’ll likely experience a change in sensation in that area as well as scars around both your breasts.

They will also not be identical after this type of reconstruction because each one will be made using tissue from a different part of the body.

Other Types of Breast Reconstruction

1. Grafting: Grafting techniques such as the pedicled TRAM flap or perforator flap can be used to transfer blood vessels along with tissue to the reconstructed area.

This helps to ensure that new tissue will have a good blood supply and will be less likely to die off.

2. Scar revision: After any type of breast reconstruction surgery, there will be some visible scarring. Scar revision surgery can help to improve the appearance of scars and make them less noticeable.

This can be done using a variety of techniques, including dermabrasion, laser treatment, and excision.

3. Nipple-Areola Complex Reconstruction: The nipple-areola complex (NAC) is the area of the breast that includes the nipple and areola.

Nipple-areola complex reconstruction is a type of breast reconstruction surgery that creates a new nipple-areola complex.

This type of surgery is typically performed after the breast mound has been reconstructed.

4. Direct-to-Implant Reconstruction: Direct-to-implant reconstruction is a type of breast reconstruction surgery that involves placing an implant directly under the skin without using a skin flap.

This type of surgery is typically used for patients who have small breasts and do not need a large amount of tissue for coverage.

5. Prepectoral Reconstruction: Prepectoral reconstruction is a type of breast reconstruction surgery that involves placing an implant underneath the chest muscle (pectoralis major).

This type of surgery is typically used for patients who have large breasts and need more support for their implants.

6. Transabdominal Reconstruction: Transabdominal reconstruction is a type of breast reconstruction surgery that uses tissue from the patient’s abdomen to create a new breast mound.

The most common type of transabdominal reconstruction is the pedicled TRAM flap, which uses skin, fat, and muscle from the patient’s abdomen to create the new breast mound.

7. Periareolar Reconstruction: Periareolar reconstruction is a type of breast reconstruction surgery that involves placing an implant around the areola (the pigmented area around the nipple).

This type of surgery is typically used for patients who have small breasts and do not need a large amount of tissue for coverage.

8. Flap Reconstruction: Flap reconstruction is another type of breast reconstruction surgery. It involves using tissue from another part of the body, such as the back, abdomen, or thigh, to create a new breast mound.

9. Breast revision surgery: Breast implant revision is a type of surgery that is performed to improve the appearance of the breasts after previous breast reconstructive surgery.

Breast revision surgery can be performed to correct complications from previous surgeries or to improve aesthetic results.


Breast reconstruction surgery is a complex topic with many different facets to consider. If you are considering this type of surgery, it is important to consult with a qualified surgeon like Dr Ong Wei Chen who can help you choose the right procedure for your individual needs. To learn more about breast reconstruction, check out

With so many options available, there is sure to be a breast reconstruction procedure that is perfect for you.

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Breast Implant Revisions: What Are The The Warning Signs?

Breast Implant revision

Breast implants are a popular choice for many women who want to improve their appearance. 

However, sometimes a woman may be unhappy with her results after the initial surgery. If this is the case, she may need to have revision surgery. 

Breast implant revision surgery is a common procedure, and it’s important to know the signs that you may need one. Here are five signs that you may need a breast implant revision.

5 Signs That You Need a Breast Implant Revision

1. Your breasts look asymmetrical.

One of the most common reasons women opt for breast implant revision surgery is because they are unhappy with the symmetry of their breasts.

This can be due to some factors, such as uneven skin elasticity or stretching, changes in weight, or even the way that your implants settle over time.

If you notice that your breasts look asymmetrical, it may be time to consider a breast implant revision.


2. You have developed capsular contracture.

Capsular contracture is a condition that occurs when the scar tissue around your implant begins to tighten, causing your breasts to feel hard and look unnatural.

This is considered to be one of the complications of breast implants, and it’s something that you should watch out for.

If you develop capsular contracture, you will likely need to have revision surgery to correct the problem.


3. Your implants have ruptured.

According to Dr Ong Wei Chen, a renowned female plastic surgeon from WC Ong Plastic Reconstructive Surgery, if your implant has ruptured, it’s important to have revision surgery as soon as possible. 


