Implant Reconstruction
Implant Reconstruction
What is Implant Reconstruction?
Breast reconstruction using implants is commonly used after mastectomy, either during the same surgery or at a later date. In this procedure, silicone or saline implants are inserted beneath the chest muscle or skin to recreate the appearance of natural breasts.
Implant reconstruction offers several benefits compared to other types of reconstructive surgery. It's less invasive than procedures involving tissue flaps from other parts of the body, resulting in shorter recovery times and fewer complications. Implants also provide immediate results and require minimal maintenance once they are in place.
However, implant reconstruction may not be suitable for everyone. Factors such as overall health, size and shape preferences, and radiation therapy history may influence the success of this procedure. It is important to consult with a qualified surgeon to determine if implant reconstruction is the right option for you.
What are the Benefits of Implant Reconstruction?
Implant reconstruction is a popular option for women who have undergone a mastectomy as part of their breast cancer treatment. There are several benefits to choosing implant reconstruction, including:
- Natural Appearance: Implants can often provide a more natural-looking breast shape compared to other reconstruction methods.
- Shorter Recovery Time: Implant reconstruction typically has a shorter recovery time compared to other types of breast reconstruction surgery that use flaps of the patient's own tissue.
- Less Invasive: Implant reconstruction is usually less invasive than procedures that involve using tissue from another part of the body (such as the abdomen or back) for breast reconstruction. It requires only one surgical site and does not affect the abdominal or other muscles.
- Symmetry: Implants can help restore symmetry between the breasts, which can improve self-esteem and confidence in body image.
- Adjustable Size: Implants offer the ability to adjust the size and shape of the reconstructed breast.
- Fewer Surgeries: In some cases, implant reconstruction may require fewer surgeries compared to other types of breast reconstruction methods.
Who is a Good Candidate for Implant Reconstruction?
The use of silicone or saline implants are commonly used to create a new breast shape following unilateral [Link to Unilateral Mastectomy] or bilateral mastectomy. [Link to Bilateral Mastectomy] However, this type of procedure is not ideal for everyone. Here are some factors that may make someone a good candidate for implant reconstruction after mastectomy:
- Preference for Simple Surgery: Implant reconstruction can be a good option for women who don't want to have more than one surgical site following their mastectomy. Depending on the type of mastectomy [Link to Mastectomy] you have, you may be able to have the implants at the same time.
- Good Overall Health: Candidates for implant reconstruction should be in good general health and free from any serious medical conditions that could interfere with the healing process.
- Non-Smoker: Smoking impairs the body's ability to heal properly, so candidates for implant reconstruction should ideally be non-smokers or willing to quit smoking before undergoing the procedure.
- Realistic Expectations: It's important for candidates to have realistic expectations about the results of implant reconstruction. While it can create a natural-looking breast shape, it may not feel exactly like a natural breast and there is likely still to be some scarring.
- Sufficient Tissue Coverage: In order for the implants to look natural and avoid complications such as rippling or capsular contracture, there needs to be enough healthy tissue remaining after mastectomy to cover the implants adequately.
- Additional Surgeries: Implant reconstruction often requires multiple surgeries over time in order to achieve the desired results. Candidates should be prepared for this commitment and willing to undergo further procedures if necessary.
Ultimately, the decision about whether someone is a good candidate for implant reconstruction after mastectomy will depend on their individual circumstances and goals. It's important to consult with a qualified plastic surgeon who specializes in breast reconstruction in order to determine the best approach for each individual case.
What Should I Expect From My Surgery?
During reconstruction by implant, a bag of silicone gel or saline is inserted beneath the chest muscle or directly behind any remaining breast tissue and skin. The choice of implant placement depends on factors such as your anatomy, tissue quality, and surgical preference.
This procedure can be performed either immediately after mastectomy (immediate reconstruction) or at a later time (delayed reconstruction), depending on your treatment plan and preferences.
Before Surgery
Before your surgery, you'll have a meeting with your surgical team to go over the details of your operation. This is a great opportunity to ask any questions you may have and ensure you fully understand the procedure, its purpose, associated risks, and any alternative treatments available.
Your healthcare team will provide you with specific instructions to prepare for surgery, which may include:
- Informing your healthcare team about any medications, vitamins, or supplements you're currently taking, as certain substances may interfere with the surgery.
- Stopping certain medications, such as aspirin or other blood-thinners, as advised by your healthcare team.
- Following guidelines regarding fasting before surgery, which may involve refraining from eating for several hours beforehand and only drinking liquids up to a certain time.
- Planning for post-surgery arrangements, such as whether you'll need to stay in the hospital overnight or go home the same day. Arrange for transportation if you're discharged the same day and prepare a bag with essentials for your hospital stay, including toiletries and items for comfort and entertainment.
During Surgery (Procedure Overview)
You will typically have DIEP flap reconstruction at the same time as a mastectomy. This is major surgery that will normally involve staying in the hospital for 2 to 5 nights. The procedure can vary based on your personal circumstances and your doctor's methods.
- You'll be asked to change into a gown.
- An IV (intravenous) line will be inserted into your arm or hand to give you medication that will help you relax and put you to sleep during surgery.
- You'll lie on your back on the operating table.
- Your vital signs, like heart rate and blood pressure, will be monitored throughout the surgery.
- The skin around the surgical area will be cleaned with a sterile solution
- If it is a delayed reconstruction, the surgeon will make an incision and create a pocket either beneath the chest muscle (submuscular placement) or directly behind the breast tissue (subglandular placement) if there is sufficient remaining following mastectomy.
- The breast implant is carefully inserted into the pocket. The surgeon adjusts the position and orientation of the implant to achieve the desired breast shape and symmetry.
- Drainage tubes may be inserted into the area.
- The incisions will be closed with stitches or adhesive strips and a sterile bandage or dressing will be applied over both the surgery sites.
After Surgery & Recovery
During your hospital stay, you'll be taken to the recovery room after the procedure. There, you'll be closely monitored until your vital signs like blood pressure, pulse, and breathing are stable, and you're awake and alert. Once you're stable, you'll be moved to your hospital room.
If you have implant reconstruction the same time as your mastectomy, you will typically stay in the hospital for 2 to 7 days.
Once you're home, it's important to keep the surgical area clean and dry, following your doctor's instructions. You'll also need to care for the drainage tubes, which are usually removed after about 2 weeks at your first follow-up exam.
You may experience some pain, which can vary depending on the surgery. Your healthcare team will recommend pain relievers, but be cautious about taking aspirin or certain other pain medicines that may increase the risk of bleeding.
You can typically resume normal activities in a few weeks, but you should avoid strenuous activities in the meantime. Your surgeon will advise you on when you can drive again and return to work.
If you're having difficulty coping with your recovery, you may find it helpful to speak to your loved ones or to join a support group for assistance. This can help you cope with the emotional aspects of undergoing this type of surgery.
Contact your doctor if you experience fever, chills, increased pain, swelling, or any other concerning symptoms after surgery.
Contact us today [Link to Contact] for a confidential conversation by video call directly with one of our expert surgeons. We are specialists in mastectomy and breast reconstruction and can talk through all your options with you.