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Breast Reconstruction in Irvine & Ladera Ranch

Expert Surgeons
4.9 Google Rating
Serving Orange County Since 2012

About Breast Reconstruction

Many of us know firsthand how devastating the diagnosis of cancer is. Learning you need a mastectomy or lumpectomy is life-changing, but it doesn’t have to define your future. Breast reconstruction restores feminine curves, renews confidence, and helps many survivors feel like themselves again. Whether you choose implants or natural tissue, our surgeons guide you through every step so you can focus on healing and reclaiming your power.

Procedure Quick Facts

Duration of Procedure:

2-6 hours

Anesthesia:

General anesthesia

Recovery:

6-8 weeks for most patients

Results Duration:

Long-lasting / permanent
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What is Breast Reconstruction?

Breast reconstruction is a surgical procedure that rebuilds one or both breasts after mastectomy or lumpectomy. Using implants, natural tissue flaps, or a combination of both, the surgery recreates the breast mound, improves symmetry, and replaces or reshapes the nipple-areolar complex when needed. Reconstruction can occur immediately after cancer surgery or be delayed until treatments such as chemotherapy or radiation are complete.

What Breast Reconstruction Can Do for You

Many women are comfortable with a prosthetic breast to appear symmetric in clothing, while others feel that reconstructing the breast and the complete restoration of feminine curves is essential in the journey to wellness.

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If you have a mastectomy scheduled or have undergone a lumpectomy or mastectomy for breast disease and are interested in learning about your options for breast reconstruction in Ladera Ranch, please get in touch with South Coast Plastic Surgery to set up a consultation. Dr. Kyle Song or Dr. Paige Benyamein will be honored to work  closely with you to develop a reconstruction plan that restores your silhouette and peace of mind.

  • Restore Feminine Contours
    Reconstruction recreates natural-looking curves, allowing clothing to fit comfortably and helping many women feel whole and confident in their appearance.
  • Emotional Healing
    Rebuilding the breast can ease the psychological impact of cancer treatment, providing closure and supporting a positive self-image during survivorship.
  • Symmetry in Clothing & Swimwear
    With a balanced silhouette, patients often feel more at ease wearing fitted tops, swimsuits, and exercise gear without relying on prostheses.
  • Permanent Solution
    Unlike external prosthetics that require daily placement, reconstructed breasts remain part of your body, simplifying routine and lifestyle.
  • Insurance Coverage
    Under the Women’s Health and Cancer Rights Act, most health insurance plans are required to cover breast reconstruction, nipple reconstruction, and symmetry procedures.
  • Customized to Your Goals
    Choose between implants, natural tissue, or a staged approach—our surgeons design every detail around your anatomy, preferences, and healing timeline.

Breast Reconstruction Videos

Watch our videos to see real patients results, learn from our experts, and discover what makes South Coast Plastic Surgery a trusted choice in Orange County.

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Key Benefits of Breast Reconstruction Surgery in Irvine and Ladera Ranch

Natural-looking shape and feel
Improved confidence after cancer treatment
Clothing versatility without external prosthesis
Comprehensive insurance coverage for most patients
Why We’re Different

Types of Breast Reconstruction

Breast reconstruction isn’t one single procedure. It’s a set of options that can restore breast shape after mastectomy (removal of the breast) or help reshape the breast after lumpectomy (removal of part of the breast). Most reconstruction falls into two main categories: implant-based reconstruction or flap (your own tissue) reconstruction.

During your consultation, your surgeon will help you understand which approach fits your anatomy, cancer treatment plan, and personal goals, including whether reconstruction is best done immediately (at the time of mastectomy) or delayed (after other treatments).

Implant-Based Breast Reconstruction

Implant-based reconstruction rebuilds the breast mound using a saline or silicone breast implant. We will work with your cancer surgeon in planning your reconstruction. When possible, it will be performed immediately after your mastectomy. This is called an “immediate reconstruction”.

  • Direct-to-implant (selected cases): In some patients, the implant may be placed at the time of mastectomy, depending on skin quality, surgical plan, and overall treatment needs.

In other cases, a staged approach will be required. A tissue expander may be needed to stretch the skin to accommodate an implant. The expander has a port through which saline solution is added over time. This may require several months.