If you suspect that your breast implant has ruptured, it’s crucial to seek immediate medical advice. A ruptured implant can result in pain, changes in sensation, and altered breast shape. Your doctor can diagnose whether you require revision surgery.


4. You feel pain or discomfort.

Breast implants are not meant to be permanent, and over time they may begin to cause pain or discomfort. This is usually due to changes in your body over time, such as pregnancy or weight gain/loss.

If you experience pain or discomfort from your implants, it’s important to consult with your doctor to see if revision surgery is necessary.

5. You simply don’t like your results.

Sometimes, a woman may not be able to pinpoint any specific reason why she’s unhappy with her breast implants.

If this is the case, she may still opt for revision surgery simply because she wants to improve her results.

If you’re unhappy with your breast implants but can’t seem to figure out why it may be time to consult with a plastic surgeon about revision surgery options.

What Can You Expect After A Breast Revision?

You can expect to feel some pain and discomfort after breast revision surgery. This is normal and should not alarm you. 


It typically takes several days to a week for your body to fully recover from the procedure, during which time it will be important to rest and avoid strenuous activities. 


You may also notice some bruising and swelling around the affected area, as well as changes in sensation in either or both of your breasts.


In addition to these physical side effects, you may also experience emotional side effects such as feelings of sadness or anxiety. This is often the result of changes in body image after breast revision surgery. 


It is completely normal to feel disappointed about these side effects, but you must seek support from family and friends or professional counselling services if your feelings are overwhelming or interfering with your daily life.


Overall, you must follow your surgeon’s instructions closely after breast revision surgery so that you can recover as quickly and smoothly as possible. 


With proper care and attention, you too can enjoy the improved appearance and confidence that comes with having beautiful, healthy breasts.


Revision surgery is a common procedure and there are many reasons why you may need one. If you are not happy with your breast implants, it is important to talk to a female plastic surgeon about your options for revision surgery.


These are just a few signs that you may need breast implant revision surgery, but ultimately, only a board-certified plastic surgeon can give you the best advice for your case.

Don’t be shy about expressing your concerns and desires about your breast appearance; after all, it’s your body!

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All About Breast Implants: Types, Risk, Complications & Recovery

Breast Implants

Are you considering breast implants? It’s crucial to educate yourself on the available options, risks, complications, and the recovery process. To help you with this, here’s all the information you need to know before taking the plunge. So, let’s dive in and learn all about breast implants!

What Are Breast Implants And Why Are They Used?

Breast implants are medical devices that are inserted under the breast tissue or chest muscle to enhance breast size or reconstruct breasts after mastectomy or injury. 

Breast implants are typically used for cosmetic purposes, with the aim of improving breast size, proportion, and physical appearance. However, they are also used for reconstructive purposes following breast cancer treatment or other medical conditions that affect the breast.

Types of Breast Implants

There are several types of breast implants available to choose from, depending on the desired outcome.

Types of breast implant

Saline implants are filled with sterile salt water and provide a uniform shape, feel, and firmness. Silicone implants come pre-filled with silicone gel, creating a more natural look and feel. Gummy bear implants are form-stable and retain their shape even when cut, giving a more anatomically correct appearance. 


Finally, there’s the fat transfer breast augmentation, which removes fat through liposuction from other parts of the body and injects it into the breasts. Each type of breast implant has its own unique pros and cons.


Additionally, breast implants come in a variety of shapes and sizes to match individual body types, helping women achieve their desired look. It’s important to consult with a qualified plastic surgeon for proper selection and placement.

Breast implant shapes to choose from

What Are The Risks Of Breast Implants?

There are several risks associated with breast implants that individuals should consider when deciding whether or not to have the procedure. These risks include:

  1. Capsular Contracture: A condition in which scar tissue forms around the implant and hardens, causing the breast to feel firm or painful.
  1. Breast Pain: Some individuals may experience breast pain or discomfort after receiving breast implants.
  2. Infection: As with any surgery, there is a risk of infection following breast implant surgery.
  3. Changes in Sensation: Some individuals may experience changes in nipple sensation after receiving breast implants, including increased or decreased sensation.
  4. Implant Rupture or Leakage: Breast implants can rupture or leak over time, which may cause pain or changes in breast shape.
  5. Breast Cancer Screening: Breast implants can make it more difficult to detect breast cancer during routine screening exams, which may delay diagnosis and treatment.

