Mastectomy Scars and Breast Reconstruction Guide

Undergoing a mastectomy is a powerful step toward beating or preventing breast cancer—but it also comes with lasting changes to your body. Understanding your options for managing scars and pursuing breast reconstruction can help you heal more confidently—physically and emotionally.

Types of Mastectomies and the Scars They May Leave

The type of mastectomy you have affects the size and visibility of your scars. Here’s a quick overview:

1. Total (Simple) Mastectomy

Removes the entire breast, nipple, and areola.
Scar location: Horizontal across the chest.

2. Modified Radical Mastectomy

Removes the entire breast and nearby lymph nodes.
Scar location: Chest and underarm.

3. Skin-Sparing Mastectomy

Preserves most of the breast skin.
Scar location: Around the areola or under the breast—typically smaller.

4. Nipple-Sparing Mastectomy

Preserves the nipple, areola, and skin.
Scar location: Hidden at the base of the breast or around the nipple.

The choice of procedure depends on cancer location, stage, and patient preference—and can influence the ease of future breast reconstruction.

What Influences How Mastectomy Scars Heal?

Healing varies by person and can be affected by:

• Surgical technique and your surgeon’s skill
• Skin type and color (darker skin tones are more prone to keloids)
• Age and skin elasticity
• Underlying health conditions, like diabetes or poor circulation
• Nutrition—vitamins C, E, and protein are critical for healing
• Genetic factors—some people are more prone to raised scars

Scar Care Tips After Your Mastectomy

1. Keep the Area Clean and Dry

Follow your surgeon’s instructions for wound care in the early stages.

2. Use Silicone Sheets or Gel (With Approval)

Silicone helps reduce scar thickness and fade discoloration.

3. Stay Hydrated and Eat Well

Support healing with plenty of water, lean protein, and vitamins.

4. Watch for Signs of Infection

Redness, swelling, and unusual drainage should be reported right away.

5. Protect Scars from the Sun

UV rays can darken scars. Once healed, use SPF 30+ sunscreen daily.

6. Manage Discomfort

Itching and pain can be eased with doctor-approved topical creams or medications.

Long-Term Scar Treatment Options

If scars remain raised or discolored months later, these treatments may help:

• Laser therapy: Smooths and fades stubborn scars
• Steroid injections: Reduces thick or keloid scars
• Fat grafting: Improves breast shape and scar texture
• Camouflage makeup or medical tattooing: Helps hide visible scars

Talk to your provider about what’s safe and effective for your skin and scar type.

Exploring Breast Reconstruction Options

Breast reconstruction can restore the shape and symmetry of your chest. Options include:

1. Implant-Based Reconstruction

Uses saline or silicone implants beneath the skin or muscle.

2. Flap (Autologous) Reconstruction

Uses your own tissue—usually from the abdomen, back, or thighs—to create a new breast.

• DIEP flap is a popular method that spares abdominal muscles.

3. Combination Approaches

Some women use both implants and tissue flaps for a more natural look.

4. Nipple and Areola Reconstruction

May involve tattooing or minor flap surgery for visual balance.

Your choice depends on your health, cancer treatment plan, body type, and personal preference. A breast reconstruction specialist can help you weigh your options.

Questions to Ask Your Surgeon

Before surgery, discuss:

• Which mastectomy and reconstruction options are right for me?
• What will my scars look like? Can I see before-and-after photos?
• How long is recovery? What can I expect physically and emotionally?
• Will insurance cover reconstruction? What are the out-of-pocket costs?
• Are support groups or counseling available?

Gregory Rhodes MD Cancer Center Is Here to Support Your Healing Journey

At Gregory Rhodes MD Cancer Center, we understand the physical and emotional impact of mastectomy and reconstruction. Our experienced team uses the latest techniques to help patients heal beautifully and confidently.

Whether you're exploring reconstruction or want guidance on managing scars, we're here for you. Contact us to schedule a consultation and learn about your options.