When one is about to undergo the procedure for a mastectomy the patient will be put under a general anesthetic. The patient will then fall completely asleep and the plastic surgeons can go about their work without the fear of causing pain in the patient. Then the plastic surgeon will begin to perform the actual removal; there are several different variants and the type used depends on many different factors. They are: Subcutaneous Mastectomy, Total Mastectomy, Modified Radical Mastectomy and Radical Mastectomy. The first type, or subcutaneous removal process is used on patients that need to have the entire breast removed. However, the nipples and dark area around them is left. Next, the Total Mastectomy removes the entire breast, including the nipple, down to the muscle and is generally the procedure used when removing both breasts. A Modded radical procedure entails that the entire breast be removed as well as the lymph nods underneath the arms of the patient if they have been infected. Lastly, there is the radical mastectomy plastic surgery procedure which entails that the patient’s skin covering the breast is removed but not the breast itself, the lymph nods will also be taken out. This is least common type of breast reconstruction procedure. All of the above cosmetic surgery procedures entails many risks and can not be performed on everyone.