Overview

Implant-based breast reconstruction is a surgical procedure performed to rebuild the shape and appearance of the breast following a mastectomy (surgical removal of the breast, usually due to breast cancer). This technique uses a silicone or saline implant to recreate the breast mound.

When is it Performed?

Immediate Reconstruction:

Performed at the same time as the mastectomy.

Delayed Reconstruction:

Carried out months or even years after the mastectomy, usually after completion of cancer treatments such as chemotherapy or radiotherapy.

Types of Implants

Saline Implants:

Filled with sterile salt water.

Silicone Implants:

Filled with silicone gel, designed to mimic the feel of natural breast tissue.

Surgical Approaches

There are two main techniques for implant-based breast reconstruction:

Two-Stage Reconstruction with Tissue Expander

• A temporary balloon-like device (tissue expander) is inserted under the chest muscle.
• Over several weeks, it is gradually filled with fluid to stretch the skin and prepare the area.
• Once the skin is adequately expanded, the expander is replaced with a permanent implant.

Direct-to-Implant Reconstruction

• In selected cases, a permanent implant is placed immediately during the mastectomy, avoiding the need for a tissue expander.

Use of Mesh or Sling

To provide additional support and enhance the breast shape, a special material such as acellular dermal matrix or synthetic mesh may be used during the procedure.

Recovery and What to Expect

• Most patients stay in the hospital for 1–2 days after surgery.
• Normal daily activities can usually be resumed within 4–6 weeks.
• Several follow-up visits will be required to monitor healing and discuss aesthetic results.

Benefits

• Shorter surgery and recovery time compared to flap-based reconstruction.
• No additional scarring on other parts of the body, since tissue is not taken from another area.

Considerations

• Implants may not last a lifetime and could require replacement in the future.
• Additional surgeries may be needed to improve symmetry or make adjustments.
• This method may not be suitable for individuals who have had or will undergo radiotherapy, due to a higher risk of complications.

Is It Right for You?

Your breast surgeon and plastic surgeon will guide you in making an informed decision based on your individual anatomy, cancer treatment plan, and personal preferences.