Mastectomy types and why they matter
The type of mastectomy affects what reconstruction can achieve:
- Skin-sparing mastectomy preserves most of the breast skin, providing a natural envelope for immediate reconstruction.
- Nipple-sparing mastectomy also preserves the nipple and areola in suitable patients.
- Simple (total) mastectomy removes breast tissue, skin and nipple; reconstruction then needs to replace skin as well as volume.
- Modified radical mastectomy also removes lymph nodes from the armpit, which may influence arm swelling and the choice of donor tissue.
If your mastectomy is still being planned
Meeting a reconstructive surgeon before your mastectomy allows the incisions and skin preservation to be coordinated with your breast surgeon. This planning can make a meaningful difference to the final result — even if you ultimately decide to delay reconstruction.
Questions worth discussing before surgery include whether radiotherapy is likely, whether a temporary expander would help preserve skin, and how reconstruction timing fits with chemotherapy.
- Port
If you have already had a mastectomy
Many of our international patients contact us months or years after treatment. In delayed reconstruction, the chest skin is assessed for elasticity, scar position and the effects of radiotherapy. Where skin is tight or irradiated, bringing in new tissue — through own-tissue reconstruction or a latissimus dorsi flap — is often considered.
- Mastectomy scar
- New skin paddle
Choosing not to reconstruct
Some women choose an “aesthetic flat closure”: a smooth, even chest wall without a breast mound. This is a legitimate choice, and when the original closure has left irregular contours or excess skin, a revision can improve the result. Reconstruction can still be considered later if your wishes change.
- Irregular contour, excess skin
- Smooth, even closure
More than a physical recovery
Losing a breast affects body image, intimacy and self-confidence in ways that are personal and valid. Reconstruction is one way to restore a sense of wholeness; it works best when the decision is yours, made without pressure. You are welcome to ask as many questions as you need — and to take your time.
What to prepare for your assessment
- Pathology report and a summary of your cancer treatment
- Dates of surgery, chemotherapy and radiotherapy (if any)
- Current medication and any medical conditions
- Clear photographs of the chest from the front and both sides — we will guide you on how to take them privately
- What you would like to achieve and any concerns about recovery or travel
Reconstruction after mastectomy in Turkey
Women who had a mastectomy in their home country often come to Istanbul for delayed reconstruction. Bring your pathology report, treatment dates and recent follow-up results; together with photographs, these allow a preliminary plan before you travel.
- 01Time limitNone
- 02After radiotherapyUsually 6–12 months
- 03OptionsReconstruct · Flat closure
- 04First stepReports & photographs
Frequently asked questions
How long after mastectomy can I have reconstruction?
There is no upper time limit. After radiotherapy, waiting until the skin has settled — commonly six to twelve months — is usually advised, but the timing is planned individually.
Can I have reconstruction if I had radiotherapy?
Yes, in most cases. Irradiated skin behaves differently, so own-tissue techniques are often considered. See our page on reconstruction after radiotherapy.
Will my reconstructed breast have sensation?
Sensation is usually reduced after mastectomy. Some return of feeling may occur over time, particularly with own-tissue reconstruction, but this varies between patients.
Medically reviewed by Dr. Fatih Kılıç, Plastic, Reconstructive and Aesthetic Surgeon. This page is for general information and does not replace an individual consultation.