For many people going through breast cancer treatment, choosing to have breast reconstruction after a mastectomy is a deeply personal decision. But what happens when only one breast has been removed? Rebuilding one side can leave the other looking different. That’s where symmetry surgery comes in. It’s a way to create better balance between both breasts—so clothes fit better, bras feel more comfortable, and most importantly, patients feel more like themselves again.
Dr. Robert Kratschmer, board certified plastic surgeon, offers both breast reconstruction and symmetry procedures to help women feel confident in their bodies after breast cancer surgery. Let’s break down what that means and how the process works.
Why Symmetry Matters
After a mastectomy on one side, patients often notice a difference in size, shape, or position between their natural breast and the reconstructed one. These differences can make it hard to wear certain clothing or feel comfortable without extra padding or support. Symmetry surgery is a solution to help both breasts look more alike, even if one is completely reconstructed and the other is natural.
This surgery is not just cosmetic—it can improve quality of life. It allows for more comfort, confidence, and a feeling of physical balance that many women miss after their initial cancer treatment is over.
Common Types of Symmetry Surgery
The right approach depends on the patient’s goals, body type, and medical history. Here are the most common symmetry procedures used along with breast reconstruction:
1. Breast Lift (Mastopexy)
A breast lift raises and reshapes a sagging breast to better match the position of a reconstructed breast. This is often a good option when the reconstructed breast sits higher on the chest.
2. Breast Reduction
If the natural breast is larger than the reconstructed one, a reduction may be recommended to match the size. This is especially helpful for women with back or shoulder pain from larger breasts.
3. Breast Augmentation
In some cases, a small implant can be placed in the natural breast to better match a reconstructed breast. This is ideal when the reconstructed breast is fuller or rounder than the remaining breast.
4. Fat Grafting
This involves transferring fat from one part of the body (like the thighs or abdomen) into the breast to smooth out small irregularities or add volume. Fat grafting can be used on either the reconstructed or natural breast.
When Is Symmetry Surgery Done?
Symmetry procedures are often done during the final stage of breast reconstruction but can also be scheduled as a separate surgery later on. The timing depends on the patient’s recovery, cancer treatment plan, and personal preference.
Dr. Robert Kratschmer, plastic surgeon in Houston, works closely with each patient to build a timeline that fits their needs—whether that means combining surgeries or spacing them out for easier recovery.
Will Insurance Cover It?
Under the Women’s Health and Cancer Rights Act (WHCRA), insurance companies are required to cover not just reconstruction of the breast affected by cancer, but also any necessary procedures to achieve symmetry on the other side. That means in most cases, symmetry surgery is covered when it’s part of cancer-related reconstruction. However, coverage details can vary by plan, so it’s important to check with your insurance provider.
What Are the Risks?
Like any surgery, symmetry procedures come with some risks, including infection, scarring, changes in sensation, or dissatisfaction with results. That’s why it’s important to choose a board-certified plastic surgeon who has experience with both reconstruction and cosmetic breast surgery.
Dr. Robert Kratschmer, Texas plastic surgeon, focuses on patient safety and education. During your consultation, he will explain the risks, benefits, and options in simple terms so you can make an informed decision.
Recovery: What to Expect
Recovery depends on the type of procedure performed. Most symmetry surgeries are outpatient, meaning you go home the same day. Swelling and soreness are common for a few weeks. You may be advised to wear a support bra and avoid heavy lifting or upper body workouts during healing.
Dr. Robert Kratschmer provides a personalized aftercare plan to help make recovery as smooth as possible.
Symmetry Surgery Isn’t About “Perfection”
It’s important to understand that no two breasts are exactly alike—even before surgery. The goal of symmetry procedures isn’t to make everything perfect, but to create balance and help you feel more comfortable in your own body.
For many patients, this step is one of the final pieces in their breast cancer journey. It’s a way to close the chapter on treatment and step into healing and confidence.
What If I Didn’t Get Reconstruction Right Away?
It’s never too late to explore reconstruction and symmetry. Some patients wait months or even years after mastectomy before considering surgery. Whether you’re looking to update previous work or are just now starting to think about options, Dr. Robert Kratschmer can help guide you through what’s possible.
Contact Our Office
If you’re considering breast reconstruction or symmetry surgery, Dr. Robert Kratschmer, board certified plastic surgeon, can walk you through your options. Call us at 281-317-8179, text 855-922-3330, or visit SiliconeMD.com to schedule a consultation.
💬 Breast Reconstruction Q&A
Q: Can symmetry surgery be done at the same time as reconstruction?
A: Yes, in many cases symmetry can be done during the final phase of reconstruction, especially if implants or flap surgery are involved.
Q: Will I need more than one surgery?
A: Some patients get the results they want in one surgery. Others may need adjustments or fat grafting later.
Q: Can I still get symmetry surgery if I had a mastectomy years ago?
A: Yes. It’s never too late to explore options.
Q: Will I lose sensation in my natural breast if I have surgery?
A: Some changes in sensation are possible, especially with a lift or reduction, but they vary from person to person.
Disclaimer: This blog is meant for informational purposes only. Individual results, needs, and outcomes can vary. Consultation with a board-certified professional like Dr. Kratschmer is always recommended to address personal concerns and conditions. This article should not constitute medical advice. Images shown may be of models and not actual patients.
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