One big advantage of a direct-to-implant approach is that you only need one operation. Your surgical oncologist performs a mastectomy and then your plastic surgeon immediately inserts a breast implant and performs finishing work. This means no waiting, no tissue expanders. Surgery is stressful enough, and a Direct-to-Implant approach means you only have to endure it once. In a single session, cancer can be removed and the shape of your breast can be restored to put you on the path to feeling whole again.