Reconstructing the Truth: What Breast Cancer Patients Should Really Know

When it comes to breast reconstruction after cancer, misinformation is everywhere, and it can be overwhelming. From viral TikToks to outdated blog posts, not everything you read online is rooted in fact. At Baptist Health Cancer Care, our experts are cutting through the noise with personalized, evidence-based care for patients facing one of the most emotional parts of the breast cancer journey. 

For Ivo A. Pestana, M.D., plastic and reconstructive surgeon with Lynn Cancer Institute at Boca Raton Regional Hospital, part of Baptist Health, and David Mattos, M.D., plastic and reconstructive surgeon with Baptist Health Miami Cancer Institute, the goal is simple: empower patients to make informed decisions with confidence. Together, they offer trusted guidance, state-of-the-art techniques, and a compassionate approach to care, so you can move forward with clarity, not confusion. 

According to the National Breast Cancer Foundation, breast cancer is the most commonly diagnosed cancer in women in the United States, with nearly 300,000 new cases expected in 2025 and more than 4 million survivors nationwide. As patients look ahead to life after treatment, decisions about breast reconstruction are becoming increasingly important, but so is understanding what information to trust. Drs. Pestana and Mattos reviewed the most trending topics regarding breast cancer and reconstruction, and shared their thoughts on what’s fact vs. what’s fiction.

What Are My Options Regarding Implants for Reconstruction? 

When it comes to implant-based reconstruction, there are a few safe and effective options tailored to each individual’s needs and treatment plan. 

“The most common and recommended method in my practice is a two-stage reconstruction, involving the placement of a temporary tissue expander at the time of mastectomy that allows the blood supply to the skin to normalize before we refill the breast volume in a safe manner,” shared Dr. Mattos. “Fat transfer to the breast has become so effective in improving our reconstructive outcomes that nearly all of my patients choose to undergo that procedure, and we use that same surgery to exchange the expander to a breast implant and perfect its position in the chest.

“This two-step method gives us more flexibility to shape the breast and adjust volume over time,” continues Dr. Mattos. “It can be especially helpful for patients who may need radiation or other treatments before final reconstruction.” 

However, for some patients, minimizing surgeries is an important goal. “In some patients, one option is direct-to-implant reconstruction, which allows us to place a permanent silicone or saline implant on the same day as the mastectomy”, Dr. Mattos explains. “For the right candidate, this can offer a quicker recovery and fewer surgeries.” 

Are Implants Harmful to My Body as I Recover from a Cancer Diagnosis? 

Breast implants are considered a safe and reliable option for many women recovering from breast cancer.

“Implants do not increase the risk of cancer coming back, and they don’t interfere with ongoing treatment or follow-up care,” shares Dr. Pestana. “Safety is always our top priority, and we take every precaution to ensure reconstruction supports the patient’s overall recovery.” Implant-based reconstruction is typically done in close coordination with your oncology team to make sure the timing aligns with your treatment plan.  

“Reconstruction is about restoring not just the physical appearance, but a patient’s confidence and quality of life,” notes Dr. Pestana. “With today’s surgical advances, implants can be a safe and effective way to help patients heal and feel whole again after cancer.” 

Surgery and Reconstruction: What to Expect 

In most cases of breast cancer, surgery is part of the treatment plan. The two most common types of breast surgery are lumpectomy and mastectomy, and both can be followed by breast reconstruction depending on the patient’s goals. 

A lumpectomy, also known as breast-conserving surgery, removes only the tumor and a small margin of surrounding tissue, leaving most of the breast intact. It’s typically done as an outpatient procedure, with a shorter recovery time. 

In situations where a lumpectomy isn’t suitable, a mastectomy is often performed, removing the entire breast, and sometimes the nipple or a small amount of muscle. This may be recommended if the cancer is located in more than one area of the breast or if the patient is at high risk for recurrence. Once the margins that appeared to be cancerous are removed, the reconstructive surgeon steps in. 

Who Can Consider Breast Reconstruction? 

Breast reconstruction is an option for many people who have already had breast cancer surgery, but not everyone is automatically a candidate. Most women who have a mastectomy can consider reconstruction, including those with early-stage breast cancer Stage I or II, more advanced cancer Stage III, or non-invasive cancer like DCIS.

Some women who carry genetic mutations such as BRCA1 or BRCA2 may choose to have both breasts removed to prevent cancer and are also eligible for reconstruction. Even people with Stage IV metastatic breast cancer may be candidates, especially if reconstruction helps with comfort or emotional well-being.  

“Breast reconstruction is deeply personal; it’s about restoring more than just the physical appearance,” shares Dr. Pestana. “Our mission is to guide each patient with compassion, offer advanced options and help them feel whole again, on their own terms.  

Patients who have had a lumpectomy may also benefit from reconstructive surgery. In general, good candidates are those who are in overall good health and have finished or are planning to undergo other treatments like chemotherapy or radiation.

Radiation can affect when and how reconstruction is done, but it doesn’t necessarily rule it out. Your doctors will work together to help you decide what options are right for your body, your treatment plan, and your personal goals. 