  • Tissue expander → implant (staged reconstruction): A tissue expander (a temporary device) is placed first and gradually filled over time. Later, it’s exchanged for a permanent implant.

Flap Breast Reconstruction (Using Your Own Tissue)

Flap reconstruction uses tissue from another area of your body to form the breast mound. This tissue may come from the abdomen or other donor areas depending on what’s safest and appropriate for you.

Because flap reconstruction involves both the breast and a donor site, recovery is typically longer than implant-only reconstruction. Many patients value that the reconstructed breast is made from their own tissue, which can feel soft and natural.

The last step may be to reconstruct a natural-looking nipple. The skin is formed into a nipple shape with sutures, and as the final step, it will be tattooed to create the appearance of a nipple. The result is remarkably natural in appearance.

If radiation or chemotherapy is required, reconstruction may be postponed. This approach allows tissues to heal fully before creating the breast mound.

Combines an implant with a small flap or fat grafting to achieve optimal volume, softness, and projection, especially useful for women with limited donor tissue.

When cancer margins allow, the native nipple-areolar complex is preserved and repositioned on the new breast mound for the most natural appearance.

If the nipple was removed, a final-phase procedure sculpts a nipple from skin and completes the look with realistic tattoo pigmentation.

Not Sure Which Option is Right for You?

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Meet Your Breast Reconstruction Surgeons

At South Coast Plastic Surgery, our acclaimed plastic surgeons, Dr. Kyle Song and Dr. Paige Benyamein, will perform your breast procedure. Their artistry and skill in this delicate procedure have led to a reputation for outstanding outcomes. You can expect your procedure to be 100% customized, with a focus on achieving a beautifully balanced figure and natural-looking results.

Why Choose South Coast Plastic Surgery for Your Breast Reconstruction Surgery in Irvine and Ladera Ranch?

Beauty Inside-Out

We care for your inner wellness as much as your outer beauty. Every treatment is provided with warmth and exceptional care to help you feel confident and supported.

Clear Expectations from the Start

Share your goals in detail before you even arrive using Adoreal's personalized assessment. Your specialist will understand exactly what you're hoping to achieve before your consultation begins, making your visit more focused and personal.

Dedicated Follow-Up Support

Your care doesn't end when you leave our office. Our team provides personalized check-ins to monitor your results, answer any questions, and make sure you're completely satisfied with your outcome.

Precision & Artistry

Your treatment is performed by highly trained specialists
who understand facial anatomy at the deepest level. We combine technical precision with an artistic eye to enhance your natural beauty while keeping you looking like you.

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A Customized Approach to Breast Procedures in Irvine & Ladera Ranch

Breast reconstruction is a highly personal process, shaped by your cancer treatment, anatomy, and what you want to restore after surgery. At South Coast Plastic Surgery, reconstruction planning focuses on understanding your medical history, the type and timing of your cancer surgery, the condition of your skin and chest wall, and whether additional treatments like radiation are involved. Your plan is designed to align with both your physical healing and your personal goals—whether that means restoring natural appearance, improving symmetry, or helping you feel more comfortable in your body as you move forward.

Before your consultation, you can complete a brief personalized assessment from home, helping us understand your specific goals, concerns, and timeline. During your visit, we'll use advanced 3D imaging to show you a realistic preview of your potential results, giving you confidence and clarity in your decision. 

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What to Expect During Your Breast Reconstruction Consultation

This personalized assessment ensures your consultation is tailored to your unique goals from the moment you walk in.

See Your Future Self

With Crisalix 3D visualization, preview your potential aesthetic outcomes from home. This advanced technology shows personalized results, helping you feel confident and informed about your path forward.

Am I a Good Candidate For Breast Reconstruction?

Most women who have undergone or will undergo mastectomy or lumpectomy are candidates. Optimal timing, technique, and materials vary based on cancer stage, additional treatments, and personal goals.
Completed or planned mastectomy/lumpectomy
Cleared by oncology team for surgery
Adequate skin or donor tissue availability
Realistic expectations
Commitment to recovery timeline
Stable overall health
Non-smoker or willing to quit
Desire to restore breast shape and symmetry
Willingness to follow post-operative guidelines

Help Us Understand Your Unique Goals & Concerns

This personalized assessment ensures your consultation is tailored specifically to you, with no obligation. Your wellness journey, our commitment.

