Breast Reconstruction with Implants

Breast reconstruction after a mastectomy is more frequently performed using implants than flap reconstruction methods. Breast reconstruction with implants often initially requires the use of a tissue expander, but for some patients this step is not necessary.

Breast Reconstruction: Implants after Mastectomy

Breast implants are one of two options for patients considering breast reconstruction after a mastectomy. While breast reconstruction with implants does not always yield as realistic-looking results as tissue-based reconstruction methods, the procedure is less risky and requires less surgery. Generally, implant-based reconstruction results in less scarring and poses fewer risks to the patient than tissue-based reconstruction, making it an attractive option for women who prefer less invasive procedures.

Breast Reconstruction Using a Tissue Expander

Breast reconstruction with implants often requires the use of a tissue expander to create room for the implant before it can be placed. After mastectomy surgery, less skin remains at the site of the breast than existed originally. In order for an implant to be comfortably placed, the surgeon first surgically inserts a balloon-like tissue expander under the chest muscle. At weekly intervals beginning two weeks after surgery, the surgeon injects saline solution into the tissue expander through a small valve located just below the surface of the patient’s skin. Once the tissue expander has sufficiently stretched the skin, the surgeon replaces it with a breast implant. If necessary, a final breast reconstruction operation is performed at a later date to recreate the nipple and areola. Breast reconstruction using a tissue expander generally takes about six to eight weeks.

Breast Reconstruction Using Breast Implants

In some cases of breast reconstruction, using a tissue expander is not necessary. If the patient has enough skin to adequately cover the implant, it can be placed at the time of the mastectomy or at a later date. For patients who qualify, this technique is more convenient than other reconstruction procedures, since it does not require multiple trips to the doctor. If desired, the surgeon can perform a final operation to recreate the nipple and areola.

Whether you are considering breast reconstruction with implants after a mastectomy or during the mastectomy surgery, you will want to discuss with your doctor whether the use of a tissue expander will be necessary.

Considerations for Implant Reconstruction Patients

In spite of its popularity, there are some drawbacks to performing breast reconstruction with implants. One point to remember is that implants typically do not last a lifetime and may develop complications that require additional surgery. The most common complication of implant reconstruction is capsular contracture, in which scar tissue forms around the implant resulting in a firmer, less natural looking breast. In addition to capsular contracture, there are other risks associated with implant-based breast reconstruction that patients should be familiar with before undergoing the procedure.

It is also important to note that breast reconstruction after a mastectomy cannot usually create a perfectly natural-looking breast. Although implants and tissue-based reconstruction can both create a more symmetrical and proportionate bust line, neither procedure can produce flawless results. For this reason, it is crucial that you approach breast reconstruction surgery using implants with realistic expectations.

Contact a Cosmetic Surgeon to Learn More

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