Marina Del Rey

Breast Reconstruction after Mastectomy

Breast reconstruction after mastectomy is a step many women take in order to regain the size and shape of the breasts they had prior to mastectomy.  As a noted breast surgeon in Los Angeles, Dr. David Stoker has had many years of experience performing breast reconstruction after mastectomy. He is able to offer plastic surgery reconstruction to restore your shape following procedures for breast cancer. Dr. Stoker will meet with you to discuss your best options for breast reconstruction after mastectomy. Set up your consultation online or simply give him a call at (310) 300- 1779.

Breast Reconstruction after Mastectomy – Should I have it right after my mastectomy?
Although breast reconstruction can be done immediately after mastectomy while you are still under anesthesia, it is sometimes best to wait to have the breast reconstruction for a number of reasons.  For one thing, having to undergo mastectomy – whether for therapeutic or prophylactic reasons – may be stressful for patients.  This is an emotionally fragile time, especially if there are immediate postoperative treatment considerations that must be dealt with, such as chemotherapy or radiation. You may also not be medically ready to undergo an additional surgery for a while. Breast reconstruction after mastectomy may be a major surgery that sometimes requires more than one procedure.

On the other hand, immediate breast reconstruction after mastectomy has considerable advantages. The psychological sense of loss is much smaller because you won’t have to go through a recovery period without a breast. It also means not having to go through all the steps of another surgery.

Dr. Stoker and your oncologic surgeon will work together closely as a team to achieve the maximum beauty possible for your reconstructed breasts. Dr. Stoker treats all of his patients with the utmost care and compassion. He understands that this is likely a very trying time emotionally and will do whatever he can to help you feel better about yourself cosmetically so you can focus on other parts of your life.

Types of Reconstruction
There are two main approaches for breast reconstruction after mastectomy:
  • Implants

With this operation you have the choice between silicone and saline breast implants. Silicone breast implants feel more natural to the touch, while saline implants are less expensive and have a long track record of safety.


  • Implants have a lower risk for serious complications than flap surgery
  • Shorter surgery
  • Less expensive
  • Autologous Flaps

Autologous flaps consist of the patient’s own tissue, which is harvested from several parts of the body including the buttocks, back, or abdomen. The tissue is shaped into a breast mound and relocated to the chest.

Advantages of Flap Reconstruction

  • Results in the most-natural feeling breast
  • Does not involve implant-related complications
  • Less chance of problems with radiation therapy

An important part of breast reconstruction after mastectomy is nipple and areola correction. This is commonly the last stage of the breast reconstruction procedure. Dr. Stoker recreates the nipple by a minute skin operation requiring local anesthesia. The areola will then be recreated by tattooing pigment to simulate the darkened area around the nipple of the breast.

Whatever option you choose, Dr. Stoker’s extensive training in reconstructive breast surgery assures you of exceptional results.

For more information:

David Stoker, M.D. is more than happy to help you decide how to proceed, and to guide you through all aspects of your surgery. Please call his office directly at (310)300-1779 or request a consultation with him online.