I agree with many of the central concepts written by the surgeons above. Breast reconstruction with implants following prophylactic mastectomy is usually a straight forward procedure with few complications, however, problems may arise that may not be readily apparent during surgery or even in the days to months following surgery. Specifically, you could potentially have skin loss from the prophylactic mastectomy or significant capsular contraction.
If you are a good candidate for an abdominoplasty, that tissue that would be discarded may ideal for breast reconstruction is there is a problem with your implant reconstruction.
Don't have a concurrent breast reconstruction with implants and abdominoplasty. You are burning a bridge that may be your next best option. Wait a year. After a year, you'll know (for the most part) if you are happy with your breasts and can proceed with an abdominoplasty if you wish - and do so knowing you're doing the safest thing.
I hope this helps!
Dr. Kaufman
