Breastreconstruction.

Implant-based and autologous (DIEP, TRAM) breast reconstruction after mastectomy — performed by ISAPS-credentialed reconstructive surgeons, often in coordination with oncology teams in your home country.

Overview

Reconstruction after breast cancer is one of the most demanding pieces of plastic surgery we perform — and one of the most rewarding. Most full reconstructions take two to three stages over twelve to eighteen months.

Gede Wara Samsarga
Specialistdr. Gede Wara SamsargaPlastic Surgery — Craniomaxillofacial Subspecialty
Read profile

The consultation

Every reconstruction begins with a detailed consultation — in person or by video — with your surgical record, pathology report, and any radiation history in hand. We assess skin quality, chest-wall anatomy, donor sites, and any constraints imposed by prior treatment. Where possible, we involve your oncologist directly. Patients flying from abroad receive a pre-consultation checklist and a detailed written plan before they book flights.

Choosing your technique

The right reconstruction depends on your anatomy, treatment history, and how much downtime you can take. Implant-based reconstruction is faster and involves less donor-site morbidity; autologous reconstruction (DIEP, TRAM) uses your own tissue, lasts a lifetime, and tends to produce the most natural result. We will recommend the approach that suits you specifically — not the one that is easiest for us.

The procedure

Implant-based reconstructions take two to three hours under general anaesthetic. Autologous flap reconstructions are longer — six to eight hours for a DIEP, five to seven for a TRAM — and require microsurgical expertise. All procedures are performed in our ACHSI-accredited theatres with two-night hospital observation and a private nursing team in your villa from day three.

Recovery & staging

Most reconstructions are staged: primary surgery, then a symmetrising procedure or nipple reconstruction three to six months later. Recovery from the first stage is ten to twenty-one nights on the island, depending on the procedure. We provide full insurance documentation and coordinate directly with your home oncologist for continuity of care.

Treatments

The full list, with our typical price-from. Tap any treatment to expand details. Final quote is tailored after consultation.

Direct-to-implant reconstruction for select patients with adequate skin and minimal radiation history.

Duration

2–3 hours · general anaesthetic

Recovery

10 nights on-island recovery

What’s included
  • Pre-op imaging and oncology coordination
  • Theatre, anaesthetic & overnight observation
  • 7 nights in private recovery villa
  • Daily nursing visits
  • Two surgeon reviews
  • Insurance documentation pack
  • 12-month telehealth follow-up

Expander placed first, exchanged for permanent implant in a second operation.

Duration

Stage 1: 2 hours · Stage 2: 90 minutes

Recovery

10 + 7 nights on-island across two visits

What’s included
  • Both surgical stages
  • Theatre, anaesthetic & observation
  • Recovery villa for both stages
  • Daily nursing visits
  • Expansion appointments
  • Insurance documentation pack
  • 12-month telehealth follow-up

Reconstruction using your own abdominal tissue — most natural result, longest recovery.

Duration

6–8 hours · general anaesthetic

Recovery

21 nights on-island; 8 weeks to full activity

What’s included
  • Microsurgical theatre time
  • Theatre, anaesthetic & two-night observation
  • 14 nights in private recovery villa
  • Daily nursing and physiotherapy
  • Lymphatic drainage sessions
  • Insurance documentation pack
  • 12-month telehealth follow-up

Alternative autologous reconstruction using abdominal tissue with muscle.

Duration

5–7 hours · general anaesthetic

Recovery

21 nights on-island; 10 weeks to full activity

What’s included
  • Theatre, anaesthetic & two-night observation
  • 14 nights in private recovery villa
  • Daily nursing and physiotherapy
  • Lymphatic drainage sessions
  • Insurance documentation pack
  • 12-month telehealth follow-up

Final stage of breast reconstruction — local flap and tattooing for natural appearance.

Duration

60–90 minutes · local + sedation

Recovery

5 nights on-island

What’s included
  • Surgical nipple reconstruction
  • 3D medical tattooing
  • Two follow-up reviews
  • Touch-up tattoo session (if needed)

Lift, augmentation, or reduction of the opposite breast to match the reconstructed side.

Duration

2–3 hours · general anaesthetic

Recovery

10 nights on-island

What’s included
  • Theatre, anaesthetic & overnight observation
  • 7 nights in private recovery villa
  • Daily nursing visits
  • Insurance documentation if applicable
  • 12-month telehealth follow-up

What’s covered

Every programme includes the following, performed by the named specialist.

Pre-op planning & oncology coordinationPerformed by
Wara
dr. Wara
Surgical reconstructionPerformed by
Wara
dr. Wara
Microsurgical & flap proceduresPerformed by
Indra
dr. Indra
Post-operative nursing carePerformed by
Astri
dr. Astri
Insurance documentation packPerformed by
Wara
dr. Wara

Frequently asked

Yes — delayed reconstruction is common and in many ways more flexible than immediate reconstruction, because the chest wall has settled and the oncology picture is clearer. We assess radiation damage and skin quality before recommending a technique.
Most patients need two to three stages: the primary reconstruction, a symmetrising procedure to match the opposite breast, and a nipple-areola reconstruction. We sequence these over twelve to eighteen months. Some patients require fewer stages.
Implant-based reconstruction is faster, involves less donor-site impact, and suits patients who want a shorter overall programme. DIEP uses your own abdominal tissue, produces a more natural feel, ages with your body, and lasts a lifetime without the need for implant replacement.
Many policies cover breast reconstruction after mastectomy. We provide a full surgical documentation pack — reports, itemised cost breakdown, procedure codes — to support your claim. We cannot guarantee coverage, but our paperwork is thorough.
An Invitation

Begin your
journey.

A private consultation, treatment plan, and stay — coordinated as one. A concierge will reply within twenty-four hours.

Plan Your Treatment