07/09/2026
When radiation is part of the breast reconstruction journey, timing matters. A common approach is:
→ Mastectomy + Tissue Expander or Implant
→ Wait 4–6 weeks
→ Radiation Therapy
→ Wait 3–6 months
→ Autologous Reconstruction
→ Wait 3–6 months
→ Revision Procedures as Necessary
Why use a tissue expander first? The expander acts as a placeholder, preserving the skin envelope and maintaining the breast footprint during radiation treatment. This helps protect the shape of the breast and creates a better foundation for the final reconstruction.
By delaying autologous reconstruction until after radiation, we can avoid exposing the final flap reconstruction to radiation-related changes that may affect long-term aesthetic outcomes.
Every patient’s timeline is unique, but thoughtful staging can help optimize both healing and results. Call us at 310-620-8750 for an in-person or virtual consultation to learn what reconstruction timeline may be right for you.