It’s important to discuss these risks with a qualified plastic surgeon and make an informed decision based on your personal health history and goals.

How Long Do Breast Implants Last Now?

Breast implants have improved immensely in durability over the years, with many now lasting for a decade or more. 


However, their lifespan can vary depending on factors such as the type of implant (silicone vs saline), surgical techniques used, and individual factors like weight fluctuations, pregnancy, and aging. 


Typically, experts recommend that women with implants have them checked regularly by a plastic surgeon to ensure they are still intact and functioning properly. Some women may choose to replace their implants after 10-15 years, while others may not experience any problems for many years beyond that. 


Ultimately, the lifespan of breast implants is variable and depends on a number of factors specific to each patient.

Are Breast Implants Surgery Painful?

Breast implant surgery can cause some level of discomfort and pain in the immediate post-operative period. However, with proper pain management, most patients are able to manage the pain effectively. It’s important to note that the amount of pain experienced can vary from person to person and also depend on factors such as the type of implant used, placement of the implant, and the technique used during surgery. 


It’s important to discuss your pain management options with your surgeon before the procedure to ensure a comfortable post-operative experience.

Can You Feel Touch With Breast Implants?

Breast implants, whether silicone or saline, will not completely lose sensitivity. However, due to the surgical procedure and placement of the implants, some women may experience a decrease in overall sensitivity or uneven distribution of sensation. This is because the nerves that provide feeling to the breasts can be affected during the surgery. 


It’s worth noting that after a few months, once the tissue around the implant has had time to settle and heal, the sensitivity should begin to feel more natural. In any case, this is something that should be discussed with your doctor to gain a better understanding of what to expect prior to undergoing the procedure.

Do Breast Implants Feel Like Real Breasts?

Breast implants feel somewhat different from real breasts due to the implant’s material and location. Implants are typically placed under the breast tissue or chest muscle, which can result in a firmer feel. 


That being said, advancements in implant technology and surgical techniques have made it possible for the implants to feel more natural than ever before. Generally speaking, silicone breast implants tend to feel more like natural tissue than saline implants, and the texture and feel of the implant can also play a role. 


It’s important to discuss your options with your plastic surgeon to determine which type, shape, and size of breast implant is best suited for your goals and body type.

How Do I Choose The Right Size And Type Of Breast Implant?

Choosing the right size and type of breast implant is an important decision that can affect your physical appearance and overall confidence. To ensure that you are happy with your results, it’s essential to carefully consider your options and choose a qualified surgeon who can guide you through the process.


When it comes to breast implant size, some factors to consider include your body shape, natural breast size, and desired level of enhancement. It’s important to communicate your goals clearly with your surgeon and use visual aids, such as before-and-after photos, to ensure that you have a clear understanding of what to expect.


When it comes to breast implant types, factors such as cost, texture, and risk of complications should be taken into consideration.


Ultimately, the decision of which breast implant size and type to choose should be based on your individual needs and goals. With careful consideration and guidance from a qualified surgeon, you can achieve the natural-looking, enhanced breasts you desire.

Do Breast Implants Leave Scars And How To Remove The Scars?

Breast implantation usually involves making incisions on the breasts, which can result in scars. Scarring can be reduced through proper post-operative care and by allowing sufficient time for incisions to heal. 

However, scar removal is not always possible. Some methods of scar removal or reduction include laser treatments, topical creams, silicone sheets, and surgery such as scar revision surgery. It’s important to discuss any concerns regarding breast implants and scarring with a qualified plastic surgeon.


In summary, it’s important to review the key points of any decision to get breast implants. As with any medical procedure, it’s critical to consider potential safety risks and discuss them with your healthcare provider. Ultimately, the choice to get breast implants is a personal one and should be made after carefully weighing all factors.

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