Breast Reconstruction: Q&A
Ask a QuestionI Am a 55 Yrs Old. Double Mastectomy with Radiation on Left Side.
some residual soft skin on left. Height 177cm. Weight 115kg. Had hysterectomy.do not want a flap procedure. can expansion be considered? thank you
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6 Doctor Answers |
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Breast Reconstruction after radiation
Radiation affects the healing potential of tissue and can therefore increase the risk of post-operative complications especially with implant-based reconstruction. That said, it is still possible to successfully perform implant-based reconstruction in the setting of radiation. A more customized plan can be made based on your consultation. I wish you luck.
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Post-radiation expander reconstuction may work
Radiation damages the skin and makes it less pliable and less resistant to infection. However, not every breast is similarly affected. If you do not want a flap, try an expander reconstruction. You may have to compromise the "perfection" or softness of the result, but you will gain in simplicity.
Get the advice of a good surgeon whom you like.
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Tissue expander breast reconstruction after radiation usually works.
Hi.
We do this frequently, and with low complication rate. The condition of your soft tissues (skin and muscle) is important, and you need to find a really experienced plastic surgeon.
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Radiation and tissue expanders
Although placing expanders after radiation can be performed. It all depends upon the quality of the tissues. You have to also understand that the risks for infection and wound complications are higher with the radiated tissue.
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Breast reconstruction after radiation
I agree with Dr. Jenson, you have a higher liklihood of complications on the radiated side with expander/implant reconstruction alone. Your best bet is a latissimus flap over expander/implant. This places healthy ,well- vascularized tissue over the implant and takes some of the strain off of the radiated mastectomy skin.
All my best,
Daniel A. Medalie, MD
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Radiation and breast reconstruction
Once you've had radiation the tissues do not heal as well after surgery. With expansion there is a very high complication rate in radiated tissue, primarily infection and extrusion of the implant. Your best bet would be a lattisimus flap from the back for the irradiated side and expansion on the non-irradiated side.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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