Our Summary

This research paper discusses the most common procedure used to rebuild the breasts after a mastectomy (surgery to remove one or both breasts), which is through the use of implants. While this technique is largely successful in recreating the shape of the breast, there can sometimes be less-than-perfect results. This can include issues with the size or prominence of the new breast, its position, irregularities in its shape, issues with the position of the nipple, hardening of the tissue around the implant, or the implant rotating or flipping over. The paper looks at different strategies to improve the results of implant reconstruction through additional surgeries.

FAQs

  1. What is implant-based breast reconstruction?
  2. What are some potential issues that can occur after implant-based breast reconstruction?
  3. What are some common strategies to improve outcomes of implant reconstruction with revisional surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast reconstruction is to maintain a healthy lifestyle, including regular exercise and a balanced diet, to help promote optimal healing and reduce the risk of complications. Additionally, following post-operative care instructions and attending regular follow-up appointments with your surgeon can help ensure the best possible outcome for your breast reconstruction.

Suitable For

Patients who have undergone mastectomy for breast cancer or other medical conditions are typically recommended breast reconstruction. This includes patients who have had a full or partial mastectomy, as well as those who have undergone prophylactic mastectomy due to a high risk of developing breast cancer. In addition, patients who have undergone lumpectomy and wish to restore symmetry between their breasts may also be candidates for breast reconstruction. It is important for patients to discuss their options with their healthcare provider to determine the best approach for their individual needs and goals.

Timeline

Before breast reconstruction:

  1. Diagnosis of breast cancer and consultation with a surgeon about treatment options.
  2. Decision to undergo mastectomy as part of breast cancer treatment.
  3. Consultation with a plastic surgeon to discuss breast reconstruction options.
  4. Pre-operative planning and preparation for breast reconstruction surgery.

After breast reconstruction:

  1. Recovery period following initial breast reconstruction surgery.
  2. Follow-up appointments with the plastic surgeon to monitor healing and address any issues.
  3. Possible additional surgeries for revision or adjustments to achieve desired results.
  4. Continued follow-up care to monitor long-term outcomes and address any complications that may arise.
  5. Adjustment to the new appearance of the reconstructed breast and overall body image.

What to Ask Your Doctor

  1. What are the risks and benefits of implant-based breast reconstruction?
  2. Are there alternative options to consider for breast reconstruction?
  3. How long is the recovery process from breast reconstruction surgery?
  4. What are the potential complications or side effects of breast reconstruction surgery?
  5. Will I need additional surgeries or revisions in the future?
  6. How will breast reconstruction affect my future mammograms or breast cancer screenings?
  7. What type of implants will be used for the reconstruction and how long do they typically last?
  8. Can I still breastfeed after breast reconstruction surgery?
  9. How will breast reconstruction impact the appearance and sensation of my breast?
  10. Are there any lifestyle changes or restrictions I should be aware of after breast reconstruction surgery?

Reference

Authors: Colwell AS. Journal: Aesthet Surg J. 2020 Nov 17;40(Suppl 2):S38-S44. doi: 10.1093/asj/sjaa132. PMID: 33202008