Breast Reconstruction: Understanding the Risks and Potential Complications

Breast reconstruction restores shape to the breast after mastectomy. Reconstructive breast surgery following total or partial mastectomy can be performed using autologous tissues or breast implants. Performed using FDA-approved implants, breast implant surgery in NYC offers a way to improve quality of life and body image post mastectomy. Earlier studies found low complication rates among women who underwent mastectomy and breast reconstruction. However, the latest recommendations advise women contemplating breast reconstruction to consider possible complications from surgery, as well as additional risks from cancer treatments like radiation and chemotherapy.

Breast reconstruction using implants reshapes the breasts using silicone devices filled with silicone gel or salt water (saline). Breast implant options include smooth, textured, round, shaped, saline and both liquid and solid silicone. The procedure:

• Creates a breast contour
• Provides improved symmetry so that the breasts look similar
• Helps avoid the need for wearing an external prosthesis inside your bra
• Can improve self-esteem and body image

The decision to get breast reconstruction is a personal one and it cannot change the risk of breast cancer recurrence.

Breast Reconstruction Post Mastectomy: Make an Informed Decision

A study in JAMA Surgery reported that 32.9% of women who had breast reconstruction after a mastectomy experienced complications within two years. The American Society of Plastic Surgeons (ASPS) states that the possible risks of breast reconstruction include, but are not limited to, bleeding, infection, poor healing of incisions and anesthesia risks. ASPS further notes that patients should be aware of the following:

• Flap surgery for breast reconstruction carries risks such as partial or complete loss of the transplanted tissue and loss of sensation at the donor and reconstructed sites.
• Breast implants come with risks such as
• Hardening around the implant (capsular contracture) and potential implant rupture.
• A rare type of immune system cancer called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), especially with textured implants.
• Other rare cancers, such as breast implant-associated squamous cell carcinoma (BIA-SCC), forming around the implant.
• Possible implant-related symptoms such as fatigue, memory issues, muscle or joint pain, and skin rash.

It is also important to note that implants are synthetic objects and have a defined lifespan, which may differ from patient to patient.  Due to these reasons, patients may need revisions down the line.

Patients should also be aware that breast reconstruction cannot:

• Restore the exact pre-surgery appearance
• Provide the same sensations in the reconstructed breast as in the natural breast

To make an informed decision regarding implant reconstruction post mastectomy, patients should discuss the benefits and risks with their plastic surgeon. An expert may recommend a certain implant shape, surface and fill to achieve an optimal reconstruction while minimizing potential complications. Given the reported BIA-ALCL risk of textured implants, patients should make an informed decision and choose the implant that is right for them.

Make Sure You Are in the Right Hands

Breast implant surgery in NYC for cosmetic purposes or for reconstruction should be handled by an expert.

Breast reconstruction with implants is usually done under general anesthesia in a hospital setting, often requiring a short hospital stay. Some follow-up procedures may be done on an outpatient basis, using local anesthesia with sedation. These choices will depend on the specifics of your procedure, as well as your preferences and your surgeon’s professional judgment. As breast cancer reconstruction is a complex surgery, it should be performed by an experienced plastic surgeon, ideally in collaboration with the breast surgeon.

Choosing the right breast implant for reconstruction is a highly personal decision that should sync with the patient’s body type, aesthetic goals, and lifestyle. Factors such as implant size, shape (round or anatomical), and material (silicone or saline) influence the final appearance and feel. The surgeon will discuss these options with the patient in detail and guide them based on your individual needs, desired outcome, and long-term goals. With the right choice, breast implants can help restore a natural appearance and boost confidence after reconstruction.