Breast Reconstruction After Breast Cancer: Restoring Confidence and Wellness
Dr. Guillaume Anfray, a gynecologist-obstetrician at the Centre hospitalier départemental (CHD) de Vendée in La Roche-sur-Yon, performs approximately 200 breast reconstruction surgeries for cancer patients. According to Dr. Anfray, these procedures may be performed immediately during the initial surgery or as a delayed process six months to two years after treatment ends.
A patient identified as Lisa, a woman in her thirties, received a left breast cancer diagnosis in April 2023. Because the organ required removal, the CHD de Vendée provided her with an immediate reconstruction option.
Dr. Anfray states that immediate reconstruction involves removing the breast and rebuilding it during the same operation. This approach allows patients to avoid the “flat chest” stage of recovery.
How does immediate breast reconstruction work?
Immediate reconstruction happens concurrently with the mastectomy. According to Dr. Anfray, the breast is removed and then reconstructed in a single surgical event.

This method is designed to eliminate the transitional period where a patient has no breast tissue. Lisa noted that not having a chest was “not possible” for her during her recovery process.
What are the options for delayed reconstruction?
Patients may opt for delayed reconstruction, which typically occurs between six months and two years after they finish their treatments. Dr. Anfray specifies that there is no strict time limit for undergoing this operation.
Because these procedures help patients regain their chest appearance, Dr. Anfray advocates for this surgery to be offered on a larger scale to more patients.
What may happen next for breast reconstruction access?
Given Dr. Anfray’s advocacy, it is possible that more hospitals could expand their offerings for these surgeries. A potential next step may involve a broader push to make immediate reconstruction a more standard part of initial cancer care protocols.
Frequently Asked Questions
When is immediate reconstruction performed?
It is performed during the same operation as the removal of the breast.
What is the typical timeframe for delayed reconstruction?
According to Dr. Anfray, delayed reconstruction usually happens six months to two years after the end of treatments.
Is there a deadline for getting a breast reconstruction?
No, Dr. Anfray states there is no time limit for this operation.
How do you feel the availability of reconstructive surgery impacts the overall recovery process for cancer patients?