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Your Breast Reconstruction Journey and Recovery

From your first consultation to your final results, you’re guided through every stage of your Breast Reconstruction journey with personalized support, automated instructions, and 24/7 access to your care team. This is your journey, we just make it easier. 

Comprehensive Consultation & Assessment

Your journey begins with a detailed consultation with one of our experienced reconstructive surgeons. This visit focuses on understanding your diagnosis, prior or upcoming cancer treatment, and what breast reconstruction means to you personally.

During this stage, your surgeon will:

  • Review your medical and surgical history
  • Discuss whether reconstruction is best performed immediately or in stages
  • Explain available reconstruction options and timelines
  • Coordinate planning with your breast surgeon or oncology team when needed

Together, you’ll develop a plan that aligns with your treatment schedule and supports both physical healing and long-term comfort.

Breast Reconstruction Surgery Options

Breast reconstruction may be performed using different techniques depending on your anatomy and treatment plan:

  • Implant-Based Reconstruction:
    Uses saline or silicone implants to recreate the breast shape. In many cases, a tissue expander is placed first and gradually filled over time before exchanging it for a permanent implant.
  • Flap (Autologous Tissue) Reconstruction:
    Uses healthy tissue from another area of your body—most commonly the abdomen—to create a breast mound. Because both the breast and donor site must heal, recovery is typically longer, but the reconstructed breast is made entirely from your own tissue.

Your surgeon will explain which approach—or combination—is safest and most appropriate for you.

Immediate vs. Staged Reconstruction

Timing is an important part of breast reconstruction planning.

  • Immediate reconstruction may be performed at the same time as mastectomy when medically appropriate.
  • Staged or delayed reconstruction may be recommended if additional cancer treatments, such as radiation or chemotherapy, are needed first.

Your reconstruction timeline is always tailored to your health and treatment priorities.

Recovery After Breast Reconstruction

Recovery varies depending on the type of reconstruction performed. Most patients spend 2–5 days in the hospital following surgery so your care team can closely monitor healing and ensure the reconstructed tissue is healthy.

Once home, recovery focuses on rest, gradual movement, and rebuilding strength.

Typical recovery expectations include:

  • Fatigue, swelling, and discomfort that improve gradually
  • Activity restrictions to protect healing tissue
  • Physical therapy or guided exercises to restore mobility and support daily activities

Most patients require 6–8 weeks for initial recovery, with many returning to work and routine activities after this period. Healing continues beyond this timeframe, especially for staged procedures.

Nipple Reconstruction (Optional Final Step)

For patients who choose it, nipple and areola reconstruction may be performed after the breast mound has fully healed. This step may involve shaping local skin to form a nipple, followed by medical tattooing to recreate natural color and detail.

Nipple reconstruction is optional and entirely based on personal preference.

Complete healing takes approximately 3-6 months. During this time:

  • Month 2 - 3

  • Month 3 - 6:

  • Long Term

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What Kind of Implants Do We Offer?

Plastic surgeons in the U.S. now have four main choices of manufacturers of silicone and saline breast implants with FDA approval. At South Coast Plastic Surgery we offer: Motiva, Sientra, Allergan, and Mentor, providing you with the broadest range of high-quality options to achieve your ideal outcome.

Motiva Silicone Gel Implants

Motiva® Round and Ergonomix® implants are now FDA-approved for augmentation (primary and revision). These implants feature the patented SmoothSilk® surface designed to enhance biocompatibility and lower inflammation. They also include an ergonomic gel shell that helps the implant adapt to body position. Clinical trial data show very low complication rates: e.g., less than 1% for capsular contracture or rupture.

At South Coast Plastic Surgery, we now recommend Motiva as our first line option for patients seeking advanced silicone gel implants with the latest safety and ergonomic design.

Sientra Silicone Gel Implants

Sientra silicone gel breast implants are available only to board-certified plastic surgeons and are not available to MD’s who have not gone through the rigorous training to achieve board-certification. Sientra implants are produced with the latest in silicone gel technology, creating an implant that is formable.

These implants have the advantage of retaining their shape whether you are standing up or lying down, which prevents them from rippling or folding in their shells. Sientra implants have an extremely low rupture rate, which reduces the risk of the need for a secondary surgery due to a ruptured implant.

