Breast reconstruction:
restores volume,
the shape and harmony of the chest

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Breast reconstruction to improve
proportion and comfort

Breast reconstruction
Reconstructive surgery to restore volume and symmetry of the breast

MADRID | ZURICH

Book your free consultation

A woman’s breasts play an important role in the perception of femininity, body image and the harmony of the figure. When, due to breast cancer, genetic risk, previous surgery or other medical conditions , the anatomy of the breast is affected, breast reconstruction can form part of the recovery process.

Breast reconstruction is a reconstructive surgical procedure that restores the volume, shape and symmetry of the breast when it has been totally or partially removed, or when its anatomy has been altered by medical treatments or previous procedures.

Depending on the individual case, reconstruction may be carried out using the patient’s own tissue (autologous tissue), breast implants or a combination of both techniques. The aim is not only to restore the appearance of the breast, but also to improve quality of life and restore the harmony of the body’s contours.

DURATION 60 - 180 min
DISCHARGE FROM THE CLINIC Same or next day
RETURN TO WORK 7 - 10 days

DURATION 60 - 180 min
DISCHARGE FROM THE CLINIC Same or next day
RETURN TO WORK 7 - 10 days

SOCIALLY PRESENTABLE 5 - 7 days
ANESTHESIA General
FULL RECOVERY 4-6 weeks

SOCIALLY PRESENTABLE 5 - 7 days
ANESTHESIA General
FULL RECOVERY 4-6 weeks

Motiva

JOY™ is an all-in-one program that offers women a superior breast augmentation experience. It includes the latest Motiva® implant technology with Ergonomix2®, a minimally invasive procedure offered by JOY™ Partners, and support throughout their journey through our digital tools. Dr. Fakin is honored to be part of this project.

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Indications and patient profile

When to consider breast reconstruction

Breast reconstruction is usually considered when the anatomy of the breast has been altered by surgery, illness or medical treatment.

This procedure can be carried out following a mastectomy for breast cancer, but it may also be recommended in cases of loss of breast volume or deformity following breast-conserving surgery, trauma or previous procedures.

In selected patients, breast reconstruction can help:

Restoring breast volume after a mastectomy
Reconstructing the shape of the breast after cancer surgery
Correct deformities or irregularities of the breast
Improve symmetry between both breasts
Restore harmony to body contours

Depending on the individual case, reconstruction may be carried out immediately during breast surgery or at a later stage, once medical treatment has been completed.

The indication depends on factors such as the type of previous surgery, the quality of tissue available, the patient's general health and her preferences regarding the type of reconstruction.

Surgical techniques for breast reconstruction

There are various breast reconstruction techniques, and the choice depends on the patient’s anatomy, previous treatment and the desired outcome.

Reconstruction with autologous tissue

Reconstruction using the patient’s own tissue allows breast volume to be restored without the use of external implants. It can be carried out by:

Autologous fat grafting (lipofilling)
Tissue flaps, such as DIEP or TRAM flaps

These techniques use the patient's own tissue to recreate the breast volume and usually give a very natural result.

Breast implant reconstruction

Another option is to reconstruct the breast using silicone implants. In some cases, a tissue expander is initially inserted, which allows the skin to be gradually stretched until the space required to insert the permanent implant is created.

When it is necessary to reinforce the tissues, acellular dermal matrix (ADM) can be used to improve coverage of the implant and provide greater stability to the result.

Complementary Lipofilling

Fat grafting is frequently used as a complementary procedure in breast reconstruction. This technique allows:

Improving implant coverage
Correcting breast contour irregularities
Improve symmetry between both breasts

Lipofilling is usually performed in the final stages of the reconstructive process to perfect the aesthetic result.

Nipple reconstruction

Nipple reconstruction usually represents the final stage of the reconstructive process. It can be carried out using local flaps or tissue from the other nipple, with the aim of recreating a symmetrical and natural appearance.

Implant and scar reconstruction

In many cases, existing scars from previous surgery can be used as an access route for reconstruction. When there is insufficient skin available, a tissue expander can be used, which allows the skin to be gradually stretched by injecting saline solution until the required volume is achieved.

Once the required expansion has been achieved, the expander is replaced with a permanent silicone implant, thereby achieving the desired volume and shape.

Real-life breast reconstruction testimonial

Stella

Breast reconstruction:
Frequently Asked Questions

Is breast reconstruction always performed after a mastectomy?

Not necessarily. Although it is one of the most frequent indications, it can also be performed to correct deformities or volume loss after previous breast surgery.

Can breast reconstruction be done at the same time as cancer surgery?

Yes, in many cases it can be performed immediately during the mastectomy, although it can also be done at a later stage.

Is it possible to reconstruct the breast using my own tissue?

Yes, autologous tissue reconstruction uses the patient's own tissue to recreate breast volume and often gives very natural results.

Can the nipple also be reconstructed?

Yes, nipple reconstruction is usually performed at a late stage of the reconstructive process.

Are the results permanent?

The results are usually long-lasting, although they can be influenced by factors such as weight changes, ageing or subsequent medical treatments.

Dr. Richard Fakin
Internationally recognised plastic surgeon

Dr. Richard Fakin is a Plastic, Reconstructive and Aesthetic Surgeon with extensive experience in gender-affirming procedures. He specialises in breast surgery, facial surgery and advanced body contouring procedures. His practice combines technical precision, aesthetic sensitivity and a deeply personalised approach to every procedure.

At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to provide medically rigorous care while maintaining a warm, compassionate approach. Each patient receives personalised support, from the first consultation through to postoperative follow-up.

As a boutique plastic surgery clinic, the approach is never standardised. The team takes the time to understand each patient's expectations, carefully assess their anatomy, and develop a surgical plan tailored precisely to their individual case. This personalised structure allows us to maintain the highest standards of quality, confidentiality, and attention to detail in every procedure. Dr. Fakin uses refined surgical techniques that prioritise safety, natural-looking results, and an optimised recovery process. Through meticulous planning and advanced technology, the clinic is able to achieve harmonious results that remain true to each patient’s identity.

Beyond surgical technique, the commitment of Dr. Fakin and his team is reflected in transparent, honest and personalised care, where each patient is treated with dedication and professionalism at every stage of the process.