Our Summary

This research paper is about a study that was conducted to find out if having breast augmentation (breast implants) before a mastectomy and immediate reconstruction increases the risk of complications after the surgery. The researchers looked at the results of six different studies that compared women who had breast implants before their mastectomy to women who didn’t. The complications they considered were those that occurred soon after surgery, those that occurred later, and all complications combined.

The results showed that there was no significant difference in complication rates between women who had breast implants before their mastectomy and those who didn’t. However, they did find that women with breast implants were more likely to have a hematoma (a collection of blood outside of the blood vessels) after their surgery. This suggests that having breast implants does not significantly increase the risk of complications after a mastectomy and reconstruction, but the higher risk of hematoma in women with implants should be considered and discussed before surgery.

FAQs

  1. Does having breast implants before a mastectomy increase the risk of complications after surgery?
  2. What is the most common complication for women with breast implants after a mastectomy and reconstruction?
  3. Is there a significant difference in complication rates between women who had breast implants before their mastectomy and those who didn’t?

Doctor’s Tip

A helpful tip a doctor might tell a patient considering breast augmentation is to discuss the potential risk of hematoma with their surgeon and to follow all post-operative care instructions carefully to reduce the risk of complications. It is important for patients to have open and honest communication with their healthcare provider to ensure the best possible outcomes.

Suitable For

In general, breast augmentation is recommended for patients who are looking to enhance the size and shape of their breasts for cosmetic reasons. However, there are certain groups of patients who may be recommended breast augmentation for medical reasons. These include:

  1. Women who have undergone a mastectomy: Breast augmentation may be recommended for women who have had a mastectomy (surgical removal of one or both breasts) as part of their breast cancer treatment. This procedure can help to restore the shape and size of the breasts and improve body image and self-esteem.

  2. Women with breast asymmetry: Some women may have breasts that are asymmetrical in size or shape, which can cause physical discomfort and self-consciousness. Breast augmentation can help to create a more balanced and symmetrical appearance.

  3. Women with congenital breast abnormalities: Some women may be born with congenital breast abnormalities, such as tuberous breasts or Poland syndrome, which can affect the size and shape of the breasts. Breast augmentation can help to correct these abnormalities and improve the overall appearance of the breasts.

  4. Transgender individuals: Breast augmentation may be recommended for transgender individuals who are undergoing gender-affirming surgery as part of their transition. This procedure can help to create a more feminine chest contour and improve gender dysphoria.

  5. Women who have experienced significant weight loss or pregnancy: Significant weight loss or pregnancy can cause changes in the size and shape of the breasts, leading to sagging and loss of volume. Breast augmentation can help to restore fullness and improve the overall appearance of the breasts.

It is important for patients to discuss their goals and expectations with a board-certified plastic surgeon to determine if breast augmentation is the right option for them. The surgeon will evaluate the patient’s medical history, anatomy, and aesthetic goals to develop a personalized treatment plan that is safe and effective.

Timeline

Before breast augmentation:

  1. Consultation with a plastic surgeon to discuss goals, expectations, and surgical options.
  2. Pre-operative appointments and tests to ensure the patient is a suitable candidate for surgery.
  3. Decision-making process regarding implant type, size, and placement.
  4. Surgery scheduling and preparation, including instructions on fasting and medications to avoid.
  5. Surgical procedure performed under general anesthesia, typically taking 1-2 hours.
  6. Post-operative care and monitoring in a recovery room before being discharged.

After breast augmentation:

  1. Initial recovery period with discomfort, swelling, and bruising that typically lasts 1-2 weeks.
  2. Follow-up appointments with the surgeon to monitor healing and address any concerns.
  3. Gradual return to normal activities and exercise, following post-operative guidelines.
  4. Continued monitoring of breast implants for any signs of complications, such as infection or implant rupture.
  5. Long-term follow-up to ensure the implants are functioning properly and to address any changes in breast appearance or sensation.
  6. Potential for additional surgeries in the future, such as implant replacement or revision procedures.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with breast augmentation before a mastectomy and immediate reconstruction?
  2. How will having breast implants affect the overall outcome of my mastectomy and reconstruction surgery?
  3. Are there any specific precautions or additional steps that need to be taken during surgery due to having breast implants?
  4. How will having breast implants impact the recovery process following my mastectomy and reconstruction surgery?
  5. What are the long-term implications of having breast implants before a mastectomy in terms of future breast health and potential complications?
  6. Are there any alternative options to breast augmentation that may be more suitable for my individual situation?
  7. How often will I need to follow-up with my surgeon after the surgery to monitor for any potential complications or issues related to the implants?
  8. What steps can I take to minimize the risk of hematoma or other complications following surgery with breast implants?
  9. Are there any specific factors or considerations that may increase the risk of complications for me personally, based on my medical history or individual circumstances?
  10. Can you provide me with information or resources to help me make an informed decision about whether or not to proceed with breast augmentation before my mastectomy and immediate reconstruction?

Reference

Authors: Chicco M, Ahmadi AR, Cheng HT. Journal: Aesthet Surg J. 2021 Jun 14;41(7):NP763-NP770. doi: 10.1093/asj/sjab028. PMID: 33480970