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Mentor Cohesive Gel Implants

We also offer Mentor cohesive gel implants, known for their natural feel and proven safety record. Mentor implants provide excellent shape retention and are a popular choice among patients seeking balanced, natural-looking results.

Allergan Semi-Solid Implants

Allergan semi-solid implants offer another premium option, providing a soft, natural feel with excellent durability. These implants are designed to maintain their shape while moving naturally with your body.

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Is Saline or Silicone Best?

For women younger than 22 years of age, saline implants are the only commercially available option for cosmetic breast augmentation. Some women opt for saline because they are more comfortable with the idea of an implant made with a saltwater solution. Saline implants are not filled until after insertion, so the incisions can be slightly smaller than those needed when placing silicone implants.

What’s right for you?

The majority of women prefer silicone implants as they tend to produce a more natural look and feel. Today’s silicone gel is semi-firm to the touch yet is still malleable and pliant, and closely mimics the bounce and feel of natural breast tissue.

What Are Anatomical Breast Implants?

In breast augmentation, the shape of the implant plays a key role in determining your final breast appearance.

‍Teardrop-Shaped Implants

‍Anatomical implants are shaped like a natural breast, with more volume concentrated at the bottom and tapering off toward the top. These teardrop-shaped implants are more popular for women with little natural breast tissue in performing breast reconstruction surgery. Anatomical implants are also the most common implant shape of choice for older women, as the graduated shape more closely resembles the natural appearance of a breast at that stage of life.

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What Are Round Breast Implants?

Round Breast Implants

Round implants provide volume throughout the breast, including the upper portion of the breast. While some women seek this aesthetic, as it gives a full, high look, others believe that this upper volume makes the implants look too unnatural.

During your consultation, Dr. Song or Dr. Benyamein will help you determine which implant shape best suits your anatomy and aesthetic goals.

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Breast Reconstruction Results and Safety Considerations

Breast reconstruction is a highly individualized process. Understanding how surgical approach, healing, and cancer treatment factors influence results can help you feel informed and confident as you move forward.

Achieving Natural-Looking Results

Natural-looking breast reconstruction results depend on careful planning, realistic expectations, and techniques tailored to your anatomy and treatment history. The goal of reconstruction is not perfection, but restoration, helping recreate breast shape, symmetry, and proportion in a way that feels balanced with your body.

At South Coast Plastic Surgery, reconstructive planning considers whether one or both breasts are involved, the condition of the chest wall and skin, and how prior treatments such as radiation may affect healing. When appropriate, reconstruction can restore a natural breast contour, improve balance in clothing, and help many patients feel more comfortable in their appearance.

Results often continue to refine over time, especially for staged reconstruction, as swelling resolves and tissues settle.

  • Existing mastectomy or lumpectomy scars
  • Additional incisions for implant placement or flap surgery
  • Donor-site scars if tissue is taken from another part of the body

Scars are planned carefully and placed whenever possible to align with natural contours or existing surgical lines.

  • Weeks 1–2: Redness, firmness, and swelling are normal
  • Months 1–3: Scars begin to soften and flatten
  • 6 months to 1 year: Gradual fading continues
  • Beyond 1 year: Scars often become lighter and less noticeable

Your surgeon will provide guidance on scar care and follow-up to support healthy healing.

Understanding Risks and Safety

Medical examination room with a treatment table covered in white sheets and various medical equipment against the walls.

Breast reconstruction is generally safe when performed by experienced plastic surgeons in an accredited facility. However, reconstruction involves more variables than cosmetic surgery due to its close relationship with cancer treatment.

  • Infection or delayed wound healing
  • Bleeding or fluid accumulation
  • Changes in skin sensation
  • Implant-related complications (when implants are used)
  • Partial or delayed healing of transferred tissue (for flap reconstruction)

These risks are influenced by factors such as radiation therapy, smoking history, overall health, and surgical timing.

  • Careful coordination with your oncology and breast surgery team
  • Thoughtful selection of reconstruction technique
  • Staged planning when needed to support healing
  • Close post-operative monitoring and follow-up care

By choosing an experienced reconstructive team and following recovery guidelines closely, most patients heal safely and achieve meaningful reconstructive outcomes.

How Much Does Breast Reconstruction Cost in Irvine, CA?