Immediate or Delayed? Understanding the Timing of Reconstruction 

“Breast reconstruction can happen in one of two ways: immediate reconstruction, which is performed during the same surgery as the mastectomy, or delayed reconstruction, done weeks, months, or even years later,” explains Dr. Mattos.

Immediate reconstruction may reduce the number of surgeries a patient needs and can lead to better cosmetic outcomes. However, delayed reconstruction may be a better fit for patients who need additional treatment, such as radiation or chemotherapy.  

“Some patients can also opt for a staged approach, which includes placing a temporary tissue expander during the mastectomy to maintain the shape of the breast until a permanent reconstruction can be done,” Dr. Mattos says. This individualized planning ensures that patients can choose the timing that best aligns with their cancer treatment, health status, and personal preferences. 

A Personalized Approach to Breast Reconstruction 

There is no one-size-fits-all path when it comes to breast reconstruction. At Baptist Health, patients have access to several advanced surgical options that are tailored to their unique anatomy, treatment plan and personal goals. One common option is implant-based reconstruction, which uses silicone or saline implants to restore breast shape. “For the right patient, implants can be a safe, reliable choice with a relatively short recovery time,” says Dr. Mattos. 

Autologous, or flap, reconstruction is another approach, according to Dr. Pestana. This method uses the patient’s own tissue – typically from the abdomen, thigh, or back – to rebuild the breast. “Flap reconstruction offers a natural look and feel, and it eliminates the need for implants in the future,” explains Dr. Pestana. 

Working as part of a multidisciplinary care team, reconstructive surgeons at both Miami Cancer Institute and Lynn Cancer Institute ensure every patient receives personalized guidance. “Reconstruction isn’t just about restoring the body, it’s about restoring confidence and well-being,” Dr. Mattos notes. “We take great care in helping each patient feel informed, supported, and empowered throughout their journey.” 

Understanding Nipple-Sparing and Reconstruction Choices 

For some patients, nipple-sparing mastectomy may be an option. This procedure preserves the nipple and areola while removing the underlying breast tissue and is typically recommended when tumors are small, located away from the nipple, or for patients undergoing preventive surgery due to high genetic risk. When nipple-sparing isn’t appropriate, patients can still achieve natural-looking results through nipple reconstruction or 3D tattooing, available exclusively at Miami Cancer Institute. 

Nipple reconstruction can be done through surgical techniques, while 3D nipple tattooing uses advanced medical-grade pigment and shading to recreate the appearance of a natural nipple. Performed by skilled, licensed artists on-site, this process is highly customized and typically takes about 90 minutes per session. Many patients choose to combine both surgical and tattooing approaches to enhance realism and symmetry.

Support for Your Emotional Well-Being 

Breast reconstruction is not only a physical journey, but also an emotional one, too. That’s why Baptist Health offers dedicated support services tailored to meet patients where they are in the healing process. At Miami Cancer Institute, patients can access a wide range of resources, including one-on-one counseling, expressive arts therapy, survivorship programs, and professionally facilitated support groups for those undergoing breast reconstruction.

At Lynn Cancer Institute, patients can join specialized support groups such as “Moving Forward,” which is designed specifically for women who have completed treatment for breast cancer and are navigating life after surgery and reconstruction. Additional wellness programs include yoga, meditation, nutrition counseling, and more to help support the whole person, mind, body, and spirit.

“No one has to go through this alone, whether it’s connecting with others who’ve been through similar experiences or leaning on expert guidance, our care continues well beyond surgery,” says Dr. Pestana.

Looking Ahead with Confidence and Care 

As breast cancer care continues to evolve, Baptist Health remains committed to providing not only advanced surgical options, but also the supportive therapies that help patients truly heal both physically and emotionally. At Miami Cancer Institute, patients undergoing breast reconstruction can benefit from specialized massage therapy to manage lymphedema, reduce swelling, and improve mobility.

“Our goal is to ease the side effects of treatment and improve quality of life in a meaningful way,” shares Beatriz Currier, M.D., chief of psychiatric oncology at Miami Cancer Institute and medical director of the Institute’s Cancer Patient Support Center. “It’s not just about treating the disease; it’s about treating the whole person.” 

At Lynn Cancer Institute, patients have access to pelvic floor therapy, and a variety of integrative wellness programs designed to support recovery and long-term wellbeing. “We recognize that survivorship looks different for every patient,” shares Darci McNally, director of oncology support services at Lynn Cancer Institute. “That’s why our services are designed to be flexible, personalized, and deeply empathetic.” 

With a full spectrum of surgical and supportive care options, a collaborative team of experts and a commitment to honoring each patient’s values and goals, Baptist Health Cancer Care delivers care that is informed, individualized and rooted in compassion.

VisitBaptistHealth.net/Mammoto learn more or schedule your breast cancer screening this Breast Cancer Awareness Month.

Beatriz Currier, M.D., chief of psychiatric oncology at Baptist Health Miami Cancer Institute and medical director of the Institute’s Cancer Patient Support Center

David Mattos, M.D., plastic and reconstructive surgeon with Baptist Health Miami Cancer Institute

Ivo A. Pestana, M.D., plastic and reconstructive surgeon with Lynn Cancer Institute at Boca Raton Regional Hospital, part of Baptist Health