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Real members of MyBCTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

I met with my plastic surgeon yesterday and he explained to me that due to the post radiation shrinkage on my right breast, replacement surgery of the tissue expander on my left breast with implant will not give me symmetry. He suggested Flap would provide a better shape and appearance. I'm worried about the extent of the surgery and recovery but I'm also concerned about the psychological impact to my self confidence and mental well being.

December 20, 2025
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A MyBCTeam Member

I think the surgery was around 4 hours, maybe a little longer. 2 1/2 months recovery.

December 21, 2025
A MyBCTeam Member

@A MyBCTeam Member Thank you for your response. I am glad to hear that you are happy with the results..Feeling good about oneself is so important after all that you have been through. How long did the surgery last? How long was your recovery period?
Thanks again.

December 21, 2025
A MyBCTeam Member

I had a DIEP flap reconstruction of both breasts a year ago after a double mastectomy 2 years ago. The surgery and recovery was much easier than the mastectomy. However, there are still drains and you have an extra long scar on your lower belly. I was happy to have breasts again so my mental health was better after this surgery as well. I had chemotherapy but not radiation so no skin issues. It wasn’t a one and done surgery. I had to have a couple more to tweak the results—those were day surgeries and easy recoveries. Overall, I am very satisfied with the results.

December 21, 2025
MyBCTeam

What are the experiences and considerations for flap breast reconstruction surgery after radiation?

It's completely understandable to feel worried about both the physical and emotional aspects of flap reconstruction. Many people share these concerns, but there are some encouraging experiences to consider.

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What are the experiences and considerations for flap breast reconstruction surgery after radiation?

It's completely understandable to feel worried about both the physical and emotional aspects of flap reconstruction. Many people share these concerns, but there are some encouraging experiences to consider.

Flap reconstruction uses your own tissue from areas like your abdomen or back to rebuild the breast shape. While it does involve more extensive surgery than implants, many find the results worth it. The reconstructed breast tends to feel more natural and, once healed, typically lasts a lifetime without needing replacement like implants do.

Regarding the psychological impact, some MyBCTeam members have shared positive experiences. One member said, "I can't explain it, but I do feel a different confidence now that I've had reconstruction." Another added, "I, too, was very happy that I chose reconstruction. It looks different, and I still have to wear small inserts in my bra, but it was a great boost to my self-esteem."

Recovery does take time. You can expect:
- Swelling that peaks within the first few weeks and gradually improves over about eight weeks
- Temporary muscle discomfort at both the donor site and reconstructed breast
- Possible nerve-related sensations like tingling or burning that may improve as nerves heal

Adding a mental health professional to your support network can really help you process the emotional aspects of this decision. It's okay to take your time deciding what feels right for you.

December 20, 2025
A MyBCTeam Member

@A MyBCTeam Member thank you.

December 21, 2025

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