Breast Reconstruction
Conveniently located to serve the areas of Knoxville, TN
Breast reconstruction is a surgical procedure that rebuilds the shape, contour, and appearance of the breasts following mastectomy, lumpectomy, or traumatic injury. (1) It offers physical restoration as well as potential emotional benefits, helping patients regain confidence and a sense of normalcy after breast loss or deformity.
Premier Plastic Surgery in Knoxville, Tennessee, approaches each breast reconstruction procedure with a deep understanding of each patient’s journey and goals. Our surgeons have a compassionate, patient-centered philosophy and use advanced techniques to help individuals restore their physical form in a way that reflects their strength and individuality. Whether performed immediately after mastectomy or later in life, breast reconstruction can be a powerful step toward recovery and renewal.
To learn more about breast reconstruction, schedule a consultation online or call (865) 306-5680.
Contents
Before and After Photos
About Breast Reconstruction
Breast reconstruction aims to recreate a natural-looking breast shape following the removal of breast tissue. It may involve implants, tissue flaps, or a combination of both to restore symmetry, volume, and projection. (2) In many cases, the procedure also includes nipple reconstruction and adjustments to the opposite breast for improved balance.
There are two primary types of breast reconstruction: implant-based reconstruction and autologous tissue reconstruction. (3) Implant-based techniques rely on saline or silicone implants to rebuild the breast mound, while autologous reconstruction uses tissue from another part of the body, such as the abdomen or back. Each method offers unique advantages, and the best choice for your circumstances will depend on your anatomy, preferences, and cancer treatment history (if applicable).
Whether reconstruction is performed at the same time as mastectomy (immediate reconstruction) or in a staged approach (delayed reconstruction), the goal remains the same: to help patients feel whole again by restoring the breast’s natural appearance and proportion.
Benefits
Breast reconstruction offers a wide range of both physical and mental benefits, especially when performed by the experts at Premier Plastic Surgery. Some of the advantages this procedure is commonly known to provide include:
- Restoring breast shape and symmetry after mastectomy or trauma
- Rebuilding confidence and emotional well-being
- Improving body image and self-esteem
- Enhancing the fit of clothing and bras
- Providing emotional closure after breast cancer treatment
- Recreating a sense of femininity and identity
To see how you can benefit from breast reconstruction, schedule a personal consultation at Premier Plastic Surgery.
Eligible Candidates
Multiple factors will influence whether or not someone is an ideal candidate for breast reconstruction. Eligible candidates are often those who:
- Have undergone or are planning a mastectomy or lumpectomy
- Are in remission or have been medically cleared for surgery
- Are not undergoing active radiation therapy that would impact healing
- Desire restoration of the breast’s natural appearance
- Are open to a staged surgical process and understand the timeline involved
- Have realistic expectations and a commitment to recovery
Personal Consultation
Breast reconstruction begins with a private consultation with one of the experienced surgeons. During this meeting, we will review your medical history, cancer treatment, and aesthetic goals. We will assess your chest wall anatomy, skin condition, and overall health to determine the most appropriate reconstruction approach.
You will also discuss timing options, including whether immediate or delayed reconstruction is most suitable. Your surgeon will walk you through the details of implant-based and autologous reconstruction, ensuring you understand all aspects of the surgery, recovery, and long-term outcomes.
To schedule this personal consultation and take the first step on your path to breast reconstruction, contact Premier Plastic Surgery online or call us at (865) 306-5680.
Preparation
Once you decide to move forward with breast reconstruction, the Premier Plastic Surgery team will provide detailed instructions to ensure you are well-prepared for surgery. These may include:
- Undergoing necessary medical evaluations or imaging
- Coordinating timing with your oncology team, if applicable
- Avoiding any blood-thinning medications or supplements
- Arranging for transportation and support after surgery
- Preparing your home with recovery supplies, such as pillows and loose-fitting clothing
- Filling any prescribed medications before your surgical date
Following these preparation guidelines will support your safety and optimize your surgical outcome.
Procedure
The surgical process for breast reconstruction depends on the chosen technique. At Premier Plastic Surgery, reconstruction may involve one or multiple stages and is typically performed under general anesthesia. For implant-based reconstruction, a temporary tissue expander may be placed first to gradually create space for the implant. Once the tissue is adequately stretched, a second procedure is performed to insert the implant.
