Breast Reconstruction Surgery After Breast Cancer
Breast reconstruction is an operation to rebuild the shape of the breast after mastectomy or lumpectomy due to breast cancer – by Mr Milligan, UK-leading Consultant Oncoplastic Breast Surgeon based in Newcastle upon Tyne
Restore Confidence After Cancer
Breast reconstruction is an operation to rebuild the shape of the breast after mastectomy or lumpectomy due to breast cancer. It is an important step for many women in regaining confidence, femininity, and a sense of wholeness after treatment.
Mr Milligan is a UK-leading Consultant Oncoplastic Breast Surgeon based in Newcastle upon Tyne. As the first UK surgeon to perform an endoscopic nipple-sparing mastectomy (INVISISCAR™️ mastectomy), he offers advanced, highly individualised breast reconstruction options combining cancer care with aesthetic expertise.
Who Is a Candidate for Breast Reconstruction?
Breast reconstruction may be suitable for you if:
- You are undergoing or have previously had a mastectomy or wide local excision for breast cancer
- You wish to restore the shape and symmetry of your breasts
- You are in good overall health and emotionally prepared for further surgery
- You have completed chemotherapy or radiotherapy, or your oncologist deems it safe to proceed
- You want to reconstruct your breast immediately (at the time of mastectomy) or later (delayed reconstruction)
Every woman’s journey is different. During your consultation, Mr Milligan will guide you through the best options based on your medical history, cancer treatment plan, body shape, and personal goals.
Types of Breast Reconstruction
There are several approaches to reconstructing the breast, and the right choice depends on your anatomy, cancer treatment, and preferences.
Implant-Based Reconstruction
Using silicone or saline implants to restore breast shape.
- Direct-to-implant: Implant placed during mastectomy
- Two-stage reconstruction: Tissue expander placed first, followed by permanent implant
✅ Shorter surgery time
✅ No donor site scars
❌ May not be suitable after radiotherapy
Autologous (Flap) Reconstruction
Uses your own tissue (skin, fat, and sometimes muscle) from another part of the body.
- Latissimus Dorsi flap – from the back
- Local flaps to improve defects after breast conservation surgery
✅ Natural feel and look
✅ Long-lasting results
❌ Longer recovery and surgery time
Combination Reconstruction
A mix of implants and flap techniques for optimal cosmetic results, especially if there is insufficient tissue or a history of radiotherapy.
Nipple and Areola Reconstruction
If the nipple is removed during mastectomy, it can be recreated using skin techniques or 3D tattooing, either during or after reconstruction.
Timing of Breast Reconstruction
There are two main timing options:
- Immediate reconstruction: Performed at the same time as mastectomy
– Commonly performed by Mr Milligan giving better aesthetic results - Delayed reconstruction: Performed months or years later, often after completion of radiotherapy or chemotherapy
– May be preferred if cancer treatment plans are complex, such as with inflammatory breast cancers
Mr Milligan will discuss the pros and cons of each approach to help you make an informed decision.
Recovery and Aftercare
Recovery time varies depending on the type of reconstruction:
- Implant reconstruction: 4–6 weeks
- Flap reconstruction: 6–10 weeks
You may experience:
- Swelling, bruising, or tightness in the chest or donor area
- Temporary drains to remove fluid
- Fatigue for several weeks
- Restricted upper body movement (you’ll be guided on gentle exercises)
Most patients return to non-physical work within 4-6 weeks and resume full activity after 8-12 weeks.
You’ll have regular follow-ups with Mr Milligan and his team, with full support throughout your recovery.
Your Patient Journey with Mr Milligan
Initial Consultation
A detailed conversation covering your cancer treatment history, goals, and medical suitability for reconstruction. You’ll be shown photos and options tailored to your body and preferences.
Multidisciplinary Review
Your plan will be discussed with your breast care team, oncologists, and radiologists to ensure timing and safety align with your overall cancer treatment.
Surgery
Performed at a leading hospital in Newcastle with state-of-the-art facilities and an expert team.
Aftercare
You’ll receive detailed aftercare instructions, physiotherapy support, scar care guidance, and emotional wellbeing support as needed.
Long-Term Follow-Up
Annual reviews and open access for queries or revisions in the future.
Frequently Asked Questions (FAQ)
Yes. Breast reconstruction is a safe and well-established procedure when performed by an experienced oncoplastic surgeon. All surgery carries risks, which will be clearly explained during consultation.
In many cases, yes. A second-stage surgery may refine the shape, reconstruct the nipple, or perform a balancing procedure on the opposite breast.
Yes, though your options may be more limited. Flap-based reconstruction may be preferred after radiotherapy due to its resilience and natural healing.
Modern techniques allow for excellent cosmetic outcomes with high patient satisfaction.
Yes, most breast reconstruction procedures are available on the NHS. Some patients also choose private care for greater flexibility, advanced techniques, or continuity with their preferred surgeon.
Why Choose Mr Milligan?
- UK’s first surgeon to perform keyhole INVISISCAR™️ endoscopic nipple-sparing mastectomy
- Over 18 years of specialist experience in breast cancer and aesthetic breast surgery
- Combines world-class cancer care with attention to cosmetic outcomes
- Offers both NHS and private care in Newcastle and the North East
Book Your Private Consultation
If you’re considering a Breast Implant Removal in Newcastle or Gateshead, book a consultation with Mr Milligan to explore your options and receive a personalised treatment plan.
