The body contour changes of surgery can be mitigated to a certain degree by breast reconstruction. Several options exist for reconstruction, both in type and timing. Immediate reconstruction (at the time of mastectomy) and delayed reconstruction (performed months to years after the initial surgery) are available.

Reconstruction options include the following:

• Implant reconstruction
• TRAM (transverse rectus abdominus myocutaneous) flaps
• Latissimus flaps
• Free tissue transfers, including DIEP (deep inferior epigastric perforator), SIEA (superior interior epigastric artery), TUG (transverse upper gracilis) flap, SGAP (superior gluteal artery perforator), and IGAP (inferior gluteal artery perforator)

The type of reconstruction and the timing are individualized to each person. Reconstruction is coordinated with the general surgeons, oncologist, and radiation oncologist to maximize both medical outcome and cosmetic result. This team approach coordinates care and allows reconstruction to be performed as a component of overall breast care. In addition to reconstruction of the breast, reconstruction of the nipple and tattooing of the areola are possible.