Autologous tissue reconstruction involves transferring skin, fat, and sometimes muscle from another area of your body, such as the abdomen, back, or thigh. These procedures are more complex but can offer more natural-looking and longer-lasting results. In some cases, both implants and tissue flaps are used together. The surgeon may also perform nipple and areola reconstruction or tattooing in later stages to complete the aesthetic outcome. The Premier Plastic Surgery team will guide you through every stage, ensuring that your treatment plan is tailored to your body, health, and goals.
Recovery
Recovery from breast reconstruction varies depending on the surgical method and complexity of the procedure. Most patients will stay overnight for monitoring, particularly after autologous tissue reconstruction. Swelling, bruising, and soreness are common during the first week, and the Premier Plastic Surgery team can prescribe medications to manage any discomfort. Activity should be limited for several weeks, with a gradual return to normal routines as advised by your care team. Any strenuous activities must be avoided until you are cleared by your surgeon.
The Premier Plastic Surgery staff will schedule follow-up visits to monitor healing, remove sutures, and discuss any future stages of reconstruction, such as nipple creation or symmetry adjustments. Full recovery can take several months, but most patients begin to see significant improvements within the first few weeks. Throughout your recovery, the Premier Plastic Surgery team will be available to guide you and answer any questions you have.
Results
The goal of breast reconstruction is to restore your appearance in a way that feels natural and empowering. Once healed, you can expect breasts that appear balanced, symmetrical, and proportionate to your body. While some visible scarring is inevitable, skilled surgical techniques and proper aftercare will help reduce its appearance. Many patients find that their reconstructed breasts not only restore their body image but also offer closure and healing after cancer or trauma. While results can last for many years, patients will need to get their implants replaced eventually if they underwent an implant-based procedure.
Corresponding Procedures
In some cases, patients may benefit from additional procedures to enhance symmetry or overall aesthetics. These may include:
- Breast Lift: Restores a youthful position to the breasts, especially if sagging has occurred
- Fat Grafting: Enhances shape and volume using your own fat from another area of the body
These procedures can be discussed during your consultation and incorporated into your overall surgical plan.
Cost of Breast Reconstruction in Knoxville, TN
Because breast reconstruction often follows mastectomy, it may be covered by insurance under federal law in certain cases. However, exact costs and coverage will depend on your individual policy and the complexity of your reconstruction. During your consultation, Premier Plastic Surgery will provide a clear cost estimate and work with your insurance provider to help you understand your benefits. Financing options may also be available to assist with any out-of-pocket expenses.
Schedule your consultation today to explore your breast reconstruction options and their associated costs. If you have any additional questions or would prefer to schedule over the phone, please call our Knoxville office directly at (865) 306-5680.
FAQ
Will insurance cover breast reconstruction?
In many cases, yes. Under federal law, insurance providers must cover breast reconstruction if they cover mastectomy, including any procedures required to achieve symmetry, replace implants, or adjust results.
Is reconstruction done immediately after mastectomy?
It can be. Some patients are candidates for immediate reconstruction, while others may benefit from delayed reconstruction depending on their treatment plan.
What is the difference between implants and flap reconstruction?
Implants use saline or silicone devices to recreate breast volume, while flap reconstruction uses tissue from another area of your body for a more natural result.
Will the results of breast reconstruction look natural?
Yes. With advanced surgical techniques and personalized planning, the results can look and feel very natural, especially when symmetry procedures are included.
How long is the recovery from breast reconstruction?
Recovery varies, but most patients return to light activities within a few weeks. Full healing may take a few months, especially after flap procedures.
References
- Regan JP, Casaubon JT. Breast Reconstruction. PubMed. Published 2022. https://www.ncbi.nlm.nih.gov/books/NBK470317/
- Dieterich M, Dragu A, Stachs A, Stubert J. Clinical Approaches to Breast Reconstruction: What Is the Appropriate Reconstructive Procedure for My Patient? Breast Care. 2017;12(6):368-373. doi:https://doi.org/10.1159/000484926
- Mahdi Malekpour, Fatemeh Malekpour, Howard Tz-Ho Wang. Breast reconstruction: Review of current autologous and implant-based techniques and long-term oncologic outcome. World Journal of Clinical Cases. 2023;11(10):2201-2212. doi:https://doi.org/10.12998/wjcc.v11.i10.2201
