For many women, the breast reconstruction procedure isn’t just a cosmetic decision. It is a deeply personal part of the recovery process. It can help restore confidence, body image and a sense of wholeness after the physical and emotional impact of breast cancer surgery.
In this guide, we walk you through what to expect, from the different types of breast reconstruction procedures to how to plan your timeline and what recovery might look like. We aim to provide clear, supportive and practical information for women navigating breast reconstruction surgery in Singapore.
Most of all, we want you to know: You are not alone in this journey. Whatever path you choose, it should reflect what feels right for you—physically, emotionally and personally.
What Is a Breast Reconstruction Procedure
A breast reconstruction after mastectomy is a surgery that restores the shape and appearance of the breast after a mastectomy or, in some cases, a lumpectomy.
- Purpose: To rebuild the breast contour and help women feel physically and emotionally whole after cancer treatment.
- Timing Options:
- Immediate reconstruction – performed during the same surgery as the mastectomy.
- Delayed reconstruction – done months or years later, usually after completing treatments such as chemotherapy or radiation.
Why Women Choose Breast Reconstruction
- To restore body image and confidence
- To improve clothing fit and comfort
- To support psychological and emotional well-being
- To achieve physical balance, if one breast has been removed
The decision to undergo reconstruction is a personal one. It’s essential to consult with your care team to determine an optimal approach based on your health, preferences and treatment plan.
Timing of Reconstruction: Immediate vs Delayed
The timing of your reconstruction is a vital part of your treatment journey and is discussed with your care team.
Here’s a comparison of both options:
| Timing | Advantages | Considerations |
|---|---|---|
| Immediate | Fewer surgeries, preserves breast skin | May interfere with radiation or chemotherapy timelines |
| Delayed | Focus fully on cancer treatment | Requires additional surgeries and time off for recovery |
Immediate reconstruction is often performed at the time of mastectomy, providing both physical and psychological continuity. However, if you require radiation therapy or are unsure about reconstruction, delaying the procedure can give you more time to make a decision.
Our breast surgeon in Singapore, Dr Andrew Lee, will guide you through this choice with care and clarity, taking into account your medical history, cancer stage and personal preferences to help you feel supported and confident in your next steps.
Types of Breast Reconstruction
Implant-Based Reconstruction
This method uses silicone or saline breast implants to recreate the breast mound. In many cases, a temporary tissue expander is placed first to gradually stretch the skin before inserting the final implant.
Advantages:
- Short surgery duration and hospital stay
- No additional surgical site needed (no donor tissue required)
- Good recovery time and few scars
- Suitable for women with smaller breasts or those preferring less invasive procedures
- Predictable size and shape outcome
Considerations:
- May not be ideal for women who have received or will require radiation therapy
- Implants may need replacement or revision over time
- Risk of implant-related complications (e.g. capsular contracture)
Autologous (Flap) Reconstruction
Also called flap reconstruction, this method uses a woman’s tissue—commonly from the abdomen (DIEP or TRAM flap), back (latissimus dorsi flap), or thigh—to rebuild the breast.
This technique is more complex but offers a natural result.
Advantages:
- Natural feel and appearance
- No need for implants or foreign materials
- Suitable for women who have undergone radiation
- Permanent results with minimal risk of long-term revision
- Good integration with body changes over time (e.g. weight fluctuation or ageing)
Considerations:
- Longer and more complex surgery
- Extended recovery time
- Additional scars at the tissue donor site
- May not be suitable for women with certain medical conditions or low body fat
Many women choose implant-based reconstruction for its short downtime and simple recovery, while flap reconstruction is often preferred for its natural texture and long-lasting outcome. Our breast surgeon can help you evaluate your options, perform the necessary mastectomy and guide you toward the breast reconstruction approach that aligns with your needs and recovery goals.
Breast Implants vs Flap Surgery: What to Know Before Deciding
Choosing the right reconstruction method depends on several personal and medical factors. These include your body shape and the availability of donor tissue, your comfort with undergoing longer surgery and recovery, and the kind of long-term results you hope to achieve.
Your lifestyle, expectations and overall health also play an important role. Every option has its benefits and trade-offs, so it’s important to have an open discussion with our surgeon about your goals, medical history and plans to find the approach that feels right for you.
Implants may be suitable for women who:
- Prefer short surgeries
- Have smaller breasts and minimal excess body tissue
- Want a quicker recovery
Flap surgery may suit women who:
- Want a more natural look and feel
- Have had or will have radiation therapy
- Have adequate donor tissue for grafting
Recovery Process: Healing, Adjustment and Returning to Daily Life
Healing after breast reconstruction isn’t just about scars fading. It is about restoring strength, adapting to changes, and feeling whole again. Each woman’s recovery path is unique, shaped by her body, her choices and the support around her.
Typical recovery timelines:
- Implant-based reconstruction: Most women resume daily activities within 2 to 4 weeks.
- Flap-based reconstruction: Healing can take 6 to 8 weeks or longer, especially if a donor site (like the abdomen or back) also needs time to recover.
Our breast surgeon will guide you with a personalised recovery plan that may include:
- Post-operative bras or compression garments for support and comfort
- Wound care instructions to promote healing and reduce the risk of infection
- A gradual return to physical activity that protects your results while restoring strength
In Singapore, organisations such as the Breast Cancer Foundation, Singapore Cancer Society, and hospital-based support groups offer resources like physiotherapy, counselling, and emotional support. These services can help you not only recover physically but also adjust emotionally to life after breast cancer recovery, empowering you to move forward with resilience and confidence.
Choosing the Right Surgeon
Your reconstruction journey starts with choosing a qualified surgeon. Look for a board-certified plastic surgeon with experience in breast reconstruction surgery in Singapore clinics or hospitals.
What to consider:
- Credentials and accreditation
- Specialisation in breast reconstruction
- Experience with both implants and flap methods
- Before-and-after photos of past cases
- Ability to explain all your options clearly
It’s okay to seek second opinions or bring a loved one to consultations. Feeling confident in your surgical team is essential for a smooth and empowering experience.
Frequently Asked Questions
Yes, most hospitalisation plans and Medisave cover reconstruction as part of breast cancer treatment. Check with your insurer and hospital for specific details.
You can have reconstruction immediately or months to years later, depending on your treatment plan and personal readiness.
Neither is inherently better—implants offer shorter recovery, while flaps offer more natural results. The best option depends on your goals and medical profile.
No, it’s optional. Some women choose not to undergo reconstruction and may use prosthetics or go flat.
Reclaiming Your Body and Confidence
Breast reconstruction can be a meaningful part of healing after breast cancer, offering not just physical restoration but emotional reassurance and personal strength. It can help restore a sense of wholeness, body confidence and personal strength after what can be a deeply challenging experience.
At Andrew Lee Breast Clinic, care goes beyond the procedure. Dr Andrew Lee will take the time to walk you through your options, whether you’re exploring reconstruction right after surgery or considering it later in your journey.
You’re not just making medical decisions. You’re navigating something deeply personal, and you deserve care that recognises your experience and walks with you, every step of the way.
If you have questions or need clarity about your next steps, the team at Andrew Lee Breast Clinic is here to support you with expertise, care and understanding.
