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Mammary reconstruction surgery and mastectomy

English subtitled video

Breast reconstruction and mastectomy are plastic surgery operations to reconstruct or remove breasts unilaterally or bilaterally. The causes are usually due to a transgender change, congenital or acquired problems and different types of illnesses, especially oncological or after-effects of accidents. These are surgical procedures that we usually perform at Clínica Sanza Barcelona.

In many cases, breast reconstruction has to be performed on patients who have previously had one or both breasts removed. In any case, the main objective at Clínica Sanza’s Breast Unit is to carry out the most natural, least aggressive and most immediate repair possible, obviously seeking to preserve or restore the harmony, aesthetics and symmetry of the breasts.

In the case of mastectomy, if we are talking about preventing oncological problems, normally in a single operation we remove the breasts and insert breast prostheses, preserving the areola and nipple. With this type of breast plastic surgery we aim to help the patient to maintain their self-esteem, as they keep their breasts in a very similar shape to what they have always had.

Clínica Sanza in Barcelona is a leading centre in the treatment of breast reconstruction and mastectomy.

English subtitled video


At Clínica Sanza we rely on the Sagrat Cor Hospital, part of the Quirónsalud group, to perform our surgical procedures.
Its prestige, facilities, medical and healthcare staff, as well as its technology are a guarantee.


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We have two quite different patient profiles:
On the one hand women who have deformation or malformation of one or both breasts due to genetic or traumatic causes such as tumours, accidents or burns.

On the other hand, they may be transgender people who wish to remove their breasts with a mastectomy.


It is complex and variable according to the desire of the patient and the degree of unilateral or bilateral injury, the added radiotherapy, etc.

There are different techniques that we will only mention since each case requires a specific treatment:

  • expander placement
  • prosthesis placement
  • wide dorsal flaps
  • distanced abdomen flaps, TRAM
  • flaps on island or microsurgery, DIEP

Each technique used will always be accompanied by an elevation, increase or decrease of the contralateral breast.

It may require two surgical times. In the second stage, the nipple-areola complex is reconstructed with micropigmentation, nipple flaps or areola grafts.


  • From 1 to 3 hours.



  • Evaluation of the area to determine if the treatment is suitable.
  • Following the correct guidelines that are set by the doctor.
  • Blood tests and general testing (cardiac and respiratory diagnostics).
  • Ultrasound scan and/or a mammography.


  • Local and sedation, or general anesthesia.


  • From 24 to 48 h hospitalization.


  • Medication if required.
  • Drainage and compression bandage from 24 to 48 h.
  • Special plasters for 4 or 5 days that contour the new submammary groove.
  • Once drainage and bandages are removed, a special bra is required.
  • Mandatory revisions after a few days, a few weeks and a few months, according to prescription.


  • From 4 to 5 days.
  • Avoid picking up weights and making abrupt movements from 10 to 20 days.
  • Use of sports bra, comfortable and loose clothing the first few days.
  • Do not play sports or activities that require effort for at least a month.


  • Very rewarding.
  • It needs several steps in order to recover sensitivity.
  • Improvement of the patient’s psychological profile and self-esteem.


  • Medium-high intervention.


  • Low-medium according to size or breasts droopy.
  • Common risks the intervention could have: bad healing, would entail scarring retouch.
  • Risks of all interventions: hemorrhage, infection, scarring alteration.


Before After
Before After
Before After
Before After

Do you want to know what breast scars look like?

 We have a very informative article that talks in detail and shows graphics of what breast operation scars look like, where the scar is made, and much more.

If you are interested click on this button:

Whatever your case may be, do not hesitate in contacting us.

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Frequently asked questions about breast reconstruction surgery

What is breast reconstruction?

Breast reconstruction is a series of procedures performed on patients who have had partial or total mastectomies, and for that reason the breast or part of the breast was removed. For breast reconstruction it is possible to use muscle flaps, it is also possible to use breast implants or with a combination of these methods and others.

Does breast reconstruction surgery affect the progression of breast cancer?

No. Although many women are afraid of intervening in the area again, there are many studies that show that there is no relationship between the evolution of the disease with the different techniques of breast reconstruction after mastectomy.

And in the treatments of the disease, can it interfere?

In these cases, surgery usually does not interfere with treatments such as radiotherapy or chemotherapy, moreover in many cases it is advisable to operate first (mastectomy and reconstruction) and treat later.

Can reconstruction be performed even if a long time has passed since the mastectomy?

Yeah, there’s no bigger problem than having surgery again. Although it is always more advisable to do it in a coordinated way in the same surgical time as the mastectomy, or in the months following the surgery especially for psychological reasons of the patient.

After reconstruction Can mammograms be done?

Yes, if your doctor recommends that you continue having mammograms, be sure to find a radiology center that specializes in performing x-rays on women who have had breast reconstruction surgery and advise you of this before having a mammogram.


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