
Key Takeaways
- Breast reconstruction after mastectomy restores both form and confidence, and it’s available to nearly every woman regardless of age, timing, or prior cancer treatment.
- Modern reconstruction options, including DIEP flap, GAP flap, PAP flap, and implant-based techniques, offer natural-looking results with high success rates.
- Reconstruction is covered by insurance under federal law and can be performed immediately or years after a mastectomy.
- Advances such as ReSensation™ nerve repair now make it possible to restore breast sensation after surgery.
- Insurance coverage is federally protected under the Women’s Health and Cancer Rights Act (WHCRA).
- East Cooper Plastic Surgery in Mount Pleasant, South Carolina, is a national leader in breast reconstruction, offering compassionate, expert care. Schedule a consultation to learn which option is right for you.
Myth #1 — “You Have to Decide on Reconstruction Right Away.”
A common misconception is that breast reconstruction must happen immediately after mastectomy. In reality, delayed reconstruction is both common and successful. Many women choose to wait until cancer treatment is complete or their health feels stable before pursuing surgery.
At East Cooper Plastic Surgery, patients frequently return months or even years after a mastectomy for reconstruction. Advances in microsurgery mean the same natural-looking outcomes are achievable even after long delays.
Myth #2 — “Implants Are the Only Option.”
While implants remain a safe and effective choice, they’re just one of several reconstruction methods. The surgeons at East Cooper Plastic Surgery are national leaders in autologous (natural tissue) reconstruction, which uses the patient’s own tissue, typically from the abdomen, thighs, or buttocks, to rebuild the breast.
Natural vs. Implant-Based Reconstruction
| Approach | Source Material | Ideal For | Benefits |
|---|---|---|---|
| DIEP Flap | Lower-abdominal skin & fat | Patients want natural results | No muscle sacrifice, soft, lifelike shape |
| GAP Flap | Buttock tissue | Those without adequate abdominal tissue | Durable, natural contour |
| PAP Flap | Inner thigh tissue | Patients preferring a non-abdominal donor site | Minimal visible scarring |
| Implant (Direct-to-Implant or Tissue Expansion) | Silicone or saline implant | Those seeking shorter surgery | Predictable volume and symmetry |
Myth #3 — “Reconstruction Looks Unnatural.”
Modern reconstruction aims for balance, softness, and natural symmetry, not rigidity or artificial curves.
East Cooper Plastic Surgery’s microsurgeons, Dr. James Craigie, Dr. Richard Kline, and Dr. Robert Allen, specialize in microsurgical techniques that restore natural contours using living tissue and precise fat transfer.
They also offer ReSensation™ nerve repair, reconnecting nerves during flap reconstruction to help restore sensation in the breast and nipple area, something impossible with older methods. These advances create results that look and feel authentic.
Myth #4 — “You Can’t Have Reconstruction After Radiation.”
Radiation therapy can affect skin elasticity and blood flow, but it does not eliminate your reconstruction options. In fact, natural tissue flap techniques often yield better outcomes for patients who previously underwent radiation. Autologous reconstruction introduces healthy, well-vascularized tissue to the area, which can improve healing and comfort.
Your surgeon will assess radiation history and tissue quality before recommending a personalized plan, ensuring both safety and aesthetic success.
Myth #5 — “It Takes Too Many Surgeries to Finish.”
While some reconstruction types are multi-stage, not all require lengthy treatment timelines. Direct-to-Implant (DTI) reconstruction is completed in a single surgery at the time of mastectomy. Even for flap procedures that need refinements, each stage builds toward a durable, lifelong result that rarely requires future replacement, unlike implants, which may need maintenance after 10–15 years.
At East Cooper Plastic Surgery, patients receive a comprehensive timeline and follow-up schedule before their first procedure so they can plan with confidence.
Myth #6 — “Insurance Won’t Cover It.”
Since 1998, the Women’s Health and Cancer Rights Act (WHCRA) has required insurance providers that cover mastectomies to also cover breast reconstruction, including surgery on the opposite breast for symmetry. That means most patients can undergo reconstruction without an extra financial burden.
East Cooper Plastic Surgery’s team will help verify coverage, explain out-of-pocket costs, and coordinate with your oncology team to streamline your care. Flexible financing through Cherry and CareCredit is also available for added convenience.
Myth #7 — “You’ll Never Feel Like Yourself Again.”
Reconstruction is about more than appearance; it’s about wholeness, healing, and confidence. Patients at East Cooper Plastic Surgery consistently report greater comfort and emotional well-being after reconstruction. The practice’s philosophy focuses on restoring a sense of self through personalized, supportive care.
Their Center for Natural Breast Reconstruction was born from this mission, to help women look and feel like themselves again through expert microsurgery and long-term support.
Why Choose East Cooper Plastic Surgery
Located in Mount Pleasant, South Carolina, East Cooper Plastic Surgery has become a national destination for breast reconstruction. The practice was founded on a commitment to personalized, compassionate care and is home to some of the country’s leading reconstructive surgeons.
- Dr. James Craigie, Dr. Richard Kline, and Dr. Robert Allen bring decades of microsurgical expertise.
- The team offers both implant-based and autologous tissue reconstruction, including DIEP, GAP, and PAP flap procedures.
- The practice’s success rate for natural reconstruction exceeds 99%, a testament to surgical precision and patient-centered planning.
In addition to surgery, the Mount Pleasant location provides aesthetic services and professional-grade skincare to support patients through every stage of recovery.
Schedule Your Breast Reconstruction Consultation
Breast reconstruction is about restoring confidence and comfort after a mastectomy. At East Cooper Plastic Surgery, our board-certified surgeons provide compassionate, expert care using advanced techniques that deliver natural, lasting results.
To learn which reconstruction option best fits your goals, call (843) 849-8418 or schedule your consultation online with East Cooper Plastic Surgery in Mount Pleasant, SC. Discover how our team can help you feel whole again.
Frequently Asked Questions
Is breast reconstruction safe after radiation therapy?
Yes. While radiation can affect skin elasticity, advanced flap procedures like the DIEP or PAP flap are ideal for patients who’ve had radiation, as they use healthy tissue from another area of the body.
Can breast reconstruction restore feeling?
With nerve repair techniques like ReSensation™, many patients regain partial sensation in the reconstructed breast over time.
How long is the recovery after breast reconstruction?
Recovery varies by method. Implant-based reconstruction typically takes a few weeks, while natural tissue reconstruction may take 6–8 weeks for full recovery.
Does insurance cover breast reconstruction?
Yes. Under the Women’s Health and Cancer Rights Act, insurance providers must cover breast reconstruction and related procedures for symmetry.
Why choose East Cooper Plastic Surgery?
East Cooper Plastic Surgery is a trusted leader in natural and implant-based breast reconstruction, offering advanced microsurgical expertise, personalized care, and a dedicated Mount Pleasant facility designed for comfort and healing.