Mastectomy is a type of breast cancer surgery that involves removing all breast tissue. The procedure may be part of the treatment for various types of breast cancer to remove tissue containing cancer cells and help prevent the cancer from spreading. After mastectomy, some patients may also require other cancer treatments to address cancer cells that may remain in the surrounding tissue.
For some women, losing a breast after mastectomy is not only about physical changes. It can also affect self-confidence and how they see themselves. The good news is that the breast can be reconstructed through breast reconstruction surgery after mastectomy.
At Mandaya Royal Puri Hospital, breast reconstruction can be performed using breast implants or fat tissue taken from the patient’s own body. The procedure can be performed at the same time as mastectomy or at a later stage, allowing patients to consider their reconstruction options based on their medical condition and individual needs.
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Breast reconstruction surgery after mastectomy at Mandaya Royal Puri Hospital
The following are the breast reconstruction options available after mastectomy at Mandaya Royal Puri Hospital:
1. Breast reconstruction with implants
One technique that can be used for breast reconstruction after mastectomy is breast implant reconstruction. Breast implants are round and have a silicone outer shell filled with saline solution (sterile salt water) or silicone gel. The implant is placed to replace the breast tissue removed during mastectomy, helping restore the breast’s shape and volume.
Before undergoing mastectomy, patients can consult with a plastic surgeon to discuss suitable reconstruction options. An early consultation allows the doctor to assess the patient’s condition and plan the reconstruction technique, including whether implant reconstruction may be an appropriate option. This also gives patients time to understand the available options and determine their treatment plan together with their doctor.
2. Breast reconstruction using the patient’s own fat tissue
In addition to implants, breast reconstruction after mastectomy can also be performed using the patient’s own body fat. This option may be considered by patients who do not want implants or in certain situations where other reconstruction techniques may not be suitable.
Breast reconstruction using the patient’s own fat is generally performed in stages. After mastectomy, the skin in the chest area may first be stretched using a specialized device such as an EVE-bra to prepare the area for reconstruction.
The doctor then removes fat from certain areas of the body, such as the abdomen, back, hips, or thighs, using liposuction. The fat is processed and then injected into the chest area to help recreate the breast. Because the procedure uses tissue from the patient’s own body, it is one of the reconstruction options that can be discussed with a doctor based on the patient’s condition and needs.
The choice of breast reconstruction technique depends on the patient’s medical condition, breast shape and size, the condition of the tissue after mastectomy, as well as the patient’s needs and preferences. The doctor will first evaluate the patient’s condition to determine whether implant reconstruction or reconstruction using the patient’s own fat tissue is more appropriate. Consulting with a surgeon before mastectomy can also help patients understand the available options and develop a suitable reconstruction plan.
Read also: 5 Early Signs of Breast Cancer
Mastectomy and breast reconstruction specialists at Mandaya Royal Puri Hospital
1. dr. Abdul Rachman, Sp.B (K) Onk

dr. Abdul Rachman is a surgical oncology specialist who completed his medical degree at Trisakti University, followed by General Surgery and Surgical Oncology training at the University of Indonesia. To further strengthen his expertise, he has also participated in various courses and training programs in surgery and oncology, including the Workshop Minimal Invasive Surgery, RFA and VABB, Workshop Oncoplasty, Microsurgery in Management of Cancer, as well as Laparoscopic in Breast Cancer and Reconstruction with Implant training at National Cheng Kung University Hospital.
With this background, dr. Abdul Rachman treats various conditions requiring surgical oncology procedures, including breast cancer. At Mandaya Royal Puri Hospital, he can help patients undergo evaluation and treatment for breast cancer, including mastectomy when indicated based on each patient’s condition.
dr. Abdul Rachman, Sp.B (K) Onk is available at Mandaya Royal Puri Hospital on:
- Tuesday: 06:00–18:00 WIB
- Thursday: 06:00–18:00 WIB
- Saturday: 09:00–12:00 WIB
2. dr. Enos H. Siburian, Sp.B (K) Onk

dr. Enos H. Siburian is a surgical oncology specialist who completed his medical degree at Universitas Kristen Indonesia and continued his General Surgery training at Sam Ratulangi University in Manado. He has experience treating various types of cancer that require surgical management, including breast cancer, colon cancer, thyroid cancer, stomach cancer, lung cancer, melanoma and skin cancer, pancreatic cancer, as well as other types of cancer.
In addition to conventional surgery, dr. Enos is also experienced in minimally invasive procedures, including laparoscopy. In breast cancer management, evaluation by a surgical oncologist is important to determine the patient’s condition and the appropriate treatment, including whether mastectomy may be indicated.
dr. Enos H. Siburian, Sp.B (K) Onk is available at Mandaya Royal Puri Hospital on:
- Wednesday: 13:00–15:00 WIB
- Thursday: 09:00–11:00 WIB
- Friday: 13:00–15:00 WIB
3. dr. Sara Ester Triatmoko, Sp.B.P.R.E., Subsp.M.O. (K)

dr. Sara Ester Triatmoko, Sp.B.P.R.E., Subsp.M.O. (K) completed her medical degree and Plastic Reconstructive and Aesthetic Surgery specialist training at the University of Indonesia. She then further developed her expertise in microsurgery and oncoplastic surgery, supporting her ability to manage complex reconstruction cases, including those involving breast cancer patients who have undergone mastectomy.
One of dr. Sara’s areas of expertise is breast reconstruction. The procedure is performed to help restore the breast’s shape after mastectomy, allowing patients to regain their body shape and potentially feel more comfortable and confident after undergoing cancer treatment. Through oncoplastic and microsurgical approaches, reconstruction options can be tailored to the condition of the tissue and the individual needs of each patient.
When determining the appropriate treatment, dr. Sara also prioritizes communication with her patients. Consultation is conducted to understand the patient’s condition, needs, and expectations before deciding on the most appropriate reconstruction method.
dr. Sara Ester Triatmoko, Sp.B.P.R.E., Subsp.M.O. (K) is available at Mandaya Royal Puri Hospital on:
- Tuesday: 17:00–19:30 WIB
- Thursday: 17:00–19:30 WIB
To make your visit to Mandaya Royal Hospital Puri easier, use the Chat via WhatsApp, Book an Appointment, or the Care Dokter app, which can be downloaded from Google Play and the App Store. These services allow you to arrange your visit, check your queue number, and access other information.
*The information provided on this page is intended for educational purposes and offers a general overview. It does not represent the full range of medical services that may be provided by each doctor. To determine the most appropriate treatment for your condition, consultation with the relevant doctor is recommended.
If you have any questions, suggestions, or need further information, please contact our call center at 0811-1900-2000.
References:
- Cleveland Clinic. Mastectomy. https://my.clevelandclinic.org/health/procedures/21221-mastectomy. Accessed October 1, 2026.
- Breastcancer.org. Implant Reconstruction. https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction. Accessed October 1, 2026.
- American Society of Plastic Surgeons. Fat Transfer May Offer Another Breast Reconstruction Option After Mastectomy. https://www.plasticsurgery.org/news/press-releases/fat-transfer-may-offer-another-breast-reconstruction-option-after-mastectomy. Accessed October 1, 2026.

