Breast reconstruction with implant
Reconstruction of the breast with a breast implant after a mastectomy, when skin and tissues are sufficiently suitable for safe implant coverage.
What is a breast reconstruction with implant?
A breast reconstruction with implant is a technique where a breast is rebuilt using a silicone breast implant.
This technique is often used after a mastectomy when there is sufficient skin and soft tissue present to safely cover an implant.
In certain situations, an implant reconstruction can be a less complex procedure than a reconstruction with autologous tissue. However, there are important factors that determine whether this technique is suitable, such as skin quality, previous radiation, scarring, and the general medical situation.
During the consultation, it will be assessed whether an implant reconstruction is a safe and realistic option, or whether a breast reconstruction with autologous tissue is more appropriate.
INDICATIONS
When can a breast reconstruction with implant be considered?
procedure
How does an implant reconstruction proceed?
An implant reconstruction can be performed directly with a permanent implant, or in two stages starting with a temporary tissue expander.
Safety
An implant reconstruction is not the best choice for every patient.
The risk of complications is higher particularly after radiotherapy, or in cases of thin skin, poor skin quality, or extensive scarring. In those situations, a reconstruction with autologous tissue is often considered instead.
Results
An implant reconstruction can provide a good breast shape and projection.
The breast usually feels slightly firmer than with a reconstruction using autologous tissue. Sometimes lipofilling is used later to refine the contour and soften the transition between the implant and the chest wall.
Aftercare
The operation is followed by a period of wound healing and monitoring.
Recovery is usually shorter than with a flap reconstruction, but with an expander reconstruction, a second operation is required later to replace the expander with a permanent implant.
Recovery
Recovery after implant reconstruction
Recovery after an implant reconstruction is usually shorter than after a breast reconstruction with autologous tissue.
Typically, recovery proceeds in several steps:
- hospitalization for several days
- recovery period of several weeks
- gradual resumption of daily activities
- temporary avoidance of heavy exertion
When a tissue expander is placed first, a second procedure follows later to replace the expander with a permanent implant.
Scars / points of attention
Possible complications and points of attention
Points of attention for an implant reconstruction
Possible problems with an implant reconstruction include capsular contracture, infection, implant loss, asymmetry, or a less natural transition between the implant and the chest wall.
These risks are higher in patients who have undergone radiation. Radiotherapy can make the skin and tissues less supple, which can cause an implant to feel harder or lead to more complaints.
In such situations, a breast reconstruction with autologous tissue is often discussed as a more durable alternative.
Frequently asked questions
Your questions about breast reconstruction with implant answered
Can an implant reconstruction be replaced by autologous tissue later?
Yes. An implant can be replaced later by a reconstruction with autologous tissue, for example with a DIEP flap.
Does an implant need to be replaced?
Yes. Implants may sometimes need to be replaced in the long term, for example in cases of capsular contracture, displacement, wear, or complaints.
Is an implant possible after radiation?
It is sometimes possible, but the risk of complications is significantly higher. Therefore, a reconstruction with autologous tissue is often preferred for patients who have undergone radiation.
Can an implant be combined with lipofilling?
Yes. Lipofilling can be used to improve the contour of the breast, better cover thin skin, and soften the transition between the implant and the chest wall.
What is the alternative to an implant reconstruction?
The main alternative is breast reconstruction with autologous tissue, such as a DIEP flap, SGAP flap, PAP flap, or lumbar flap. In these procedures, skin and fat from the patient’s own body are used to reconstruct the breast.
Is an implant reconstruction reimbursed?
When the reconstruction is performed as part of breast cancer surgery, it is usually reimbursed within the breast reconstruction pathway.
Related procedures
More information about related reconstructive treatments:
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