Breast reconstruction education

Timing Options for Natural Tissue Breast Reconstruction

Breast reconstruction is a decision that can be made at any time.

At a glance
Immediate
Same surgery as mastectomy
Staged-Immediate
Within about 2 weeks
Delayed
Months or years later
Surgical Delay
About 1 week before flap surgery

The Decision of “When” in Breast Reconstruction

Timing can be everything when it comes to optimal breast reconstruction. Our patients have every available option in choosing services with Dr. Levine.

Breast reconstruction can be done immediately after a mastectomy during the same operative session, within two weeks in a separate operative session, or delayed until months, if not years, later. The decision of “when” is highly personal, with factors to consider with your treating physicians.

Your options

Immediate, Staged, or Delayed

Women may choose to reconstruct at the same time as mastectomy (immediate), shortly after (staged-immediate), or at a later time (delayed).

At the time of mastectomy
01

Immediate

Breast reconstruction is done at the same time as mastectomy with one of our expert breast surgeons.

Within about two weeks
02

Staged-Immediate

Breast reconstruction is done separately, generally within two weeks of mastectomy.

Months or years later
03

Delayed

Breast reconstruction is done at any time after prophylactic mastectomy.

Expanding who qualifies

Surgical Delay with DIEP, SIEA, or DCIA Flap

The surgical delay procedure is an invaluable preemptive procedure that increases the reliability and the amount of tissue we can harvest from the abdomen with a DIEP, SIEA, or DCIA flap procedure. As a result, patients who may have been told that the abdomen is not available as a donor site may now be candidates.

Learn about DIEP, SIEA & DCIA flaps →
1
Surgical delay
A short outpatient procedure
About one week later
2
Free flap breast reconstruction
DIEP, SIEA, or DCIA flap

Pioneering natural reconstruction

Meet Dr. Joshua L. Levine

Dr. Joshua Levine Breast Reconstruction Surgeon Welcome Text

Dr. Levine performs the full range of perforator flap procedures, including DIEP, SIEA, SHaEP, PAP, GAP, LAP and TDAP flaps. He has further advanced this field, developing first-ever techniques in extension flap and stacked flap procedures.

These pioneering techniques now mean that all women can restore the look and feel of their own warm, natural breasts regardless of their body type.