Breast Reconstruction Surgery at Stanford

Breast reconstruction helps restore form, balance, and confidence after breast cancer treatment. At Stanford Plastic & Reconstructive Surgery, our nationally recognized team provides advanced reconstructive options tailored to each patient’s goals, using techniques that combine the precision of reconstructive surgery with the artistry of cosmetic enhancement. Every patient receives a personalized plan designed to achieve symmetry, natural appearance, and comfort.

Stanford offers both implant-based and autologous (flap) breast reconstruction, as well as hybrid techniques that use fat grafting for refinement. Reconstruction may occur at the time of mastectomy (immediate) or later (delayed), depending on your treatment plan. Each option is carefully discussed with you and coordinated with your oncology team to ensure safe, aesthetic results.

Implant-Based Reconstruction

Implant-based reconstruction restores breast volume using saline or silicone implants. In many cases, expanders are placed at the time of mastectomy to gradually stretch the skin and prepare for permanent implants. Some patients may be candidates for direct-to-implant surgery, which allows for immediate reconstruction. Fat grafting is often used to soften contours and enhance natural appearance. This method is ideal for patients seeking a shorter surgery and recovery time.

Flap/Autologous Reconstruction

Flap reconstruction uses the patient’s own tissue to rebuild the breast, typically from the abdomen, buttocks, or back. Common procedures include DIEP, MSTRAM, omentum, TUG, PAP, latissimus, and SGAP flaps. These techniques create a natural look and feel while preserving muscle function. Stanford’s microsurgical expertise allows precise reconnection of blood vessels, improving outcomes and reducing donor-site complications.

Immediate vs. Delayed Reconstruction

Immediate reconstruction is performed during the same operation as mastectomy, allowing patients to wake up with a breast contour already restored. Delayed reconstruction takes place after cancer treatment or radiation is completed, giving the body time to heal first. The best timing depends on medical, aesthetic, and personal factors—your surgeon will guide you through the decision-making process.

Our breast reconstruction specialists provide care for a wide range of reconstructive needs following breast cancer treatment. Whether you’re considering reconstruction for the first time or seeking revision of previous surgery, we’ll help you identify the best solution for your individual goals.

Common conditions and treatments include:

• Mastectomy reconstruction
• Lumpectomy reconstruction
• Nipple-sparing mastectomy
• Oncoplastic reduction or mastopexy
• Revision of previous reconstruction
• Fat grafting for contour and softness
• Post-radiation breast restoration
• Microsurgical flap procedures (i.e. DIEP, MSTRAM, omentum, PAP)
• Implant exchange or correction
• 3-D nipple tattooing and nipple reconstruction

Stanford is a national leader in reconstructive innovation, with surgeons who have pioneered advanced nipple-sparing and imaging-guided microsurgical techniques. Our multidisciplinary team collaborates closely with oncologists, radiologists, and breast surgeons to ensure safe, comprehensive, and compassionate care. Patients benefit from world-class expertise and access to the latest surgical advancements.

During your consultation, your surgeon will review your medical history, treatment plan, and aesthetic goals. You’ll discuss all reconstruction options, view examples of outcomes, and develop a personalized surgical timeline aligned with your overall cancer care. After surgery, you’ll receive clear recovery instructions and ongoing support to maintain your long-term results.