Rebuilding the breast shape after mastectomy using an implant, often in a planned, staged approach.


Implant-based reconstruction rebuilds the breast shape after mastectomy using a breast implant. It can be performed at the same time as mastectomy (immediate) or later (delayed), and is often staged, beginning with a tissue expander that is gradually filled to create space before the final implant is placed.
The implant may be placed in front of or behind the chest muscle, and supportive tissue may be used to hold it securely. Previous or planned radiotherapy strongly affects the approach and outcome, so reconstruction is always planned in coordination with your wider cancer care.
It does not restore normal breast sensation, does not recreate a natural nipple in itself, and implants are not lifetime devices. Radiotherapy increases the risk of complications and can affect the result.
You will receive individualized instructions and your reconstruction is planned in coordination with your breast and oncology teams. Timing, the staged approach, implant choice, and realistic outcomes are discussed in detail.
Depending on the stage, a tissue expander or implant is placed in front of or behind the chest muscle, with supportive tissue where needed. The position and shape are checked carefully before closing.
Swelling and tightness are normal and settle gradually. If an expander is used, it is filled over several visits before the final implant is placed at a later operation. Activity is reintroduced as healing allows.
A reconstructed breast shape and improved symmetry are achievable. Reconstruction cannot restore normal sensation, cannot make implants permanent, and results are affected by radiotherapy. A balancing procedure on the other breast and later nipple reconstruction are often part of the complete plan.
Reconstruction is carefully planned, but all surgery carries risks, and reconstructive surgery on treated tissue carries additional considerations. Possible risks include:
Smoking and impaired circulation raise the risk of healing problems, wound complications, and tissue loss, so honest assessment and smoking cessation are especially important in reconstructive surgery.
Reconstructive surgery at Skulpturkliniken is performed by Dr. Matteo Amoroso, a specialist plastic and reconstructive surgeon with expertise in microsurgery and super-microsurgery.
Dr. Amoroso coordinates carefully with your oncology team to ensure reconstruction happens at the right point relative to your broader cancer treatment.
From the first consultation, Dr. Amoroso helps you understand which approach suits your situation, what is realistic, and how reconstruction fits into your broader care.
Every procedure begins with a detailed assessment. We evaluate:
Safety is central to every step of the surgical journey. Your treatment includes:
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