Safe and Efficient Implant-Based Breast Reconstruction

Albert H. Chao, MD

Disclosures

Plast Reconstr Surg Glob Open. 2020;8(9):e3134 

In This Article

What Patients Should Know Before Having This Procedure

Implant-based breast reconstruction is a safe and effective procedure that is associated with high patient satisfaction. Although a 1-stage approach may be preferable, this may not always be feasible, including because of findings that only become evident during the surgery itself. Multiple surgical procedures, including to revise an existing reconstruction, may be necessary to achieve the best result. In addition, breast implants may not remain intact for the entirety of a patient's lifetime. While implants can generally be expected to maintain their integrity for over a decade, additional surgery may be indicated in the distant future to replace a ruptured implant.[36] Lastly, adjuvant therapies, specifically radiation therapy, can adversely affect the outcomes of implant-based breast reconstruction and increase the likelihood of loss of the implant.[37–39]

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