Breast reconstruction surgery is your right, and most health insurance companies are required to cover the cost of this surgery under the Women’s Health and Cancer Rights Act. Unfortunately, some plans (such as government or church plans) may not be required to cover the surgery. Our Patient Care Coordinators can help verify your insurance benefits, for detailed pricing and options, please contact us.

Financing options available through:
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Trusted by Our Community

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4.8/5 stars for 334 reviews / 90% word-of-mouth referral rate / Over 15 years serving Orange County

Dr. Song performed my breast implant surgery nearly 10 yrs ago with the ideal breast implant. I've had no issues in this time. I live on the other side of the country now, but I would've loved to come back for removal, since I'm on an all natural journey. I hope to find someone who can take care of me, keep me safe, & assured during & after surgery as Dr. Song & his staff did.

N. Snoozzz

Dr. Song is not only the most personable doctor I've met, but he also is well educated and has years of experience in his field. He made me feel very comfortable and he was there to answer all my questions and concerns. I highly recommend him for any cosmetic procedure. I would suggest going to hiim FIRST before anywhere else. 5 plus stars!

Kasia Harmata
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Related Treatments

Nipple Repair
Breast Augmentation
Breast Reconstruction

Frequently Asked Questions About Breast Reconstruction

Everything you need to know about Breast Reconstruction, explained by South Coast Plastic Surgery's experts

About The Procedure

Is breast reconstruction mandatory after mastectomy?

No. Reconstruction is entirely optional. Some women choose external prostheses or no replacement at all, while others feel reconstruction completes their journey.

Can reconstruction be done at the same time as mastectomy?

Yes. Immediate reconstruction is performed during the same surgery, allowing you to wake up with a breast mound already in place.

What is the difference between implant and flap reconstruction?

Implants recreate volume with silicone or saline devices, while flaps use your own tissue from another body area. Flaps provide a more natural feel but involve longer surgery.

Will my new breast have sensation?

Sensation often decreases initially. Some feeling may return over time, especially with nerve-sparing or reconnection techniques, but full sensation is not guaranteed.

Recovery & Results

How long will I stay in the hospital?

Most patients stay 2-5 days for flap reconstruction and 1-2 days for implant-based procedures to ensure safe early healing.

When can I return to work?

Desk jobs typically resume within 2-3 weeks, while physically demanding roles may require 4-6 weeks or more, depending on your procedure.

Are drains always required?

Drains are common in both implant and flap reconstructions to remove excess fluid and are usually removed within 1-2 weeks.

Will I need additional surgeries?

Many patients require at least one revision for symmetry or nipple reconstruction. Implant replacements may be needed in the future.

Safety & Risks

Can I exercise after reconstruction?

Light walking starts right away. Most women resume full workouts by 6-8 weeks, but heavy chest exercises may need extra time.

What happens if an implant ruptures?

Saline leaks are absorbed safely; silicone ruptures usually remain within the capsule. Both situations warrant replacement to maintain shape and safety.

Is there a risk of cancer returning in the reconstructed breast?

Reconstruction does not increase recurrence risk. Ongoing surveillance remains essential, including self-exams and imaging as recommended.

Can radiation damage my reconstruction?

Radiation can affect implant capsules and flap volume. Timing reconstruction after radiation or choosing flap techniques can minimize issues.

Cost & Insurance

Does insurance cover breast reconstruction?

Under the Women’s Health and Cancer Rights Act, most insurance plans cover reconstruction, nipple procedures, and surgery for the opposite breast to improve symmetry.

Are there out-of-pocket costs?

Copays, deductibles, or materials upgrades (such as premium implants) may incur fees. We clarify all costs before scheduling.

Lifestyle & Long-Term Care

Can I breastfeed after reconstruction?

Breastfeeding is unlikely after mastectomy, regardless of reconstruction type, because milk ducts are removed during cancer surgery.

How often should implants be checked?

We recommend annual clinical exams and MRI or ultrasound every few years to monitor implant integrity.

Will my reconstructed breast change over time?

Natural aging, weight fluctuations, and gravity affect all breasts. Flap tissue ages naturally; implants may need replacement over time.

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How do you reduce infection risk?

We use sterile protocols, peri-operative antibiotics, and ADM or precise pocket creation to lower infection rates.

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