Breast Augmentation Vs Breast Reconstruction

Breast augmentation and breast reconstruction serve distinctly different purposes and are performed under very different circumstances.

Breast Augmentation

Breast augmentation is an elective cosmetic procedure to enhance the size and, to some extent, the shape of the breasts. The procedure can improve breast symmetry and enhance overall body proportions. A woman can get breast augmentation for a variety of personal reasons.

Breast Reconstruction

To restore the appearance of the breast after mastectomy is the primary goal of breast reconstruction. The procedure helps patients recover emotionally from breast cancer treatment. However, it may also be performed following other medical conditions that cause the removal/loss of the breast. Breast reconstruction is deemed a medically necessary procedure to restore normal appearance and function.

Timing

Breast augmentation can be scheduled at the patient's convenience, working around their lifestyle and preferences. Reconstruction timing is often dictated by medical circumstances and may be performed immediately during mastectomy or delayed until after cancer treatment is complete.

OHIP/Insurance Coverage

Breast augmentation for aesthetic purposes is usually not covered by insurance as it's considered an elective cosmetic procedure. Reconstruction, however, is typically covered by OHIP and insurance plans.

Surgical Complexity

Augmentation is generally a straightforward procedure with well-established techniques. The placement of saline or silicone implants is common, while augmentation may also involve fat transfer.

Reconstruction often involves multiple surgical stages and more complex techniques, potentially including tissue transfers (i.e. flap) or expansion procedures.

Recovery Process

The recovery from breast augmentation is relatively straightforward, with patients often returning to normal activities within a week or two. Due to its complexity, reconstruction typically requires a longer recovery period with multiple healing stages, particularly if additional procedures are needed for optimal results.

The success of either procedure relies heavily on clear communication with your surgical team, careful consideration of your goals, and a thorough understanding of potential risks and complications. Both procedures can significantly impact a person's life, but they serve fundamentally different purposes and require different approaches to treatment planning and execution.