Breast Reconstruction with Implants

Breast reconstruction with implants is a surgical procedure that involves the use of artificial devices, known as breast implants, to recreate the shape and appearance of a breast after a mastectomy or other breast surgery.

Types of Breast Implants

• Silicone Gel-Filled Implants: These implants are filled with a silicone gel that mimics the feel of natural breast tissue. They come in a variety of shapes, sizes, and textures to suit individual needs.
• Saline-Filled Implants: These implants are filled with a sterile saltwater solution. They can be filled to varying capacities to achieve the desired size and shape.
• Form-Stable Implants (Gummy Bear Implants): These implants are made of a cohesive silicone gel that maintains its shape even if the implant shell is broken.

Surgical Techniques

Breast reconstruction with implants can be performed using various surgical techniques, including:

• Tissue Expander Technique: This involves inserting a tissue expander under the skin and muscle of the chest. The expander is then filled with saline solution over several weeks or months to stretch the skin and create space for the implant.
• Direct-to-Implant Technique: This involves placing the breast implant directly into the breast pocket during the initial surgery, without the need for a tissue expander.
• Latissimus Dorsi Flap Technique: This involves transferring muscle and skin from the back to the chest to create a pocket for the implant.

Candidates for Breast Reconstruction with Implants

Breast reconstruction with implants is suitable for women who have undergone a mastectomy due to breast cancer, or those who require breast surgery for other medical reasons. Ideal candidates should be in good overall health and have realistic expectations about the outcome of the procedure.

Risks and Complications

As with any surgical procedure, breast reconstruction with implants carries certain risks and complications, including:

• Infection
• Bleeding or hematoma
• Scarring
• Implant rupture or deflation
• Capsular contracture (tightening of the tissue around the implant)
• Asymmetry or unevenness of the breasts

Recovery and Aftercare

After breast reconstruction with implants, patients typically require several weeks to recover. They should follow a post-operative care plan that includes:

• Pain management
• Wound care
• Follow-up appointments with the surgeon
• Avoiding strenuous activities or heavy lifting

Long-Term Results

Breast reconstruction with implants can provide long-term results that improve the appearance and feel of the breasts. However, it is essential to note that breast implants are not permanent devices and may require replacement or revision surgery over time.

Frequently Asked Questions (FAQs)

What is breast reconstruction with implants?
Surgery to rebuild a breast using an implant after mastectomy or injury.

Who is a candidate for breast reconstruction with implants?
Women who have had a mastectomy or have a congenital breast deformity.

What types of implants are used in breast reconstruction?
Saline or silicone gel-filled implants.

Is breast reconstruction with implants an outpatient procedure?
No, it typically requires a hospital stay.

How long does the surgery take?
Several hours, depending on the complexity of the procedure.

Will I have scars after breast reconstruction with implants?
Yes, there will be permanent scars.

Can I still have a mammogram after breast reconstruction with implants?
Yes, but it may require special techniques.

How long is the recovery time for breast reconstruction with implants?
Several weeks to several months.

Are there risks and complications associated with breast reconstruction with implants?
Yes, such as infection, implant rupture, and capsular contracture.

Is breast reconstruction with implants covered by insurance?
Typically yes, as it is considered a reconstructive procedure.